Federal inspection record · CMS data as of October 1, 2026

Holy Cross Health Center

357 Island Pond Road, Manchester, NH · (603) 628-3550

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
40
Residents per day
23
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 15, 1996

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in New Hampshire.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among New Hampshire homes

Holy Cross Health Center carries 13 inspection points. That is fewer than 72% of New Hampshire's 72 rated homes.

5★4★3★2★1★+3 homes above 6405102550inspection points → fewer is better on the leftThis home · 13 pts · 4★

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

2 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 1 4 pts
E 0 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    February 25, 2026 · Standard · F812 · Corrected March 11, 2026

Administration1D
  1. D

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    January 3, 2025 · Standard · F868 · Corrected January 29, 2025

Inspection history

  1. 2026-02-25

    1 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  2. 2025-01-03

    1 health deficiencies · 3 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

  3. 2024-01-31

    0 health deficiencies · 5 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 4 h 59 min of nursing staff time a day, 46 min of it from a registered nurse.

This home

4 h 59 min

New Hampshire average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 29% of nursing staff and 0% 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

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.41.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better1.71.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better100.0%97.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts better100.0%97.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts worse7.7%4.5%3.2%
Percentage of long-stay residents who have depressive symptoms15.8 pts better0.0%15.8%13.5%
Percentage of long-stay residents who lose too much weight0.8 pts worse6.0%5.2%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication13.5 pts worse32.6%19.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.7 pts worse18.6%17.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.7 pts better13.1%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased10.3 pts worse32.6%22.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.6%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection2.2 pts better0.0%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts worse27.3%25.4%18.3%
Percentage of long-stay residents with pressure ulcers2.1 pts worse6.4%4.3%4.5%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Sisters Of Holy Cross, Inc./U.s. Region5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Coulombe, KelliOperational/Managerial Control · Individual0%1 facilities
Dinardo, SusanOperational/Managerial Control · Individual0%1 facilities
Eafrati, JodyOperational/Managerial Control · Individual0%1 facilities
Farra, RaphaelOperational/Managerial Control · Individual0%1 facilities
Farra, RaphaelAdp Of The SNF · Individual0%1 facilities
Fraser, StephanieOperational/Managerial Control · Individual0%1 facilities
Hoffler, AnneCorporate Officer · Individual0%1 facilities
Ishak, VictorOperational/Managerial Control · Individual0%1 facilities
Lamarre, Marie BlancheCorporate Officer · Individual0%1 facilities
Martin, ThereseCorporate Officer · Individual0%1 facilities
Murphy, KellyCorporate Officer · Individual0%2 facilities
Oliveira, JessicaOperational/Managerial Control · Individual0%1 facilities
Osiek, StefanieOperational/Managerial Control · Individual0%1 facilities
Osiek, StefanieAdp Of The SNF · Individual0%1 facilities
Phillips, BonniOperational/Managerial Control · Individual0%1 facilities
Renfer, LauraOperational/Managerial Control · Individual0%1 facilities
Sisters Of Holy Cross, Inc./U.s. RegionAdp Of The SNF · Organization0%1 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems5F
  1. F

    Ensure operating rooms are properly protected and written records are maintained and available for inspection.

    February 25, 2026 · K913 · Corrected March 11, 2026

  2. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    February 25, 2026 · K914 · Corrected March 11, 2026

  3. C

    Have generator or other power source capable of supplying service within 10 seconds.

    February 25, 2026 · K918 · Corrected March 11, 2026

  4. E

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    January 31, 2024 · K916 · Corrected March 22, 2024

  5. E

    Have generator or other power source capable of supplying service within 10 seconds.

    January 31, 2024 · K918 · Corrected March 22, 2024

Smoke4E
  1. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 3, 2025 · K372 · Corrected January 31, 2025

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 31, 2024 · K353 · Corrected March 22, 2024

  3. D

    Provide properly protected cooking facilities.

    January 31, 2024 · K324 · Corrected March 22, 2024

  4. C

    Properly select, install, inspect, or maintain portable fire extinguishes.

    January 31, 2024 · K355 · Corrected March 22, 2024

Egress2C
  1. C

    Install emergency lighting that can last at least 1 1/2 hours.

    January 3, 2025 · K291 · Corrected January 31, 2025

  2. C

    Have properly located and lighted "Exit" signs.

    January 3, 2025 · K293 · Corrected January 31, 2025

·

Other homes nearby

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    2 h 55 min
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  3. St Joseph Residence

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