Merrimack County Nursing Home in Boscawen, NH has an overall 4-star rating, with strong staffing at 5 stars and nurse staffing above the federal benchmark (4.76 vs 4.1 hours per resident per day). Health inspections are lower at 3 stars, with no fines reported in the last 24 months.
Last inspection: February 28, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7625.
Staffing detail
Registered nurses
0.61
Licensed practical nurses
0.66
Nurse aides
3.50
Weekend nursing
4.24
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 28%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
19.9%Steady
Residents with a fall causing major injury
3.1%Improving
Residents with pressure ulcers (bedsores)
2.7%Steady
Residents with a urinary tract infection
1.1%Worsening
Residents who lost too much weight
2.8%Steady
Residents who were physically restrained
0.8%Steady
Residents needing more help with daily activities
18%Worsening
Residents whose ability to walk got worse
17.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
24.5%Steady
Short-stay residents newly given an antipsychotic
1.2%Worsening
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
26%Improving
Residents with depressive symptoms
7.4%Steady
Long-stay residents given the seasonal flu vaccine
98.8%Steady
Long-stay residents given the pneumonia vaccine
97.3%Worsening
Short-stay residents given the seasonal flu vaccine
56.1%Steady
Short-stay residents given the pneumonia vaccine
80.5%Improving
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 nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited March 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: D
The home failed to assess residents for a feeding assistant program, follow their care plans, and make sure feeding assistants were properly trained and supervised. Cited March 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 811 — 42 CFR §483.60 — S/S: D
Recent history
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
273.3 residents on an average day (94% 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.