Boscawen, NH

Merrimack County Nursing Home

4-star overall rating with 3-star inspections with $15,646 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

325 Daniel Webster Highway, Boscawen, NH

(603) 796-2165

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

290

Certified beds

Average residents

273

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.63

Registered nurse staffing · state 0.74 · national 0.68

LPN hours / resident day

0.72

Licensed practical nurse staffing · state 0.76 · national 0.87

Aide hours / resident day

3.42

Nurse aide staffing · state 2.39 · national 2.35

Total nurse hours

4.78

All reported nurse hours · state 3.88 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

4.21

Weekend nurse staffing · state 3.44 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.71

CMS adjusted RN staffing hours

Adjusted total hours

5.42

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,797

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35

Composite VBP score used to determine payment impact.

Payment multiplier

0.9888

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.70

Baseline 18.92% · Performance 20.18% · Measure score 2.70 · Achievement 2.70 · Improvement 0

Healthcare-associated infections

0

Baseline 5.09% · Performance 8.18% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.94

Baseline 27.14% · Performance 51.65% · Measure score 2.94 · Achievement 2.94 · Improvement 0

Adjusted total nurse staffing

8.36

Baseline 3.77 hours · Performance 5.46 hours · Measure score 8.36 · Achievement 8.36 · Improvement 7.89

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.81%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 112 · Observed rate 8.04% · Lower 95% interval 6.81%
Discharge to community	37.05%	50.57% 13.5 pts worse	Worse than the National Rate · Eligible stays 35 · Observed rate 28.57% · Lower 95% interval 27.25%
Medicare spending per beneficiary	0.67	1.02 0.3 pts better
Drug regimen review with follow-up	97.89%	95.27% 2.6 pts better	Numerator 93 · Denominator 95
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 95
Discharge self-care score	45.21%	53.69% 8.5 pts worse	Numerator 33 · Denominator 73
Discharge mobility score	50.68%	50.94% 0.3 pts worse	Numerator 37 · Denominator 73
Pressure ulcers or injuries, new or worsened	1.05%	2.29% 1.2 pts better	Numerator 1 · Denominator 95 · Adjusted rate 0.95%
Healthcare-associated infections requiring hospitalization	8.18%	7.12% 1.1 pts worse	No Different than the National Rate · Eligible stays 67 · Observed rate 10.45% · Lower 95% interval 4.74%
Staff COVID-19 vaccination coverage	12.48%	8.2% 4.3 pts better	Numerator 92 · Denominator 737
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	53.42%	56.45% 3 pts worse	Numerator 39 · Denominator 73
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	97.3%	96.28% 1 pts better	Numerator 36 · Denominator 37
Resident COVID-19 vaccinations up to date	12.31%	25.2% 12.9 pts worse	Numerator 8 · Denominator 65

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	1.6 About the same	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.1 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	1.9 1.2 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	96.4% 2.4 pts better	93.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 99.2% · Q3 99.2% · Q4 98.0% · 4Q avg 98.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.8%	98.0% 0.8 pts better	95.5% 3.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	4.5% 0.2 pts better	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 5.4% · Q3 3.3% · Q4 2.4% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.2%	9.7% 2.5 pts better	11.4% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.4% · Q3 10.3% · Q4 8.5% · 4Q avg 7.2%
Percentage of long-stay residents who lose too much weight	3.0%	5.5% 2.5 pts better	5.4% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 2.5% · Q3 4.0% · Q4 1.9% · 4Q avg 3.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.5%	18.9% 4.6 pts worse	19.6% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.3% · Q2 25.6% · Q3 24.0% · Q4 22.2% · 4Q avg 23.5%
Percentage of long-stay residents who received an antipsychotic medication	19.9%	18.7% 1.2 pts worse	16.7% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 19.4% · Q3 19.4% · Q4 20.9% · 4Q avg 19.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.8%	0.2% 0.6 pts worse	0.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.8% · Q4 0.8% · 4Q avg 0.8%
Percentage of long-stay residents whose ability to walk independently worsened	18.5%	19.2% 0.7 pts better	16.3% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 24.2% · Q3 29.7% · Q4 6.7% · 4Q avg 18.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.4%	21.9% 5.5 pts better	14.9% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 17.0% · Q3 20.7% · Q4 15.3% · 4Q avg 16.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	1.3% 0.6 pts better	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 1.3% · Q3 0.4% · Q4 0.7% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	2.4% 1.7 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 0.8% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.8%	26.7% 0.9 pts better	19.8% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 30.3% · Q3 23.4% · Q4 22.6% · 4Q avg 25.8%
Percentage of long-stay residents with pressure ulcers	3.1%	4.4% 1.3 pts better	5.1% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.9% · Q3 1.6% · Q4 3.3% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	79.3%	85.6% 6.3 pts worse	81.7% 2.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 72.4% · Q2 78.3% · Q3 80.3% · Q4 83.6% · 4Q avg 79.3%
Percentage of short-stay residents who had an outpatient emergency department visit	6.9%	14.1% 7.2 pts better	12.0% 5.1 pts better	Short Stay · 20240701-20250630 · Adjusted 6.9% · Observed 6.7% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.7% 0.8 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 1.4% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	56.1%	83.0% 26.9 pts worse	79.7% 23.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 56.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.3%	22.1% 2.8 pts better	23.9% 4.6 pts better	Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 18.1% · Expected 22.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-28 · Fire 2025-02-28

3 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-03-21 · Fire 2024-03-21

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-02 · Fire 2023-03-02

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-02-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-09

C · Minimal harm 2025-02-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-09

D · Potential for more than minimal harm 2023-03-02

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-31

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-28

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-18

B · Minimal harm 2025-02-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-15

J · Immediate jeopardy 2024-03-21

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-13

D · Potential for more than minimal harm 2024-03-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-02

D · Potential for more than minimal harm 2023-03-02

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-04-13

D · Potential for more than minimal harm 2023-03-02

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-04-13

D · Potential for more than minimal harm 2023-03-02

F811 · Nutrition and Dietary Deficiencies

Health

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

Corrected 2023-04-17

D · Potential for more than minimal harm 2023-03-02

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2023-04-13

Penalties and ownership

What sits behind the stars

$15,646 2024-03-21

Fine

Fine · fine $15,646

Fine

Ownership

County Of Merrimack

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2025-01-01

Alley, Amanda