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Merrimack County Nursing Home

325 Daniel Webster Highway, Boscawen, NH 033036037962165Ownership: Government - CountyCertified beds: 290Avg. daily residents: 276County: Merrimack

The complete public record on Merrimack County Nursing Home, a Medicare & Medicaid–certified nursing home in Boscawen, New Hampshire, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. New Hampshire average: 3.1 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★★
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Merrimack County Nursing Home holds a 3-star overall rating, CMS’s middle tier. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Federal regulators have fined this facility $15,646 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.74 total nurse staff hours per resident per day
above the state average (3.90)
0.72 RN hours per resident per day
below the state average (0.78)
4.20 weekend nurse staff hours per resident per day
34.4% total nursing staff turnover
below the state average (44.1)
27.9% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

March 25, 2026 most recent standard health inspection
7 health deficiencies cited in the most recent inspection cycle
above the state average (3.9)
5 health deficiencies in the two prior cycles combined
$15,646 in federal fines across 1 penalty (last 3 years)
above the state average ($8,016)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

12 citations on record across recent inspections, 1 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
March 25, 20260554Allow residents to self-administer drugs if determined clinically appropriate.D · Potential for more than minimal harm
March 25, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D · Potential for more than minimal harm
March 25, 20260657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health…D · Potential for more than minimal harm
March 25, 20260658Ensure services provided by the nursing facility meet professional standards of quality.D · Potential for more than minimal harm
March 25, 20260810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D · Potential for more than minimal harm
March 25, 20260825Provide or get specialized rehabilitative services as required for a resident.D · Potential for more than minimal harm
March 25, 20260637Assess the resident when there is a significant change in conditionB · Minimal harm potential

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.