Manchester, NH
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1276 Hanover Street, Manchester, NH
(603) 622-3262
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
126
Certified beds
Average residents
121
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-10-01
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
RN hours / resident day
0.45
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
2.50
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
4.00
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.66
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.36
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
0.46
CMS adjusted RN staffing hours
Adjusted total hours
4.09
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
10%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
1,262
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.30
Composite VBP score used to determine payment impact.
Payment multiplier
1.0135
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 19.33% · Performance 16.70% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
5.87
Baseline 6.57% · Performance 6.08% · Measure score 5.87 · Achievement 5.87 · Improvement 2.63
Total nurse turnover
4.34
Baseline 67.89% · Performance 47.06% · Measure score 4.34 · Achievement 4.07 · Improvement 4.34
Adjusted total nurse staffing
3.11
Baseline 3.88 hours · Performance 3.96 hours · Measure score 3.11 · Achievement 3.11 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.75% |
10.72%
2 pts better
|
No Different than the National Rate · Eligible stays 282 · Observed rate 6.03% · Lower 95% interval 6.26% |
| Discharge to community | 52.96% |
50.57%
2.4 pts better
|
No Different than the National Rate · Eligible stays 264 · Observed rate 50.38% · Lower 95% interval 47.75% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.34% |
95.27%
3.1 pts better
|
Numerator 178 · Denominator 181 |
| Falls with major injury | 0.55% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 181 |
| Discharge self-care score | 40.85% |
53.69%
12.8 pts worse
|
Numerator 58 · Denominator 142 |
| Discharge mobility score | 50.7% |
50.94%
0.2 pts worse
|
Numerator 72 · Denominator 142 |
| Pressure ulcers or injuries, new or worsened | 1.1% |
2.29%
1.2 pts better
|
Numerator 2 · Denominator 181 · Adjusted rate 0.96% |
| Healthcare-associated infections requiring hospitalization | 6.08% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 176 · Observed rate 3.98% · Lower 95% interval 3.89% |
| Staff COVID-19 vaccination coverage | 13.75% |
8.2%
5.6 pts better
|
Numerator 33 · Denominator 240 |
| Staff flu vaccination coverage | 41.27% |
42%
0.7 pts worse
|
Numerator 104 · Denominator 252 |
| Discharge function score | 46.48% |
56.45%
10 pts worse
|
Numerator 66 · Denominator 142 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 103 · Denominator 103 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 32.97% |
25.2%
7.8 pts better
|
Numerator 30 · Denominator 91 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.6
0.5 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.9
0.9 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.4%
3.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.0%
2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
4.5%
1 pts better
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.0% · Q3 1.9% · Q4 6.4% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.5% |
9.7%
1.2 pts better
|
11.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 10.6% · Q3 3.0% · Q4 11.1% · 4Q avg 8.5% |
| Percentage of long-stay residents who lose too much weight | 8.0% |
5.5%
2.5 pts worse
|
5.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 7.2% · Q3 5.6% · Q4 10.1% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.6% |
18.9%
4.7 pts worse
|
19.6%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 23.0% · Q3 23.7% · Q4 24.2% · 4Q avg 23.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.9% |
18.7%
6.8 pts better
|
16.7%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 7.8% · Q3 11.2% · Q4 15.2% · 4Q avg 11.9% · 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 | 17.4% |
19.2%
1.8 pts better
|
16.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 25.9% · Q3 4.0% · Q4 12.7% · 4Q avg 17.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.1% |
21.9%
1.8 pts better
|
14.9%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 43.2% · Q3 7.0% · Q4 8.0% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.3%
0.3 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.2% · Q3 0.9% · Q4 0.9% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
2.4%
0.4 pts better
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 2.0% · Q4 3.8% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.1% |
26.7%
5.6 pts better
|
19.8%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 30.0% · Q3 19.8% · Q4 14.7% · 4Q avg 21.1% |
| Percentage of long-stay residents with pressure ulcers | 1.4% |
4.4%
3 pts better
|
5.1%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 0.8% · Q4 1.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
85.6%
11.8 pts better
|
81.7%
15.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 97.7% · Q3 98.6% · Q4 98.6% · 4Q avg 97.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
14.1%
7.3 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 7.1% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.7%
1.7 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.8% |
83.0%
14.8 pts better
|
79.7%
18.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.5% |
22.1%
6.6 pts better
|
23.9%
8.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 14.9% · Expected 22.8% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-12
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2025-08-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-08
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-02
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-26
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-07-12
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2023-06-07
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-06-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-16
Health
Keep all essential equipment working safely.
Corrected 2023-06-06
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Security Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Nearby options
Manchester, NH
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Manchester, NH
2-star overall rating with 3-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Manchester, NH
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
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