Cycle 1
Health 2024-12-12 · Fire 2024-12-12
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Manchester, NH
Hanover Hill Health Care Center
1-star overall rating with 1-star inspections with $8,512 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
700 Hanover Street, Manchester, NH
(603) 627-3826
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
124
Certified beds
Average residents
114
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1970-07-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.43
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
1.95
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
3.37
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.02
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.08
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,240
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9937
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.32
Baseline 16.21% · Performance 18.04% · Measure score 7.32 · Achievement 7.32 · Improvement 0
Healthcare-associated infections
4.24
Baseline 5.68% · Performance 6.57% · Measure score 4.24 · Achievement 4.24 · Improvement 0
Total nurse turnover
3.63
Baseline 46.83% · Performance 48.85% · Measure score 3.63 · Achievement 3.63 · Improvement 0
Adjusted total nurse staffing
1.11
Baseline 3.29 hours · Performance 3.39 hours · Measure score 1.11 · Achievement 1.11 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.86% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 231 · Observed rate 7.79% · Lower 95% interval 6.96% |
| Discharge to community | 53.73% |
50.57%
3.2 pts better
|
No Different than the National Rate · Eligible stays 227 · Observed rate 50.66% · Lower 95% interval 48.2% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 165 · Denominator 165 |
| Falls with major injury | 0.61% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 165 |
| Discharge self-care score | 45.08% |
53.69%
8.6 pts worse
|
Numerator 55 · Denominator 122 |
| Discharge mobility score | 38.52% |
50.94%
12.4 pts worse
|
Numerator 47 · Denominator 122 |
| Pressure ulcers or injuries, new or worsened | 3.03% |
2.29%
0.7 pts worse
|
Numerator 5 · Denominator 165 · Adjusted rate 3.49% |
| Healthcare-associated infections requiring hospitalization | 6.57% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 144 · Observed rate 4.86% · Lower 95% interval 3.95% |
| Staff COVID-19 vaccination coverage | 2.53% |
8.2%
5.7 pts worse
|
Numerator 4 · Denominator 158 |
| Staff flu vaccination coverage | 80.53% |
42%
38.5 pts better
|
Numerator 306 · Denominator 380 |
| Discharge function score | 59.84% |
56.45%
3.4 pts better
|
Numerator 73 · Denominator 122 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | 98.84% |
96.28%
2.6 pts better
|
Numerator 85 · Denominator 86 |
| Resident COVID-19 vaccinations up to date | 24.36% |
25.2%
0.8 pts worse
|
Numerator 19 · Denominator 78 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.6
1 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.9
1.3 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
96.4%
2.1 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.0% · Q3 97.0% · Q4 99.0% · 4Q avg 98.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
98.0%
1 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
4.5%
2.2 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.0% · Q3 2.0% · Q4 2.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.2% |
9.7%
4.5 pts better
|
11.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.1% · Q3 5.3% · Q4 3.1% · 4Q avg 5.2% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
5.5%
0.2 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 9.3% · Q3 4.5% · Q4 4.4% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.2% |
18.9%
2.3 pts worse
|
19.6%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 22.5% · Q3 20.4% · Q4 22.3% · 4Q avg 21.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.2% |
18.7%
4.5 pts worse
|
16.7%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 22.9% · Q3 20.5% · Q4 25.3% · 4Q avg 23.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.9% |
19.2%
4.3 pts better
|
16.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 13.5% · Q3 10.4% · Q4 11.5% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.1% |
21.9%
5.8 pts better
|
14.9%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 14.1% · Q3 12.4% · Q4 17.8% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.3%
1 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.7% |
2.4%
1.3 pts worse
|
1.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.1% · Q3 1.1% · Q4 5.2% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.1% |
26.7%
1.4 pts worse
|
19.8%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 28.4% · Q3 26.3% · Q4 30.0% · 4Q avg 28.1% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
4.4%
0.9 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.5% · Q3 4.7% · Q4 3.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
85.6%
11.2 pts better
|
81.7%
15.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 97.4% · Q3 97.4% · Q4 94.9% · 4Q avg 96.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.1% |
14.1%
4 pts better
|
12.0%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 9.1% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.5% |
1.7%
1.8 pts worse
|
1.6%
1.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 1.8% · Q3 3.4% · Q4 2.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.9% |
83.0%
11.9 pts better
|
79.7%
15.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.0% |
22.1%
3.1 pts better
|
23.9%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.0% · Observed 15.2% · Expected 19.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-05 · Fire 2024-01-05
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-11-10 · Fire 2022-11-10
4 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
C · Minimal harm
2024-12-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-31
C · Minimal harm
2024-12-12
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-01-05
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-15
C · Minimal harm
2024-01-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-15
B · Minimal harm
2024-01-05
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-02-15
Inspection history
Recent health citations
G · Actual harm
2024-12-12
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-11-13
E · Potential for more than minimal harm
2024-12-12
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-21
E · Potential for more than minimal harm
2024-12-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-22
D · Potential for more than minimal harm
2024-12-12
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-01-08
D · Potential for more than minimal harm
2024-12-12
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-01-22
C · Minimal harm
2024-12-12
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-12-12
F · Potential for more than minimal harm
2023-08-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-30
D · Potential for more than minimal harm
2022-11-10
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-12-15
D · Potential for more than minimal harm
2022-11-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-12-21
D · Potential for more than minimal harm
2022-11-10
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-01-05
Penalties and ownership
What sits behind the stars
$8,512
2024-12-12
Fine
Fine · fine $8,512
Fine
Ownership
Accordion Healthcare Consulting, LLC
Operational/Managerial Control · Organization
Athar, Masooma
Operational/Managerial Control · Individual
Foster, Heather
Operational/Managerial Control · Individual
Intelycare Inc
Operational/Managerial Control · Organization
Kelia, Inc.
Operational/Managerial Control · Organization
Lee, Allison
Limited Partnership Interest · Individual
Lee, Allison
Operational/Managerial Control · Individual
Lee, Elisabeth
Limited Partnership Interest · Individual
Lee, Elisabeth
Operational/Managerial Control · Individual
Lee, Theodore
Limited Partnership Interest · Individual
Lee, Theodore
Operational/Managerial Control · Individual
Mcintire, Lori
Operational/Managerial Control · Individual
Mcintire, Lori
Corporate Officer · Individual
Medwin Healthcare Staffing
Operational/Managerial Control · Organization
Omnicare, LLC
Operational/Managerial Control · Organization
Silver Stone Investment Management, LLC
Operational/Managerial Control · Organization
Wipfli Llp
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
St Joseph Residence
Manchester, NH
2-star overall rating with 3-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Saint Teresa Rehabilitation & Nursing Center
Manchester, NH
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Mount Carmel Rehabilitation And Nursing Center
Manchester, NH
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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