What is Presidential Oaks's Medicare star rating?

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

How many deficiencies did Presidential Oaks get at its last inspection?

5 health deficiencies at the standard inspection on January 30, 2026. The New Hampshire average is 4.

Has Presidential Oaks been fined?

CMS lists no fines in the last three years.

Does Presidential Oaks 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 Presidential Oaks?

CMS lists 34 owners and managers. Legal business name: NEW HAMPSHIRE ODD FELLOWS HOME.

Presidential Oaks: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on January 30, 2026, inspectors cited 5 health deficiencies (the New Hampshire average is 4, the national average 9.2).

None of its 16 health citations since October 2023 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 4.43 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.91 of those hours.

68.3% 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.

610/23

310/24

211/25

501/26

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 16 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

11D

Potential for minimal harm

January 30, 2026Standard inspection · 5 citations

F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 20, 2026

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to implement Enhanced Barrier Precautions (EBP) in 2 of 2 residents reviewed for pressure ulcers (Resident Identifiers are #55 and #30). The facility failed to follow hand hygiene policy with 1 of 1 dressing change observation (Resident identifier is #55). The facility failed to follow identified interventions for water management: legionella prevention and update Infection Prevention Policies annually.
E

Implement a program that monitors antibiotic use.

F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 27, 2026

Inspectors wroteBased on interview and record review, it was determined that the facility failed to implement a system to monitor antibiotic use use for 3 of 5 resident's reviewed in a final sample of 18 residents (Resident identifiers are #11, #57, and #7).
D

Honor the resident's right to organize and participate in resident/family groups in the facility.

F565 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026

Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to ensure that residents were provided with a private space for a resident group to meet on a regular basis, make residents aware of upcoming meeting and to make prompt efforts to resolve resident and group grievances, keep residents apprised of the progress towards resolution, and maintain evidence demonstrating the response and rationale for the response for 6 residents out of a facility census of 71 (Resident identifiers are #6, #14, #26, #30, #41 and #54).
D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026

Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to notify the physician of medications not administered to the residents for 1 of 4 residents reviewed for hospitalizations in a final sample of 18 residents (Resident Identifiers is #71).
D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026

Inspectors wroteBased on interview and record review, it was determined that the facility failed to follow its grievance policy for generating grievances, investigating, and resolution of grievances for 1 of 1 resident reviewed abuse in a final sample of 18 residents. (Resident identifier is #46).

November 18, 2025Complaint inspection · 2 citations

D

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 30, 2025

Inspectors wroteBased on interview and record review, it was determined that the facility failed to complete a thorough investigation of an alleged violation for 1 of 6 residents reviewed for alleged abuse. (Resident identifier is #1).
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 12, 2025

Inspectors wroteBased on interview and record review, it was determined that the facility failed to implement interventions in accordance with the resident's assessed needs that address the identified limitations in the resident's ability to perform transfers in 1 of 5 residents reviewed in a final sample of 6 residents (Resident identifier is #1).

October 30, 2024Standard inspection · 3 citations

D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024

Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that food was stored in accordance with professional standards for food service safety for 1 of 1 kitchen observed.
B

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024

Inspectors wroteBased on record review and interview, it was determined that the facility failed to provide written notice of a transfer or discharge for 4 of 4 residents reviewed for hospitalization in a final survey sample of 17 residents (Resident Identifiers are #6, #16, #48, and #64).
B

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F625 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024

Inspectors wroteResident #16 Review on 10/29/24 of Resident #16's electronic medical record revealed that Resident #16 had been transferred out to the hospital and admitted on [DATE], 5/26/24, 6/7/24, and on 9/21/24 was sent to the hospital but not admitted . Further review revealed that there was no bed hold notice information present in their record. Interview on 10/29/24 at 1:45 p.m. with Staff A (Social Services) revealed that they do not notify the residents or representatives of the facility bed hold policy. Based on record review and interview, it was determined that the facility failed to notify residents of the bed hold policy before a transfer for 4 of 4 residents reviewed for hospitalizations in a final survey sample of 17 residents (Resident Identifiers are #6, #16, #48, and #64).

October 26, 2023Standard inspection · 6 citations

D

PASARR screening for Mental disorders or Intellectual Disabilities

F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2023

Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that residents with a mental disorder received an accuracte Level I Pre-admission Screening and Resident Review (PASARR) for 2 of 4 residents reviewed for PASARR in a final sample of 19 residents (Resident identifiers are #14 and #48).
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2023

Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that a resident had a comprehensive person-centered care plan for a Post-Traumatic Stress Disorder (PTSD) diagnosis for 1 of 1 resident reviewed for behavioral-emotional (Resident identifier is #11).
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2023

Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that a residents pressure ulcer was evaluated weekly for 1 of 2 residents reviewed for pressure ulcers (Resident identifier is #40).
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2023

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that a resident remained free of accident hazards in regards to assessments of bedrail use for 1 of 3 residents reviewed for accidents (Resident identifier is #13).
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2023

Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that as needed (APRN) psychotropic drugs were limited to 14 days for 1 resident in a final sample of 19 residents (Resident identifier is # 28).
B

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 21, 2023

Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the State Long Term Care (LTC) Ombudsman received a copy of a written notice of transfer/discharge for 1 of 2 residents reviewed for hospitalizations (Resident identifier is #17).

Fire safety inspections

7 fire safety citations on file: 2 on January 30, 2026, 5 on October 30, 2024.

Every fire safety citation7 citations

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

K 918 · January 30, 2026 · Corrected (the home has a date of correction)
D
Have simulated fire drills held at unexpected times.

K 712 · January 30, 2026 · Corrected (the home has a date of correction)
E
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · October 30, 2024 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · October 30, 2024 · Corrected (the home has a date of correction)
D
Have simulated fire drills held at unexpected times.

K 712 · October 30, 2024 · Corrected (the home has a date of correction)
C
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · October 30, 2024 · Corrected (the home has a date of correction)
C
Have properly located and lighted "Exit" signs.

K 293 · October 30, 2024 · Corrected (the home has a date of correction)

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)	4.43	3.90	3.86
Registered nurses	0.91	0.78	0.69
All nursing staff on weekends	3.84	3.47	3.42
Nurse aides	2.65
Licensed practical nurses	0.87
Nursing staff turnover (share who left in a year)	68.3%	44.1%	45.8%
Registered nurse turnover	62.5%	40.9%	42.9%
Administrators who left	2

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 4.67 on weekdays and 3.84 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 32.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.47 in April to June 2025 to 4.43 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	4.43	0.91	4.67	3.84	32.3%	0 of 90	73
Oct to Dec 2025	4.74	0.82	4.88	4.38	24.5%	0 of 92	70
Jul to Sep 2025	4.95	0.92	5.14	4.44	30.9%	0 of 92	68
Apr to Jun 2025	4.47	0.66	4.57	4.22	22.5%	0 of 91	69
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	16.4	22.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	1.1	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	2.1	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	7.1	4.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.9	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	13.0	17.5	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.5	4.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	10.8	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	2.6	13.4	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.7	1.6	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.9	1.9	1.8

Owners and operators

Legal business name: NEW HAMPSHIRE ODD FELLOWS HOME.

Name	Role	Type	Since
Fanaras, Charles	Managing control - governing body	Individual	03/27/2017
Gaskill, Luciele	Managing control - governing body	Individual	09/26/2018
Huse, Michael	Managing control - governing body	Individual	09/26/2019
Martinson, Sandra	Managing control - governing body	Individual	09/26/2018
McGuire, Brian	Managing control - governing body	Individual	09/30/2023
Montgomery, Kathryn	Managing control - governing body	Individual	09/30/2022
Nickerson, Sandra	Managing control - governing body	Individual	09/28/2022
Taylor, Kevin	Managing control - governing body	Individual	09/30/2023
Fanaras, Charles	Corporate director	Individual	03/27/2017
Gaskill, Luciele	Corporate director	Individual	09/26/2018
Huse, Michael	Corporate director	Individual	09/26/2019
Martinson, Sandra	Corporate director	Individual	09/26/2018
McGuire, Brian	Corporate director	Individual	09/30/2023
Montgomery, Kathryn	Corporate director	Individual	09/30/2022
Nickerson, Sandra	Corporate director	Individual	09/28/2022
Taylor, Kevin	Corporate director	Individual	09/30/2023
Woods, Steven	Corporate officer	Individual	06/16/2025
Wipfli LLP	Operational/managerial control	Organization	01/01/1999
Beamer, Angela	Operational/managerial control	Individual	05/12/2025
Caron, Sharon	Operational/managerial control	Individual	12/10/2009
Castellanos, Ana	Operational/managerial control	Individual	09/01/2022
Fanaras, Charles	Trustee of the SNF	Individual	03/27/2017
Gaskill, Luciele	Trustee of the SNF	Individual	09/26/2018
Huse, Michael	Trustee of the SNF	Individual	09/26/2019
Martinson, Sandra	Trustee of the SNF	Individual	09/26/2018
McGuire, Brian	Trustee of the SNF	Individual	09/30/2023
Montgomery, Kathryn	Trustee of the SNF	Individual	09/30/2022
Nickerson, Sandra	Trustee of the SNF	Individual	09/28/2022
Taylor, Kevin	Trustee of the SNF	Individual	09/30/2023
Wipfli LLP	Adp of the SNF	Organization	08/07/2025
Beamer, Angela	Adp of the SNF	Individual	08/07/2025
Caron, Sharon	Adp of the SNF	Individual	12/10/2009
Castellanos, Ana	Adp of the SNF	Individual	08/07/2025
Woods, Steven	Adp of the SNF	Individual	06/16/2025

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.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on January 30, 2026: "Honor the resident's right to organize and participate in resident/family groups in the facility."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on November 18, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
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 January 30, 2026: "Provide and implement an infection prevention and control program."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on October 26, 2023: "PASARR screening for Mental disorders or Intellectual Disabilities"
How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Pleasant View Center
Concord, 0.4 mi · 1 of 5 stars · 47 citations
Harris Hill Center, Genesis Healthcare
Concord, 1.2 mi · 2 of 5 stars · 16 citations
Havenwood-Heritage Heights
Concord, 2.5 mi · 2 of 5 stars · 7 citations
Epsom Healthcare Center
Epsom, 10 mi · 2 of 5 stars · 12 citations
Hackett Hill Healthcare Center
Manchester, 11.6 mi · 2 of 5 stars · 15 citations
Merrimack County Nursing Home
Boscawen, 12 mi · 3 of 5 stars · 12 citations
Goffstown Nursing and Rehab Center
Goffstown, 12.1 mi · 1 of 5 stars · 34 citations
Hillsborough County Nursing Home
Goffstown, 13.1 mi · 5 of 5 stars · 9 citations

Common questions

What is Presidential Oaks's Medicare star rating?: CMS rates Presidential Oaks 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Presidential Oaks get at its last inspection?: 5 health deficiencies at the standard inspection on January 30, 2026. The New Hampshire average is 4.
Has Presidential Oaks been fined?: CMS lists no fines in the last three years.
Does Presidential Oaks 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 Presidential Oaks?: CMS lists 34 owners and managers. Legal business name: NEW HAMPSHIRE ODD FELLOWS HOME.

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.