Federal inspection record · CMS data as of October 1, 2026
Hackett Hill Healthcare Center
191 Hackett Hill Road, Manchester, NH · (603) 668-8161
- Certified beds
- 70
- Residents per day
- 62
- Ownership
- For-Profit
- Chain
- Genesis Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 20, 1989
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Hampshire.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Hackett Hill Healthcare Center carries 40 inspection points. That is fewer than 17% of New Hampshire's 72 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Hampshire: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–15 pts
- 3★ 15–23 pts
- 2★ 23–40 pts
- 1★ over 40 pts
Bars show every rated home in New Hampshire by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Everything else, by area of care
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care3D
- D
Provide appropriate foot care.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- B
Assist a resident in gaining access to vision and hearing services.
Resident Assessment and Care Planning2D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights2D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Environmental1D
- D
Keep all essential equipment working safely.
Nursing and Physician Services1B
- B
Post nurse staffing information every day.
Inspection history
2026-04-24
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2025-03-13
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-04-02
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 1 h 3 min of it from a registered nurse.
This home
3 h 40 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 21% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-17 | Fine | $8,278 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.9 pts worse | 3.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.8 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 100.0% | 97.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 100.0% | 97.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.3 pts better | 1.2% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.6 pts better | 15.2% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 3.5% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.4 pts worse | 25.5% | 19.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.9 pts better | 14.0% | 17.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.6 pts better | 9.2% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15.7 pts better | 6.6% | 22.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts worse | 2.3% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 1.3% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.9 pts better | 14.5% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts worse | 5.2% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.2 pts better | 99.3% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.5 pts better | 7.5% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.4% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.2 pts better | 91.9% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.4 pts worse | 23.2% | 21.8% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 191 Hackett Hill Road Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Berg, Michael | Corporate Officer · Individual | 0% | 165 facilities |
| Bridgeford, Laura | Corporate Officer · Individual | 0% | 148 facilities |
| Cullerot, Elizabeth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cullerot, Elizabeth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fc-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 155 facilities |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Gen Operations Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 161 facilities |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 152 facilities |
| Genesis Nh Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Genesis Operations LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 58 facilities |
| Ghc Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 118 facilities |
| Mendelson, Avi | Corporate Officer · Individual | 0% | 147 facilities |
| Ojutalayo, Ayobami | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Ojutalayo, Ayobami | Adp Of The SNF · Individual | 0% | 5 facilities |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 156 facilities |
| Whitman, Arnold | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 153 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
-
Courville At Manchester
Manchester, NH · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 7 min
- Fines
- $22,925
-
Mount Carmel Rehabilitation And Nursing Center
Manchester, NH · Catholic Charities New Hampshire
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 1 min
- Fines
- $0
-
Maple Leaf Health Care Center
Manchester, NH
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 2 h 46 min
- Fines
- $0