Presidential Oaks
200 Pleasant Street · Concord, NH · 03301 · 6032256644
85 certified beds Non profit - Corporation
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 4.38 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (16 in the current record)
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Potential for harm · D January 30, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 13, 2026 · Resident Rights
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Potential for harm · D January 30, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · D January 30, 2026
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.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · F January 30, 2026
Provide and implement an infection prevention and control program.
Corrected March 20, 2026 · Infection Control
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Potential for harm · E January 30, 2026
Implement a program that monitors antibiotic use.
Corrected March 27, 2026 · Infection Control
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Potential for harm · D November 18, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 18, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 12, 2025 · Quality of Life and Care
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Potential for harm · D October 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 10, 2024 · Nutrition and Dietary
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No harm found · B October 30, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 10, 2024 · Resident Rights
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No harm found · B October 30, 2024
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.
Corrected December 10, 2024 · Resident Rights
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Potential for harm · D October 26, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 26, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 26, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 22, 2023 · Quality of Life and Care
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Potential for harm · D October 26, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 21, 2023 · Quality of Life and Care
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Potential for harm · D October 26, 2023
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 November 22, 2023 · Pharmacy Service
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No harm found · B October 26, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 21, 2023 · Resident Rights
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305063 · certified since May 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.