Merrimack County Nursing Home
325 Daniel Webster Highway, Boscawen, NH 03303
Merrimack County Nursing Home, a 290-bed government - county nursing facility in Boscawen, NH, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #39 of 72 rated homes in NH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6037962165
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- #39 of 72
- In-state rank among rated NH homes
- 4.74
- Well above average · nurse hrs/day · nat'l 3.86
- 12
- Inspection findings · 1 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Merrimack County Nursing Home, a 290-bed government - county nursing facility in Boscawen, NH, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #39 of 72 rated homes in NH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #39 of 72
- In-state rank among rated NH homes
- 4.74
- Nurse hrs/resident-day · national 3.86
- 12
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 73 NH nursing homes split by ownership sector
This facility is recorded as Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 305056
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 290
- Residents
- 276
- In Hospital
- No
- County
- Merrimack
- Last Inspection
- Mar 25, 2026
Staffing Data
How the 4.74 total nursing hours per resident-day are staffed:
- RN Hours
- 0.72 (nat'l avg: 0.69)
- LPN Hours
- 0.66
- CNA Hours
- 3.35
- Total Nursing Hours
- 4.74 (nat'l avg: 3.86)
- PT Hours
- 0.03
- Nursing Turnover
- 34.4%
- RN Turnover
- 27.9%
What the CMS Record Reveals About Merrimack County Nursing Home
According to CMS Nursing Home Compare, Merrimack County Nursing Home ranks #39 of 72 rated nursing homes in NH on overall stars (tie-broken by health+staffing+quality, then fewer fines). Merrimack County Nursing Home operates 290 certified beds in Boscawen, NH with approximately 276 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 5★ · quality 3★).
The inspection file contains 12 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $16K. Staffing is reported at 4.74 total nursing hours per resident day (national average 3.86), with RN coverage at 0.72 per resident day.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Merrimack County Nursing Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 34.4% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (12 most recent)
Assess the resident when there is a significant change in condition
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 21, 2026
Provide or get specialized rehabilitative services as required for a resident.
Category: Quality of Life and Care Deficiencies
Corrected: May 5, 2026
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Category: Nutrition and Dietary Deficiencies
Corrected: May 18, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 18, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 19, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 15, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: May 15, 2026
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 15, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 18, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Category: Pharmacy Service Deficiencies
Corrected: Apr 18, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 2, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 13, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.9% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 7.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.8% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 96.5% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 24.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.8% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 25.3% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 79.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 56.1% | No |
Penalty History 1 penalties totaling $16K
| Date | Type | Amount |
|---|---|---|
| Mar 21, 2024 | Fine | $16K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Merrimack County Nursing Home, both outside NH so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NH (290 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NH (5.39 here).
Nearby Nursing Homes in NH
72 other nursing homes are on record in NH; 6 are shown here.
Alpine Healthcare Center
Keene, NH
Applewood Center
Winchester, NH
Bedford Hills Center
Bedford, NH
Bedford Nursing & Rehabilitation Center
Bedford, NH
Belknap County Nursing Home
Laconia, NH
Birch Healthcare Center
Rochester, NH
Understanding Nursing Home Data
What the CMS records show for Merrimack County Nursing Home
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NH registry aggregates state averages and the highest-rated homes in this cohort. View NH registry
- Peer homes near 290 beds show how CMS stars vary at a similar scale in NH. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Merrimack County Nursing Home?
Where does Merrimack County Nursing Home rank among nursing homes in NH?
What are the staffing levels at Merrimack County Nursing Home?
How many beds does Merrimack County Nursing Home have?
Does Merrimack County Nursing Home have any deficiencies on record?
Has Merrimack County Nursing Home received any fines or penalties?
Who owns Merrimack County Nursing Home?
When was Merrimack County Nursing Home last inspected?
What quality measures are tracked for Merrimack County Nursing Home?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
