North Conway, NH

Merriman House

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3073 White Mountain Highway, North Conway, NH

(603) 356-0699

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

22

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1979-02-01

CMS approved date

Coverage

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

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

1.59

Registered nurse staffing · state 0.74 · national 0.68

LPN hours / resident day

0.22

Licensed practical nurse staffing · state 0.76 · national 0.87

Aide hours / resident day

4.65

Nurse aide staffing · state 2.39 · national 2.35

Total nurse hours

6.47

All reported nurse hours · state 3.88 · national 3.89

Licensed hours

1.82

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

5.86

Weekend nurse staffing · state 3.44 · national 3.43

Weekend RN hours

1.37

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.80

CMS adjusted RN staffing hours

Adjusted total hours

7.29

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

69%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 49% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary	Not Available	1.02	This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.8	1.6 0.8 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	1.9 0.2 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	96.4% 2 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.7% · Q4 96.3% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	98.0% 2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	9.0%	4.5% 4.5 pts worse	3.3% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 6.7% · Q3 6.7% · Q4 7.4% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.9%	9.7% 7.8 pts better	11.4% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.9% · Q3 0.0% · 4Q avg 1.9%
Percentage of long-stay residents who lose too much weight	2.0%	5.5% 3.5 pts better	5.4% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 2.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	5.8%	18.9% 13.1 pts better	19.6% 13.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.7% · Q3 7.7% · Q4 4.2% · 4Q avg 5.8%
Percentage of long-stay residents who received an antipsychotic medication	23.1%	18.7% 4.4 pts worse	16.7% 6.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 25.0% · Q3 25.0% · Q4 19.0% · 4Q avg 23.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	17.6%	19.2% 1.6 pts better	16.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	23.6%	21.9% 1.7 pts worse	14.9% 8.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 30.4% · Q3 13.6% · Q4 15.0% · 4Q avg 23.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.3% 1.3 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	6.6%	2.4% 4.2 pts worse	1.7% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 6.7% · Q3 3.3% · Q4 7.4% · 4Q avg 6.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.5%	26.7% 2.2 pts better	19.8% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 23.7% · Q3 32.7% · Q4 11.0% · 4Q avg 24.5%
Percentage of long-stay residents with pressure ulcers	0.7%	4.4% 3.7 pts better	5.1% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

2 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-04-10 · Fire 2024-04-10

1 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

3 fire-safety deficiencies

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

Cycle 3 Health 2023-03-17 · Fire 2023-03-17

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

C · Minimal harm 2025-04-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-30

E · Potential for more than minimal harm 2024-04-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-05-27

D · Potential for more than minimal harm 2024-04-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-27

D · Potential for more than minimal harm 2024-04-10

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-05-27

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-10

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-05-05

D · Potential for more than minimal harm 2025-04-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-05-07

C · Minimal harm 2024-04-10

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-04-11

D · Potential for more than minimal harm 2023-03-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-04-15

D · Potential for more than minimal harm 2023-03-17

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 2023-04-05

Penalties and ownership