Nursing homes across Merrimack County, New Hampshire, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Merrimack County Nursing Home runs on one of the strongest staffing pictures you'll find, 4.74 nurse hours per resident day against a national average of 3.86, and its 34.4% turnover beats the 45.8% norm, which matters for whether your parent sees the same faces each week. Weekends thin out about 11% from weekday coverage, so ask how that gap gets filled. The caution is inspections: 12 deficiencies on the current record, including one at the harm level and one abuse-related, with a $15,646 fine and a 2/5 inspection rating. A March 2026 inspection is recent, at least. County-run and 290 beds means you're dealing with a large public operator, not a chain. Staffing is the strength; the survey history is what to press on.
Havenwood-Heritage Heights runs a lean nonprofit shop of 70 beds, and its nurse staffing sits at 5.23 hours per resident day against a national average of 3.86, roughly a third more hands-on time than the typical home. The catch is weekends, when coverage drops about 5% below its own weekday pace, so timing matters if you're visiting or checking in. State inspectors last walked through in April 2026 and left seven deficiencies on the record, none at the harm level and none tied to abuse, though the two-star inspection rating says the paperwork and process side isn't as clean as the clinical numbers. On measures like falls and infections, it performs well above average.
Presidential Oaks runs 4.43 nurse hours per resident day, roughly 15% above the national average, but weekends drop about 13% below its own weekday level, so the coverage you get depends on when you visit. Staff turnover sits at 68.3% against a national 45.8%, meaning a lot of the people providing that care are new and still learning the building. The current record shows 16 deficiencies, none at the harm level, but one abuse-related citation is worth asking about directly. Inspections were recent and the quality measures are strong; the weaker inspection history and churn are what pull the overall picture down.
Harris Hill Center runs about 12% thinner on nursing hours than the national average, and weekends get thinner still, roughly 14% below what the home staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and problems can sit longer. Annual turnover of 50.7% means more than half the nursing staff leaves each year, against a national rate near 46%. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related; the single fine totals $15,646. The last inspection was in April 2026, so the record is reasonably fresh. Corporate for-profit ownership, 85 beds, and a staffing rating reflecting those numbers.
Epsom Healthcare Center runs 108 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 41.7%, a bit better than the 45.8% national figure. The current record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated March 12, 2026. CMS gave 2 of 5 stars for health inspections but 3 for quality measures and 3 for staffing.
Pleasant View Center runs 176 certified beds in Concord under for-profit limited liability ownership, and the numbers raise real questions. Nurse staffing sits at 3.78 hours per resident day against a national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. Annual turnover hits 68% while the national figure is 45.8%, that churn matters when aides and nurses are the people doing daily care. The current record carries 43 deficiencies, including one at the harm or jeopardy level and six tied to abuse, plus two CMS fines totaling $12,982. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Mountain Ridge Center runs 86 certified beds in Franklin under Genesis Healthcare, a for-profit corporation, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day it sits about 12% under the national average, and weekends dip roughly 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover of 67.5% is well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. Inspections in April 2025 turned up 16 deficiencies, one abuse-related, with a single fine of $16,702. No harm-level citations appear on the current record, but the quality measure rating of 1 out of 5 doesn't inspire confidence.