Manchester, NH

St Joseph Residence

2-star overall rating with 3-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

495 Mammoth Rd, Manchester, NH

(603) 668-6011

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

22

Certified beds

Average residents

21

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-07-02

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

1.05

Registered nurse staffing · state 0.74 · national 0.68

LPN hours / resident day

0.93

Licensed practical nurse staffing · state 0.76 · national 0.87

Aide hours / resident day

4.23

Nurse aide staffing · state 2.39 · national 2.35

Total nurse hours

6.21

All reported nurse hours · state 3.88 · national 3.89

Licensed hours

1.98

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

5.08

Weekend nurse staffing · state 3.44 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.26

CMS adjusted RN staffing hours

Adjusted total hours

7.44

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 49% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 9 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	6.98%	8.2% 1.2 pts worse	Numerator 6 · Denominator 86
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.6 0.2 pts worse	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.0 · Expected 1.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.9 0.8 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.7 · Expected 1.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	96.4% 2.4 pts better	93.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.5% · Q3 100.0% · Q4 100.0% · 4Q avg 98.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.7%	98.0% 2.3 pts worse	95.5% 0.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of long-stay residents experiencing one or more falls with major injury	4.8%	4.5% 0.3 pts worse	3.3% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.5% · Q3 4.8% · Q4 4.8% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	9.7% 9.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	7.4%	5.5% 1.9 pts worse	5.4% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 9.5% · Q3 4.8% · Q4 9.5% · 4Q avg 7.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.5%	18.9% 3.4 pts better	19.6% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 13.6% · Q3 14.3% · Q4 19.0% · 4Q avg 15.5%
Percentage of long-stay residents who received an antipsychotic medication	11.0%	18.7% 7.7 pts better	16.7% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q3 10.0% · 4Q avg 11.0% · 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	21.9%	19.2% 2.7 pts worse	16.3% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 21.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	30.1%	21.9% 8.2 pts worse	14.9% 15.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 30.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.3% 1.3 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.5%	2.4% 0.1 pts worse	1.7% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.8% · Q4 4.8% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.8%	26.7% 7.9 pts better	19.8% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q2 8.5% · Q3 17.4% · Q4 24.9% · 4Q avg 18.8%
Percentage of long-stay residents with pressure ulcers	2.6%	4.4% 1.8 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q2 5.7% · Q3 0.0% · Q4 4.2% · 4Q avg 2.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-23 · Fire 2025-12-23

3 health deficiencies

Top issue: Administration (1 deficiency)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2024-10-31 · Fire 2024-10-31

4 health deficiencies

Top issue: Administration (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-11-08 · Fire 2023-11-08

4 health deficiencies

Top issue: Administration (1 deficiency)

7 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-23

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2026-01-23

F · Potential for more than minimal harm 2025-12-23

K913 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-01-23

F · Potential for more than minimal harm 2025-12-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-01-23

C · Minimal harm 2025-12-23

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2026-01-23

C · Minimal harm 2025-12-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-01-23

C · Minimal harm 2025-12-23

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-01-23

E · Potential for more than minimal harm 2023-11-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-11-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-11-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-11-08

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-12-27

C · Minimal harm 2023-11-08

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-12-27

C · Minimal harm 2023-11-08

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-12-27

C · Minimal harm 2023-11-08

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-12-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-23

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2026-02-10

D · Potential for more than minimal harm 2025-12-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-15

B · Minimal harm 2025-12-23

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2026-02-10

D · Potential for more than minimal harm 2024-10-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-10-31

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-10-31

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-12-16

B · Minimal harm 2024-10-31

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-12-16

E · Potential for more than minimal harm 2023-11-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-05

E · Potential for more than minimal harm 2023-11-08

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2023-12-09

D · Potential for more than minimal harm 2023-11-08

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 2023-11-21

B · Minimal harm 2023-11-08

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-01-03

Penalties and ownership