Staffing & PBJ snapshot
Presidential Oaks
200 Pleasant Street, Concord, NH 03301 · CCN 305063 · 85 certified beds · Non profit - Corporation
King & Co. ConsultingPrepared October 19, 2026
CMS data as of September 2026
CMS data as of September 2026
Staffing compared with averages
| Measure | Facility | NH | U.S. |
|---|---|---|---|
| Total nurse hours per resident day | 4.43 | 3.90 | 3.86 |
| Weekend nurse hours per resident day | 3.84 | 3.47 | 3.42 |
| RN hours per resident day | 0.91 | 0.78 | 0.69 |
| Nurse aide hours per resident day | 2.65 | 2.34 | 2.32 |
| Total nursing staff turnover | 68.3% | 44.1% | 45.8% |
| RN turnover | 62.5% | 40.9% | 42.9% |
What stands out
- Reported nurse hours are 14% above the NH averageStrong reported staffing. The priority is keeping submissions accurate and on time so the rating reflects it.
- Weekend staffing drops 13% from the weekly averageCMS reports weekend staffing separately and surveyors look at it. Check whether weekend agency and per diem hours are making it into PBJ.
- Nursing turnover is 24 points above the NH averageHigh turnover drives agency spend, onboarding workload and PBJ errors from constant employee changes. Recruiting and onboarding support pays off quickly here.
- 2 administrators have leftLeadership turnover often leaves gaps in who owns payroll, PBJ and HR processes. A documented process protects the building through transitions.
Free 15-minute PBJ review for this facility
We will walk through these numbers, what is driving them and what to fix before the next submission.
Source: CMS Care Compare Provider Information and State and US Averages, processed 2026-09-01. Staffing hours are reported per resident per day from Payroll-Based Journal data. This snapshot summarizes public data for discussion and is not a CMS determination.