Merrimack County Nursing Home
A nursing home in Boscawen, New Hampshire 03303
325 Daniel Webster Highway, Boscawen, New Hampshire 03303. (603) 796-2165.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 7 health citations at the latest inspection cycle New Hampshire average: 4.1
- 4.76 nurse hours per resident per day New Hampshire average: 3.87
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
7 health citations at the latest inspection cycle
The New Hampshire average is 4.1.
Last standard inspection Mar 25, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard and complaint inspection on Mar 21, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
12 citations in 3 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 12 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 2 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 25, 2026: standard inspection7 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Provide or get specialized rehabilitative services as required for a resident.
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Assess the resident when there is a significant change in condition
Feb 28, 2025: standard inspection3 citations
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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.
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Provide and implement an infection prevention and control program.
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Ensure each resident receives an accurate assessment.
Mar 21, 2024: standard and complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 1, 1996.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as government, county.
- 290 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $15,646 in all.
- No Medicare payment denials in the last three years.
- 2 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Mar 21, 2024 | Fine | $15,646 |
Who does the caring?
4.76 nurse hours per resident per day
The New Hampshire average is 3.87.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | New Hampshire average |
|---|---|---|
| Nurse hours per resident per day | 4.76 | 3.87 |
| Of which registered nurses | 0.79 | 0.78 |
| At weekends | 4.15 | 3.43 |
| Nursing staff turnover | 33.3% | 43.4% |
| Registered nurse turnover | 25.5% | 40.5% |
| Administrators who left | 0 | Not given |
Who owns it?
- County of Merrimack owns 100% directly since Jan 1, 2025.
- County of Merrimack runs it.
- 40 owners or officers are people: Ross Cunningham (runs it (operational or managerial control)); Ross Cunningham (additional disclosable party (controls, leases property to, or provides services to the home)); Ross Johnson (runs it (operational or managerial control)); Ross Johnson (additional disclosable party (controls, leases property to, or provides services to the home)); Aaron D Turner (corporate officer, 0%); Aaron D Turner (additional disclosable party (controls, leases property to, or provides services to the home)); Stephen Shurtleff (on the governing body (managing control)); Stephen Shurtleff (additional disclosable party (controls, leases property to, or provides services to the home)); Christopher Kneeland (corporate officer, 0%); Christopher Kneeland (additional disclosable party (controls, leases property to, or provides services to the home)); Stacey Daitch (runs it (operational or managerial control)); Stacey Daitch (additional disclosable party (controls, leases property to, or provides services to the home)); Amanda Alley (runs it (operational or managerial control)); Amanda Alley (additional disclosable party (controls, leases property to, or provides services to the home)); David Lovelien (on the governing body (managing control)); David Lovelien (additional disclosable party (controls, leases property to, or provides services to the home)); Sherrie Kneeland (runs it (operational or managerial control)); Sherrie Kneeland (additional disclosable party (controls, leases property to, or provides services to the home)); Heather M Moquin (runs it (operational or managerial control)); Heather M Moquin (additional disclosable party (controls, leases property to, or provides services to the home)); Eric Muzzey (runs it (operational or managerial control)); Eric Muzzey (additional disclosable party (controls, leases property to, or provides services to the home)); Lori Dresser (runs it (operational or managerial control)); Lori Dresser (additional disclosable party (controls, leases property to, or provides services to the home)); Virginia Evans (runs it (operational or managerial control)); Virginia Evans (additional disclosable party (controls, leases property to, or provides services to the home)); Stuart Trachy (on the governing body (managing control)); Stuart Trachy (additional disclosable party (controls, leases property to, or provides services to the home)); Sarah T Glover (runs it (operational or managerial control)); Sarah T Glover (additional disclosable party (controls, leases property to, or provides services to the home)); Bruce O Bourbeau (runs it (operational or managerial control)); Bruce O Bourbeau (additional disclosable party (controls, leases property to, or provides services to the home)); Mary Heath (runs it (operational or managerial control)); Mary Heath (additional disclosable party (controls, leases property to, or provides services to the home)); Shawna Theis (runs it (operational or managerial control)); Shawna Theis (additional disclosable party (controls, leases property to, or provides services to the home)); Wendy Heath (runs it (operational or managerial control)); Wendy Heath (additional disclosable party (controls, leases property to, or provides services to the home)); Jen Ridlon (runs it (operational or managerial control)); Jen Ridlon (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| County of Merrimack | Owns 5% or more directly | 100% | Jan 1, 2025 |
| County of Merrimack | Runs it (operational or managerial control) | Jan 1, 2025 | |
| County of Merrimack | Additional disclosable party (controls, leases property to, or provides services to the home) | May 15, 2025 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (New Hampshire average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 5 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 21.1 miles, this one had the 4th most health citations at the latest inspection cycle (7; the middle value was 6.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Merrimack County Nursing Home This nursing home | 7 | |
| Mountain Ridge Center, Genesis Healthcare | 5.6 | 6 |
| Havenwood-Heritage Heights | 11.9 | 2 |
| Presidential Oaks | 12.0 | 7 |
| Pleasant View Center | 12.1 | 10 |
| Harris Hill Center, Genesis Healthcare | 13.0 | 7 |
| Saint Francis Rehabilitation and Nursing Center | 13.8 | 0 |
| Laconia Rehabilitation Center | 14.8 | 9 |
| Belknap County Nursing Home | 15.1 | 2 |
| Epsom Healthcare Center | 16.8 | 8 |
| Golden View Health Care Center | 18.5 | 3 |
| Hillsboro House Nursing Home | 21.1 | 3 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.