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Nursing HomeMedicaid Investigative

Presidential Oaks

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

200 Pleasant Street, Concord, NH 0330185 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 33 Google reviews

5
4
3
2
1
Presidential Oaks Nursing Home in Concord, NH — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Above-median deficiencies (5 vs median 3.0)
  • High staff turnover (63%)
  • High RN turnover (92%)

Above average in NH · Meets national RN staffing standard · Above recommended total nurse staffing · No penalties on record

Source: Medicare data

What this means for your family

Presidential Oaks is highly regarded for its compassionate nursing staff and engaging activity programs, making it a strong candidate for daily care. However, families must be vigilant regarding personal property, as theft has been a recurring issue, and should be prepared for potential administrative inconsistencies during the admissions process.

Google Reviews

Google Reviews

33 reviews on Google
Presidential Oaks receives high praise for its warm, attentive nursing staff and clean, welcoming environment, with many families noting that their loved ones feel like family. However, there are recurring reports of serious security issues regarding the theft of personal belongings, including jewelry, and some families have experienced frustrating administrative hurdles during the admissions process.

Quality Themes

Tap a score for details
Food8.0Staff7.0Clean9.0Activities9.0MedsN/AMemory7.0Comms4.0Value3.0

Strengths

  • Warm, attentive nursing and LNA staff
  • Clean and well-maintained facility
  • Engaging activities and social atmosphere
  • Compassionate care for long-term residents

Concerns

  • Theft of personal belongings and jewelry (mentioned by 2 reviewers)
  • Poor administrative communication and admissions process (mentioned by 2 reviewers)
  • Inconsistent staff sensitivity and professionalism (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(9)'20(1)'22(6)'25(3)'26(2)

Distribution · 38 analyzed

5
20
4
8
3
2
2
2
1
6

How They Respond to Reviews

9%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1With the current staffing rating being strong, how do you ensure that the warmth and attentiveness mentioned by families remain consistent across all shifts?
  • 2I noticed a few mentions regarding the security of personal items; what protocols or systems do you have in place to help residents keep their belongings safe and accounted for?
  • 3Since communication is a top priority for our family, could you walk us through the standard process for how you keep families updated on their loved one’s care and any administrative changes?
  • 4Given the facility's focus on social engagement, what are some of the most popular activities that help new residents feel at home and connected with others?
  • 5In light of the recent health inspection reports, what specific steps has the leadership team taken to address those findings and improve the overall care environment?
  • 6How does your nursing team coordinate with outside specialists to handle medical needs or emergencies, and how quickly are families typically notified in those situations?

Personalized based on this facility's data


Key Review Excerpts

The facility does not ever smell, is clean, and the activities staff is phenomenal! Always something for the residents to do and even if they can’t get out of their bed, activities goes to them.

Long-term resident's family · 2021★★★★★

The nurses and LNAs are exceptional very happy friendly caring empathetic and all have great sense of humor.

Rehab patient's family · 2022★★★★★

WARNING: do not let your loved ones keep wedding rings and diamonds while staying at Presidential Oaks.

Long-term resident's family · 2022★★☆☆☆
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.82hrs
OK
Registered nurses for medical care
Total Nursing
4.74hrs
OK
All nurses + aides combined
Staff Turnover
66%
Lower is better (< 30% = good)
RN Turnover
73%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

6

measures

Worse Than Avg

6

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.8%
Better than Avg
Here
3.8%
US
12.1%
NH
12.1%
Merrimack
18.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.4%
Worse than Avg
Here
31.4%
US
19.4%
NH
26.3%
Merrimack
26.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.3%
Better than Avg
Here
7.3%
US
15.4%
NH
17.8%
Merrimack
17.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.4%
Better than Avg
Here
13.4%
US
19.5%
NH
19.1%
Merrimack
15.3%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility9.1%
Worse than Avg
Here
9.1%
US
3.2%
NH
4.4%
Merrimack
5.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.8%
Worse than Avg
Here
91.8%
US
93.4%
NH
96.9%
Merrimack
97.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility42.5%
Worse than Avg
Here
42.5%
US
79.7%
NH
83.0%
Merrimack
73.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility73.2%
Worse than Avg
Here
73.2%
US
81.8%
NH
86.5%
Merrimack
82.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Mixed vs Avgs
Here
2.4%
US
1.6%
NH
1.4%
Merrimack
2.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Well above state avg (4.0)
2 complaint-triggered

Presidential Oaks has recurring issues with safety infrastructure and abuse response protocols, with families filing complaints about neglect investigations and daily care assistance. The facility shows persistent problems across multiple surveys with fire safety systems, emergency lighting, and abuse reporting procedures. While all deficiencies report correction dates, the pattern of repeated safety violations and recent complaint-triggered findings about abuse response warrant careful consideration during your visit.

Jan 30, 2026Routine
7
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Nov 18, 2025Complaint
2
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Oct 30, 2024Routine
8
0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0291Minimal · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Minimal · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0623Minimal · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Minimal · PatternCorrected

Resident Rights Deficiencies

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.

Oct 26, 2023Routine
6
0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0623Minimal · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Presidential Oaks

Organization Type

nonprofit

Ownership & Management

Key personnel

Fanaras, CharlesManaging Control - Governing BodyGaskill, LucieleManaging Control - Governing BodyHuse, MichaelManaging Control - Governing BodyMartinson, SandraManaging Control - Governing BodyMcguire, BrianManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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