Home / New Hampshire / Epsom
Epsom Healthcare Center
901 Suncook Valley Highway, Epsom, NH 03234 · Merrimack County · (603) 736-4772
108 certified beds, about 97 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305080 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 12, 2026, inspectors cited 8 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 12 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.26 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
41.7% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
203/24
202/25
803/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
1E
1F
Potential for minimal harm
0A
0B
0C
March 12, 2026Standard inspection · 8 citations
- E Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide privacy of electronic medical records for 2 of 2 units observed (100 and 200 Halls) and during medication administration.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review, the facility failed to hold routine interdisciplinary care plan meetings and include the resident in the meeting for 1 of 1 resident reviewed for care planning in a final sample of 22 residents (Resident identifier is #27).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview, and record review, the facility failed to follow professional standards for 2 of 3 residents reviewed for nutrition, 1 of 1 resident reviewed for choices, and 1 of 6 residents reviewed for unnecessary medications in a final sample of 22 residents. (Resident identifiers are #5, #8, #24, and #65.)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and record review, the facility failed to provide routine medications to meet the needs of 1 of 1 resident reviewed for choices. (Resident identifier is #24).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, the facility failed to act upon a provider approved recommendation that were identified by the pharmacist during the Pharmacy Medication Regimen Review (MRR) for 1 of 6 residents reviewed for unnecessary medications in a final sample of 22 residents. (Resident Identifier is #95).
- D 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure self-administered medications were properly secured for 1 of 1 resident reviewed for choices in a final sample of 22 residents. (Resident identifier is #53.)
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure equipment was clean for 1 of 1 kitchen and 1 of 2 kitchenette observed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control policy regarding Enhanced Barrier Precautions (EBP) for 2 of 4 residents reviewed for EBP. (Resident identifiers are #65 and #90.)
February 4, 2025Standard inspection · 2 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and policy review, it was determined that the facility failed to develop and implement a water management program to prevent the growth of waterborne pathogens in their building with a census of 102 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow the seven rights of medication administration for 2 of 5 residents observed for medication administration. (Resident identifiers are #6 and #37).
March 7, 2024Standard inspection · 2 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to revise care plans for 2 of 2 residents reviewed for care planning in a final sample of 24 (Resident Identifiers #31 and #63). Findings Include: Resident #63 Review on 3/7/24 of Resident #63's medical record revealed a provider order, with a start date of 12/22/23, for Eliquis [anticoagulant] 5 mg [milligram] Oral Twice Daily for atrial fibrillation. Further review on 3/7/24 of Resident #63's medical record revealed no care plan interventions for monitoring adverse drug reactions of the anticoagulant medication. Interview on 3/7/24 at approximately 7:50 a.m. with Staff E (Director of Nursing) confirmed the above finding. Review on 3/8/24 of the facility's policy titled Anticoagulant Medications dated 9/1/22, revealed the following: .a. [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, and interview the facility failed to follow professional medication administration standards for 1 medication administered out of 29 medications (Resident Identifier is #16).
Fire safety inspections
11 fire safety citations on file: 3 on March 12, 2026, 4 on February 4, 2025, 4 on March 7, 2024.
Every fire safety citation11 citations
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- C Inspect, test, and maintain automatic sprinkler systems.
- C Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- C Provide properly protected cooking facilities.
- C Have simulated fire drills held at unexpected times.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Inspect, test, and maintain automatic sprinkler systems.
- C Install emergency lighting that can last at least 1 1/2 hours.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Hampshire | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.26 | 3.90 | 3.86 |
| Registered nurses | 0.55 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.90 | 3.47 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 41.7% | 44.1% | 45.8% |
| Registered nurse turnover | 33.3% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.89 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.41 on weekdays and 2.90 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.47 in April to June 2025 to 3.26 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.26 | 0.55 | 3.41 | 2.90 | 0.4% | 0 of 90 | 97 |
| Oct to Dec 2025 | 3.38 | 0.55 | 3.54 | 2.98 | 0.0% | 0 of 92 | 99 |
| Jul to Sep 2025 | 3.28 | 0.52 | 3.45 | 2.86 | 0.0% | 0 of 92 | 100 |
| Apr to Jun 2025 | 3.47 | 0.56 | 3.67 | 2.95 | 0.0% | 0 of 91 | 102 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Hampshire, Jan to Mar 2026 | 3.85 | 0.74 | 4.01 | 3.45 | 13.1% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Hampshire | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.2 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.0 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.8 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.2 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.0 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.9 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.9 | 1.8 |
Owners and operators
Legal business name: BH EPSOM LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nh3 Opco Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 09/01/2022 |
| Esnh LLC | 5% or greater indirect ownership interest | Organization | 09/01/2022 | |
| Jpnh LLC | 5% or greater indirect ownership interest | Organization | 09/01/2022 | |
| Pepper, Yehuda | 5% or greater indirect ownership interest | Individual | 09/01/2022 | |
| Schwarcz, Eli | 5% or greater indirect ownership interest | Individual | 09/01/2022 | |
| Dwight Mortgage Trust LLC | 5% or greater security interest | Organization | 09/01/2022 | |
| Bishop, Tammy | W-2 managing employee | Individual | 11/28/2022 | |
| Matera Health LLC | Operational/managerial control | Organization | 09/01/2022 | |
| Pepper, Yehuda | Operational/managerial control | Individual | 09/01/2022 | |
| Schwarcz, Eli | Operational/managerial control | Individual | 09/01/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 12, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on March 12, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on March 12, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 12, 2026: "Keep residents' personal and medical records private and confidential."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.90 hours per resident per day, below the New Hampshire average of 3.47.
Other nursing homes nearby
- Havenwood-Heritage Heights Concord, 7.7 mi · 2 of 5 stars · 7 citations
- Harris Hill Center, Genesis Healthcare Concord, 9.1 mi · 2 of 5 stars · 16 citations
- Presidential Oaks Concord, 10 mi · 3 of 5 stars · 16 citations
- Pleasant View Center Concord, 10.4 mi · 1 of 5 stars · 47 citations
- Hackett Hill Healthcare Center Manchester, 14.8 mi · 2 of 5 stars · 15 citations
- Courville at Manchester Manchester, 16.5 mi · 2 of 5 stars · 20 citations
- Saint Teresa Rehabilitation & Nursing Center Manchester, 16.8 mi · 2 of 5 stars · 15 citations
- Mount Carmel Rehabilitation and Nursing Center Manchester, 16.8 mi · 3 of 5 stars · 11 citations
Common questions
- What is Epsom Healthcare Center's Medicare star rating?
- CMS rates Epsom Healthcare Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Epsom Healthcare Center get at its last inspection?
- 8 health deficiencies at the standard inspection on March 12, 2026. The New Hampshire average is 4.
- Has Epsom Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Epsom Healthcare Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Epsom Healthcare Center?
- CMS lists 10 owners and managers. Legal business name: BH EPSOM LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.