Data as of: CMS nursing home files updated Oct 1, 2026 (CMS processing date Oct 1, 2026), retrieved Nov 11, 2026. Hospitals: CMS file updated Jul 22, 2026. All sources.
CMS star ratings
2of 5
★★
CMS overall star rating. NH homes average 3.0 (72 rated homes).
Health inspections
1/5
Staffing
4/5
Quality measures
5/5
Long-stay quality
5/5
Short-stay quality
5/5
Source: CMS Provider Information. Footnote codes: CMS data dictionary.
Location & turnover
Map © OpenStreetMap contributors. Approximate coordinates from CMS.
32.1%nursing staff turnover
21.4%RN turnover
0administrators who left
NH averages: nursing staff turnover 43.4%, RN turnover 40.5%. Source: CMS Provider Information.
Staffing: hours of care per resident per day
This home reports 3.66 total nurse staff hours per resident per day. The NH average is 3.87.
Reported by the facility to CMS (Payroll-Based Journal) This home NH average of 72 homes
Show staffing by role (RN, LPN, aide, weekend)
Total nurse staff
Registered nurse (RN)
LPN
Nurse aide
Weekend total
CMS also publishes case-mix adjusted total nurse hours: 3.29. Source: CMS Provider Information.
Inspections & penalties
5health deficiencies, most recent rating cycle (standard inspection Apr 24, 2026)
15health citations listed by CMS since Jan 9, 2024
0at immediate-jeopardy level (J–L); 1 at actual-harm level (G–I)
Show all 15 citations, newest first
Inspection Apr 24, 2026 · 3 citations
Severity FCorrected Jun 17, 2026
Infection Control Deficiencies: Provide and implement an infection prevention and control program.Tag F0880 · standard inspection
Severity DCorrected May 26, 2026
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.Tag F0658 · standard inspection
Severity DCorrected May 22, 2026
Quality of Life and Care Deficiencies: Provide appropriate foot care.Tag F0687 · standard inspection
Inspection Dec 17, 2025 · 2 citations
Severity GCorrected Nov 14, 2025
Resident Assessment and Care Planning Deficiencies: Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Tag F0635 · complaint inspection
Severity DCorrected Feb 9, 2026
Infection Control Deficiencies: Provide and implement an infection prevention and control program.Tag F0880 · complaint inspection
Inspection Mar 13, 2025 · 5 citations
Severity DCorrected Apr 15, 2025
Resident Rights Deficiencies: Ensure that residents are fully informed and understand their health status, care and treatments.Tag F0552 · standard inspection
Severity DCorrected Apr 22, 2025
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.Tag F0658 · standard inspection
Severity DCorrected Apr 22, 2025
Infection Control Deficiencies: Provide and implement an infection prevention and control program.Tag F0880 · standard inspection
Severity DCorrected Apr 22, 2025
Environmental Deficiencies: Keep all essential equipment working safely.Tag F0908 · standard inspection
Severity BCorrected Apr 15, 2025
Resident Rights Deficiencies: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Tag F0582 · standard inspection
Inspection Apr 2, 2024 · 4 citations
Severity DCorrected Apr 29, 2024
Quality of Life and Care Deficiencies: Provide appropriate treatment and care according to orders, resident’s preferences and goals.Tag F0684 · standard inspection
Severity DCorrected Apr 24, 2024
Pharmacy Service Deficiencies: Ensure medication error rates are not 5 percent or greater.Tag F0759 · standard inspection
Severity DCorrected Apr 19, 2024
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.Tag F0761 · standard inspection
Severity BCorrected Apr 29, 2024
Quality of Life and Care Deficiencies: Assist a resident in gaining access to vision and hearing services.Tag F0685 · standard inspection
Inspection Jan 9, 2024 · 1 citation
Severity BCorrected Feb 2, 2024
Nursing and Physician Services Deficiencies: Post nurse staffing information every day.Tag F0732 · complaint inspection
| Date | Type | Amount / length |
|---|---|---|
| Dec 17, 2025 | Fine | $8,278 |
Severity letters are CMS scope/severity codes A–L. Later letters are more serious or widespread; J–L means immediate jeopardy to resident health or safety. Sources: CMS Health Deficiencies, CMS Penalties. Full reports: Medicare Care Compare (CCN 305038).
Ownership & details
Legal business name: 191 HACKETT HILL ROAD OPERATIONS LLC. Ownership type: For profit - Corporation. Resident/family council: Resident. Sprinklers in all required areas: Yes.
Part of Genesis Healthcare (183 facilities). Chain average overall rating: 2.4.
Source: CMS Provider Information. CMS Certification Number (CCN): 305038.
Other nursing homes in Manchester
Holy Cross Health Center357 Island Pond Road · 40 certified beds · 4.98 nurse staff hrs/resident/day · fines: 0
★★★★★ overall
Maple Leaf Health Care Center198 Pearl Street · 114 certified beds · 2.76 nurse staff hrs/resident/day · fines: 0
★★★★★ overall
Hanover Hill Health Care Center700 Hanover Street · 124 certified beds · 2.92 nurse staff hrs/resident/day · fines: 1 ($8,512)
★★★★ overall
St Joseph Residence495 Mammoth Rd · 22 certified beds · 6.31 nurse staff hrs/resident/day · fines: 0
★★★★ overall
Mount Carmel Rehabilitation and Nursing Center235 Myrtle Street · 122 certified beds · 4.02 nurse staff hrs/resident/day · fines: 0
★★★ overall
Villa Crest Nursing and Retirement Center1276 Hanover Street · 126 certified beds · 3.40 nurse staff hrs/resident/day · fines: 0
★★★ overall
Saint Teresa Rehabilitation & Nursing Center519 Bridge Street · 51 certified beds · 4.04 nurse staff hrs/resident/day · fines: 0
★★ overall
Courville at Manchester SFF Candidate44 West Webster Street · 76 certified beds · 4.11 nurse staff hrs/resident/day · fines: 2 ($22,925)
★ overall
Help choosing
- Visit in person, more than once, including an evening or weekend.
- Ask about staffing levels and turnover, and compare them with the CMS numbers on each facility page.
- Read the full inspection reports on Medicare Care Compare.
- Ask whether the home accepts Medicare and/or Medicaid for the kind of stay you need, and whether a bed is available.
- Talk with the NH Long-Term Care Ombudsman if you have concerns: dhhs.nh.gov.