Merrimack County Nursing Home has an overall 3-star rating, with a 2-star health inspection rating, 5-star staffing, and 3-star quality measures. It reports 4.74 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and had no fines in the last 24 months.
Last inspection: March 25, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7357.
Staffing detail
Registered nurses
0.72
Licensed practical nurses
0.66
Nurse aides
3.35
Weekend nursing
4.20
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 28%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
19.7%21.1%Worsening
Residents with a fall causing major injury
3.3%3.8%Worsening
Residents with pressure ulcers (bedsores)
1.6%3.7%Worsening
Residents with a urinary tract infection
2.1%3.6%Worsening
Residents who lost too much weight
4%2.9%Improving
Residents who were physically restrained
0.8%0.8%No change
Residents needing more help with daily activities
20.7%19.6%Improving
Residents whose ability to walk got worse
29.7%17.5%Improving
Long-stay residents on antianxiety or sleep medication
24%27.4%Worsening
Short-stay residents newly given an antipsychotic
1.8%4.8%Worsening
Residents with a long-term catheter
0.4%0.3%No change
Residents with new or worsening incontinence
23.4%27.4%Worsening
Residents with depressive symptoms
10.3%6.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.8%—
Long-stay residents given the pneumonia vaccine
99.2%96.2%Worsening
Short-stay residents given the seasonal flu vaccine
—56.1%—
Short-stay residents given the pneumonia vaccine
80.3%75.8%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to properly label and securely store medications and biologicals. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $15,646 in total fines.
Federal fine
Mar 21, 2024
$15,646
Operator & ownership
Ownership
Government - County
Occupancy
275.8 residents on an average day (95% of 290 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.