Nursing home
Presidential Oaks (Skilled Nursing)
200 Pleasant Street, Concord, NH 03301 · Map
Non profit - Corporation · 85 certified beds
Presidential Oaks (Skilled Nursing) is a Medicare-certified nursing home in Concord, New Hampshire. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.95 hours per resident per day, above the New Hampshire average of 3.88. Its most recent inspection on Oct 30, 2024 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Presidential Oaks (Skilled Nursing) compares
This facility vs. the New Hampshire and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Hampshire avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.95 | 3.88 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.92 | 0.74 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.88 | 2.39 | 2.34 | above avg |
| Nursing staff turnover | 63.4% | 48.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 4.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 30, 2026 inspection was corrected by March 27, 2026
What inspectors found at Presidential Oaks (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Jan 30, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 30, 2024 · Full report (PDF) - Minimal
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.
Resident Rights Deficiencies · Oct 30, 2024 · Full report (PDF) - Minimal
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Oct 30, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Oct 26, 2023 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 26, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 200 Pleasant Street
Concord, NH 03301 - CMS certification #
- 305063
- Ownership
- Non profit - Corporation
- Certified beds
- 85
- Avg residents/day
- 67.9
- Provider type
- Medicare and Medicaid
- First certified
- 1996-05-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Presidential Oaks (Skilled Nursing) using Google Maps.
Other public records
- Website says Respite stays
Full public records, with dates and sources
Care and services
From the community’s website
What Presidential Oaks (Skilled Nursing) says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Catholic Medical Center, Manchester. 13.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Pleasant View Center, Concord. 0.4 miles away, straight line.
- Nearest home health agency office
- Granite Vna, Inc, Concord. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 03301 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc New Hampshire Kidney Center (Fmc), Concord, 0.3 miles away, straight line (CMS rating 1 of 5 stars)
Fmc Manchester Kidney Center, Manchester, 14.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars) - Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 03301.
Granite Vna, Inc., office in Concord, 1.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Bayada Hospice, office in Concord, 1.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Compassus - Greater Manchester, office in Bedford, 17.1 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Raphael Farra, MD, Manchester. 13.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively moderate, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Presidential Oaks (Skilled Nursing) a good nursing home?
CMS gives Presidential Oaks (Skilled Nursing) an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Presidential Oaks (Skilled Nursing) staffed?
Presidential Oaks (Skilled Nursing) reports 4.95 total nurse hours per resident per day, compared with the New Hampshire average of 3.88.
Has Presidential Oaks (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Presidential Oaks (Skilled Nursing) have?
Presidential Oaks (Skilled Nursing) is certified for 85 beds.