Before you decide: this page is information, not medical advice or a recommendation. Confirm current availability, services, Medicare/Medicaid acceptance, pricing and licensing directly with the home and the state. Data shown is from CMS files dated Oct 1, 2026; things may have changed since.
At a glance
| Overall | ★★★★★ 2 of 5 |
|---|---|
| Health inspections | ★★★★★ 1 of 5 |
| Staffing | ★★★★★ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Long-stay quality | ★★★★★ 5 of 5 |
| Short-stay quality | ★★★★★ 5 of 5 |
Source: CMS Provider Information, Oct 1, 2026. NH homes average 3.0 overall (72 rated). How the ratings work.
Editorial note: a star rating is one signal. CMS itself says ratings can't capture everything, such as specialty care or how easy it is for family to visit.
Staffing
Hours of nursing care per resident per day, as reported by the home to CMS through payroll-based data. Higher is generally better when comparing homes; it is an average, not the number of staff present at any moment.
CMS case-mix adjusted total nurse hours: 3.29. Lower turnover is generally better. Source: CMS Provider Information (Oct 1, 2026). “n/r” = not reported.
Inspections and penalties
Show all 15 citations, newest first
Inspection Apr 24, 2026 · 3 citations
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies: Provide appropriate foot care.
Inspection Dec 17, 2025 · 2 citations
Resident Assessment and Care Planning Deficiencies: Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Inspection Mar 13, 2025 · 5 citations
Resident Rights Deficiencies: Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Environmental Deficiencies: Keep all essential equipment working safely.
Resident Rights Deficiencies: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspection Apr 2, 2024 · 4 citations
Quality of Life and Care Deficiencies: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies: Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Quality of Life and Care Deficiencies: Assist a resident in gaining access to vision and hearing services.
Inspection Jan 9, 2024 · 1 citation
Nursing and Physician Services Deficiencies: Post nurse staffing information every day.
| Date | Type | Amount / length |
|---|---|---|
| Dec 17, 2025 | Fine | $8,278 |
Letters A–L are CMS scope and severity codes; J–L is immediate jeopardy, G–I actual harm. How to read inspection results. Sources: CMS Health Deficiencies, CMS Penalties (Oct 1, 2026). Full reports: Medicare Care Compare.
Quality measures
Selected clinical measures CMS reports from resident assessments, averaged over four quarters (2025Q3-2026Q2). Each is a percentage of residents; the last column says which direction is better.
| Measure | This home | NH average | Better if |
|---|---|---|---|
| Long-stay residents with one or more falls with major injury | 1.2% | 4.5% | Lower |
| Long-stay residents with pressure ulcers | 5.2% | 4.3% | Lower |
| Long-stay residents who received an antipsychotic medication | 14.0% | 17.9% | Lower |
| Long-stay residents who lose too much weight | 3.5% | 5.2% | Lower |
| Long-stay residents with a urinary tract infection | 1.3% | 2.2% | Lower |
| Long-stay residents whose need for help with daily activities increased | 6.6% | 22.3% | Lower |
| Long-stay residents whose ability to walk independently worsened | 9.2% | 15.8% | Lower |
| Long-stay residents with depressive symptoms | 15.2% | 15.8% | Lower |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | Lower |
| Long-stay residents assessed and appropriately given the seasonal flu vaccine | 100.0% | 97.8% | Higher |
| Short-stay residents who newly received an antipsychotic medication | 0.4% | 1.2% | Lower |
| Short-stay residents assessed and appropriately given the seasonal flu vaccine | 91.9% | 85.7% | Higher |
Source: CMS MDS Quality Measures (Oct 1, 2026). “Not reported” is not zero; footnote codes are explained in the CMS data dictionary. Only one snapshot is stored, so no trend is shown.
Ownership
Ownership type: For profit - Corporation. Legal business name: 191 HACKETT HILL ROAD OPERATIONS LLC.
Part of Genesis Healthcare (183 facilities nationally). Chain average CMS overall rating: 2.4.
Owners and operators reported to CMS (14)
5% or greater direct ownership interest
- 191 Hackett Hill Road Operations LLC
5% or greater indirect ownership interest
- Fc-Gen Operations Investment LLC
- Gen Operations I LLC
- Gen Operations II LLC
- Genesis Healthcare Inc
- Genesis Healthcare LLC
- Genesis Holdings LLC
- Genesis NH Holdings LLC
- Genesis Operations LLC
- Ghc Holdings LLC
- Sun Healthcare Group Inc
- Whitman, Arnold
Operational/managerial control
- Cullerot, Elizabeth
- Ojutalayo, Ayobami
Sources: CMS Provider Information, CMS Ownership (Oct 1, 2026). Shows direct/indirect ownership interests and operational control; directors, officers and managing employees are on Care Compare.
Contact and identifiers
Hackett Hill Healthcare Center
191 Hackett Hill Road
Manchester, NH 03102 (Hillsborough County)
(603) 668-8161
- CMS Certification Number (CCN): 305038
- Certified for Medicare and Medicaid since 1989
- Inside a hospital: N
- Continuing care retirement community: N
- Resident and family council: Resident
- Sprinklers in all required areas: Yes
We do not book appointments or check bed availability. Call the home directly. Data refreshed Nov 11, 2026. Something wrong? Request a correction.
Map © OpenStreetMap contributors, using CMS coordinates.
Nearby alternatives
Courville at Manchester, Manchester · about 2.4 mi · CMS overall: ★★★★★ 1 of 5
Mount Carmel Rehabilitation and Nursing Center, Manchester · about 3.2 mi · CMS overall: ★★★★★ 3 of 5
Maple Leaf Health Care Center, Manchester · about 3.2 mi · CMS overall: ★★★★★ 5 of 5
Hillsborough County Nursing Home, Goffstown · about 3.4 mi · CMS overall: ★★★★★ 5 of 5
Goffstown Nursing and Rehab Center, Goffstown · about 3.5 mi · CMS overall: ★★★★★ 1 of 5
Straight-line distance between CMS coordinates. All homes in Manchester · Hillsborough County
Questions to ask this home
- How many nurses and aides work days, nights and weekends, and how many residents does each aide care for?
- CMS reports 3.66 nurse staff hours per resident per day here; how has staffing changed recently?
- What changed after the most recent inspection (Apr 24, 2026)? Ask to see the report and plan of correction.
- Does the home accept Medicare and/or Medicaid for the type of stay you need, and is a bed available?