What is Merrimack County Nursing Home's Medicare star rating?

CMS rates Merrimack County Nursing Home 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Merrimack County Nursing Home get at its last inspection?

7 health deficiencies at the standard inspection on March 25, 2026. The New Hampshire average is 4.

Does Merrimack County Nursing Home 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 Merrimack County Nursing Home?

CMS lists 43 owners and managers. Legal business name: COUNTY OF MERRIMACK.

Merrimack County Nursing Home: Inspections & Ratings

The record in brief

At its most recent standard inspection, on March 25, 2026, inspectors cited 7 health deficiencies (the New Hampshire average is 4, the national average 9.2).

Of 12 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $15,646 in the last three years; the largest was $15,646, and the latest is dated March 21, 2024.

Nurses and nurse aides worked 4.74 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.

34.4% 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

302/25

703/26

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

Actual harm

Potential for more than minimal harm

Potential for minimal harm

March 25, 2026Standard inspection · 7 citations

D

Allow residents to self-administer drugs if determined clinically appropriate.

F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2026

Inspectors wroteBased on observation, interview and record review the facility failed to determine that it is clinically appropriate to self-administer medications for 2 of 3 residents reviewed for choices in a final sample of 35 residents. (Resident identifiers are #115 and #227.)
D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2026

Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that all alleged violations involving abuse are reported immediately, but not later than 2 hours after the allegation to the SSA (State Survey Agency) for 2 of 2 residents reviewed for abuse in a final sample of 35 residents. (Resident identifiers are #3 and #145.)
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026

Inspectors wroteBased on interview, and record review, it was determined that the facility failed to revise a care plan for 1 of 2 residents reviewed for falls in a final sample of 35 residents (Resident identifier is #178).
D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2026

Inspectors wroteBased on record review, observations, and interviews, the facility failed to ensure that medications were administered in accordance professional standards for 1 of 3 residents reviewed for closed records and for 2 of 3 residents observed during medication administration. (Resident's identifiers are #287, #16, and #296.)
D

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2026

Inspectors wroteBased on observation, interview and record review the facility failed to provide special eating utensils for 1 of 3 residents reviewed for activities of daily living in a final sample of 35 Residents.
D

Provide or get specialized rehabilitative services as required for a resident.

F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2026

Inspectors wroteBased on interview and record review, the facility failed to provided specialized rehabilitation evaluation for 1 of 1 residents reviewed for rehabilitation and restorative services in a final sample of 35 residents. (Resident identifier is #196.)Findings Include:Interview on 3/24/26 at approximately 8:48 a.m. with Resident #196 revealed that he/she was ambulatory when he/she entered the facility in 2023 and has had a decline and is now unable to ambulate. Resident #196 further revealed that he/she would like to work with rehab to be able to walk again. Review on 3/24/26 of Resident #196's Plan of Care note dated 1/15/26 revealed . Per request of [Name omitted], now that [pronoun omitted] is off hospice [pronoun omitted] would like to work with PT [Physical Therapy] again. A referral has been made. Interview on 3/24/26 at approximately 2:08 p.m. [...]
B

Assess the resident when there is a significant change in condition

F637 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2026

Inspectors wroteBased on interview and record review, the facility failed to ensure that a Significant Change in Status Minimum Data Set (MDS) assessment was completed timely by the 14th calendar day of a resident being admitted to or discharged from hospice services for 6 of 8 residents reviewed for resident assessment in a final sample of 35 residents (Resident Identifiers are #43, #128, #173, #196, #221, and #279).

February 28, 2025Standard inspection · 3 citations

E

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 18, 2025

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure expired medications were removed from stock and multidose vials were labeled with an open/expiration date for 3 out of 4 medication rooms and 1 out of 7 medication carts observed (Resident identifiers are #31, #33, #36, #112, #126, and #152).
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 18, 2025

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow policies and procedures for Enhanced Barrier Precautions (EBP) for 1 of 2 residents reviewed for indwelling catheters in a final sample of 35 residents (Resident Identifier is #225).
B

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025

Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected the residents' status for 4 residents in a final sample of 35 residents (Resident Identifiers are #9, #27, #103 and #157).

March 21, 2024Standard inspection, Complaint inspection · 2 citations

J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that residents received adequate supervision, during and after a fire alarm, which resulted in a resident eloping and a delay in locating the resident in which the resident was held at the hospital for observation and treatment for hypothermia for 1 of 3 resident reviewed for elopement in a final sample of 39 residents (Resident Identifier #99).
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 2, 2024

Inspectors wroteBased on observation, interview, and policy review, it was determined that the facility failed to maintain infection control practices in regards to wound dressing changes for 1 out of 1 resident observed during wound dressing changes (Resident Identifier #20).

Fire safety inspections

2 fire safety citations on file: 2 on February 28, 2025.

Every fire safety citation2 citations

D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · February 28, 2025 · Corrected (the home has a date of correction)
C
Have simulated fire drills held at unexpected times.

K 712 · February 28, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
March 21, 2024	Fine	$15,646

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)	4.74	3.90	3.86
Registered nurses	0.72	0.78	0.69
All nursing staff on weekends	4.20	3.47	3.42
Nurse aides	3.35
Licensed practical nurses	0.66
Nursing staff turnover (share who left in a year)	34.4%	44.1%	45.8%
Registered nurse turnover	27.9%	40.9%	42.9%
Administrators who left	0

CMS expects 3.37 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 4.95 on weekdays and 4.20 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 29.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.74 in April to June 2025 to 4.74 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	4.74	0.72	4.95	4.20	29.9%	0 of 90	276
Oct to Dec 2025	4.76	0.61	4.97	4.24	30.9%	0 of 92	273
Jul to Sep 2025	4.78	0.63	5.00	4.21	31.9%	0 of 92	273
Apr to Jun 2025	4.74	0.64	4.96	4.18	29.4%	0 of 91	259
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for New Hampshire

Job	Median	Middle half	Employed
New Hampshire, all employers
CNAs (nursing assistants)	$23.02	$21.58 to $26.16	7,810
LPNs and LVNs	$37.07	$32.53 to $39.79	2,220
Registered nurses	$47.93	$39.85 to $52.12	15,390
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

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	18.6	22.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.5	1.1	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.0	2.1	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.8	4.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.3	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	16.1	17.5	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.9	4.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	20.3	17.8	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	21.8	22.3	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	8.5	13.4	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.1	1.6	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.9	1.9	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Merrimack County Nursing Home's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (37.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

37.0% this home

Worse than the national rate

US median of homes 51.5% · New Hampshire: 19 better, 5 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 35 eligible stays.

Potentially preventable readmissions

9.8% this home

No different from the national rate

US median of homes 10.7% · New Hampshire: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 112 eligible stays.

Infections that led to a hospital stay

8.2% this home

No different from the national rate

US median of homes 7.1% · New Hampshire: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 67 eligible stays.

Self-care and mobility at discharge

50.9% this home

Median of homes: New Hampshire54.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 106 residents counted.

Falls with major injury

0.0% this home

Median of homes: New Hampshire0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 130 residents counted.

New or worsened pressure ulcers

1.3% this home

Median of homes: New Hampshire2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 130 residents counted.

Medication list given at discharge

98.4% this home

Median of homes: New Hampshire99.6% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 61 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: COUNTY OF MERRIMACK.

Name	Role	Type	Share	Since
County of Merrimack	5% or greater direct ownership interest	Organization	100%	01/01/2025
Lovelien, David	Managing control - governing body	Individual		01/04/2023
Shurtleff, Stephen	Managing control - governing body	Individual		01/01/2025
Trachy, Stuart	Managing control - governing body	Individual		12/31/2019
Kneeland, Christopher	Corporate officer	Individual		03/01/2025
Turner, Aaron	Corporate officer	Individual		03/01/2025
County of Merrimack	Operational/managerial control	Organization		01/01/2025
Alley, Amanda	Operational/managerial control	Individual		07/03/2023
Bourbeau, Bruce	Operational/managerial control	Individual		06/01/2021
Cunningham, Ross	Operational/managerial control	Individual		11/11/2018
Daitch, Stacey	Operational/managerial control	Individual		01/01/2007
Dresser, Lori	Operational/managerial control	Individual		06/01/2005
Evans, Virginia	Operational/managerial control	Individual		08/01/2020
Glover, Sarah	Operational/managerial control	Individual		03/14/2022
Heath, Mary	Operational/managerial control	Individual		01/04/2023
Heath, Wendy	Operational/managerial control	Individual		11/17/2024
Johnson, Ross	Operational/managerial control	Individual		05/04/2022
Kneeland, Sherrie	Operational/managerial control	Individual		03/12/2023
Moquin, Heather	Operational/managerial control	Individual		03/01/2025
Muzzey, Eric	Operational/managerial control	Individual		03/28/2022
Ridlon, Jen	Operational/managerial control	Individual		05/30/2023
Theis, Shawna	Operational/managerial control	Individual		06/23/2019
County of Merrimack	Adp of the SNF	Organization		05/15/2025
Alley, Amanda	Adp of the SNF	Individual		07/03/2023
Bourbeau, Bruce	Adp of the SNF	Individual		06/01/2021
Cunningham, Ross	Adp of the SNF	Individual		11/11/2018
Daitch, Stacey	Adp of the SNF	Individual		01/01/2007
Dresser, Lori	Adp of the SNF	Individual		06/01/2005
Evans, Virginia	Adp of the SNF	Individual		08/01/2020
Glover, Sarah	Adp of the SNF	Individual		03/14/2022
Heath, Mary	Adp of the SNF	Individual		01/04/2023
Heath, Wendy	Adp of the SNF	Individual		11/17/2024
Johnson, Ross	Adp of the SNF	Individual		05/04/2022
Kneeland, Christopher	Adp of the SNF	Individual		03/01/2025
Kneeland, Sherrie	Adp of the SNF	Individual		03/12/2023
Lovelien, David	Adp of the SNF	Individual		01/04/2023
Moquin, Heather	Adp of the SNF	Individual		03/01/2025
Muzzey, Eric	Adp of the SNF	Individual		03/28/2022
Ridlon, Jen	Adp of the SNF	Individual		05/30/2023
Shurtleff, Stephen	Adp of the SNF	Individual		01/01/2025
Theis, Shawna	Adp of the SNF	Individual		06/23/2019
Trachy, Stuart	Adp of the SNF	Individual		12/31/2019
Turner, Aaron	Adp of the SNF	Individual		03/01/2025

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 4 problems in this area, most recently on March 25, 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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on March 25, 2026: "Provide or get specialized rehabilitative services as required for a resident."
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 February 28, 2025: "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 25, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."

Other nursing homes nearby

Mountain Ridge Center, Genesis Healthcare
Franklin, 5.6 mi · 1 of 5 stars · 19 citations
Havenwood-Heritage Heights
Concord, 11.9 mi · 2 of 5 stars · 7 citations
Presidential Oaks
Concord, 12 mi · 3 of 5 stars · 16 citations
Pleasant View Center
Concord, 12.1 mi · 1 of 5 stars · 47 citations
Harris Hill Center, Genesis Healthcare
Concord, 13 mi · 2 of 5 stars · 16 citations
Saint Francis Rehabilitation and Nursing Center
Laconia, 13.8 mi · 5 of 5 stars · 4 citations
Laconia Rehabilitation Center
Laconia, 14.8 mi · 1 of 5 stars · 17 citations
Belknap County Nursing Home
Laconia, 15.1 mi · 4 of 5 stars · 4 citations

Common questions

What is Merrimack County Nursing Home's Medicare star rating?: CMS rates Merrimack County Nursing Home 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Merrimack County Nursing Home get at its last inspection?: 7 health deficiencies at the standard inspection on March 25, 2026. The New Hampshire average is 4.
Has Merrimack County Nursing Home been fined?: Yes. CMS lists 1 fine totaling $15,646 in the last three years.
Does Merrimack County Nursing Home 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 Merrimack County Nursing Home?: CMS lists 43 owners and managers. Legal business name: COUNTY OF MERRIMACK.

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.