Home / New Hampshire / Manchester
Hackett Hill Healthcare Center
191 Hackett Hill Road, Manchester, NH 03102 · Hillsborough County · (603) 668-8161
70 certified beds, about 59 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305038 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 24, 2026, inspectors cited 3 health deficiencies (the New Hampshire average is 4, the national average 9.2).
Of 15 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated December 17, 2025.
Nurses and nurse aides worked 3.75 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 1.24 of those hours.
34.4% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
101/24
404/24
503/25
212/25
304/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
10D
0E
1F
Potential for minimal harm
0A
3B
0C
April 24, 2026Standard inspection · 3 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the water management plan accurately described the facility's water system, failed to identify all specific areas where Legionella and other opportunistic waterborne pathogens may grow, failed to outline control measures to prevent such growth, and failed to establish monitoring procedures with defined acceptable ranges that had the potential to affect the facility with a census of 62 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow professional standards for1 of 3 resident observed for medication administration and for 1 of 1 residents reviewed for general concerns in a final sample of 18 residents. (Resident identifiers are #43 and #56.)
- D Provide appropriate foot care.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure proper treatment and care for good foot health for 1 of 2 residents reviewed for ADLs (activities of daily living) in a final sample of 18 residents. (Resident identifier is #18.)
December 17, 2025Complaint inspection · 2 citations
- G Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to have physician's orders at admission for a wound that resulted in hospitalization for 1 of 4 residents reviewed for wound care (Resident identifier is #3).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to ensure staff wear appropriate (Personal Protective Equipment) PPE and perform hand hygiene during a dressing change for 1 of 1 resident observed for wound care (Resident identifier is #4).
March 13, 2025Standard inspection · 5 citations
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to inform residents or resident's representative of the risk and benefits of psychotropic medication use for 2 out of 5 residents reviewed for unnecessary medications in final sample of 17 residents. (Resident identifiers are #16 and #50.)
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview and record review it was determined that the facility failed to follow the professional standards of care for 3 residents in a final sample of 17 residents. (Resident identifiers are #33, #55 and #7.)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow policies and procedures for 1 of 2 residents reviewed for Enhanced Barrier Precautions (EBP) (Resident identifier is #55) and 1 of 3 residents reviewed for disinfection of glucometer (Resident identifiers are #165 and #166).
- D Keep all essential equipment working safely.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to maintain patient care equipment per manufacturer's instruction for 1 of 2 residents reviewed for respiratory care in a final sample of 17 residents. (Resident identifier is #7).
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the resident and/or resident representative was informed, in writing, the items and services that the facility offers and for which the resident may be charged, and the amount of charges for those services for 2 of 2 residents reviewed for Beneficiary Notices who remained in the facility (Resident identifiers are #17 and #65).
April 2, 2024Standard inspection · 4 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews and record reviews, it was determined that the hospice agency and the facility failed to provide collaborative services for 1 of 1 resident reviewed for hospice services in a final sample of 18 residents (Resident Identifier #44).
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, interviews, and record reviews it was determined that the facility failed to ensure the medication error rate was not 5 percent (%) or greater for 2 out of 4 residents observed for medication administration (Resident Identifiers #24 and #41).
- 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.
Inspectors wroteBased on observations, interviews, and record reviews, it was determined that the facility failed to ensure open injectable medications were labeled in accordance with the manufacturer's instructions in 1 out of 2 medication carts and in 1 of 1 medication rooms observed and refrigeration temperatures were not monitored daily for medications storage in 1 out of 1 medication rooms observed.
- B Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on interviews and record reviews, it was determined that the facility failed to ensure that residents received treatment for hearing loss for 1 of 1 resident reviewed for hearing and vision in a final sample of 18 residents (Resident Identifier #7). Interview on 4/1/24 at approximately 11:00 a.m. with Resident #7 revealed he/she was very hard of hearing. Resident #7 stated he/she had wax in them [their ears]. Review on 4/1/24 of Resident #7's diagnosis list revealed a medical diagnosis of Bilateral Hearing Loss. Interview on 4/2/24 at approximately 9:30 a.m. with Staff E (Recreation Assistant) regarding Resident #7 revealed, communication is difficult, does not engage in conversations or attend group activities. Review on 4/2/24 of Resident #7's Audiology visit dated 1/29/24 revealed that the degree of hearing loss could not be determined. [...]
January 9, 2024Complaint inspection · 1 citation
- B Post nurse staffing information every day.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that nursing staff postings reflected the actual hours worked by licensed and unlicensed nursing staff on shifts for 7 out of 30 days of daily nursing staff postings reviewed.
Fire safety inspections
1 fire safety citation on file: 1 on March 13, 2025.
Every fire safety citation1 citation
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 17, 2025 | Fine | $8,278 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Hampshire | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.75 | 3.90 | 3.86 |
| Registered nurses | 1.24 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.47 | 3.42 |
| Nurse aides | 1.87 | ||
| Licensed practical nurses | 0.64 | ||
| Nursing staff turnover (share who left in a year) | 34.4% | 44.1% | 45.8% |
| Registered nurse turnover | 26.7% | 40.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.25 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.97 on weekdays and 3.20 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.69 in April to June 2025 to 3.75 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.75 | 1.24 | 3.97 | 3.20 | 1.1% | 0 of 90 | 59 |
| Oct to Dec 2025 | 3.67 | 1.25 | 3.84 | 3.23 | 0.5% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.61 | 1.20 | 3.78 | 3.19 | 0.3% | 0 of 92 | 63 |
| Apr to Jun 2025 | 3.69 | 1.26 | 3.88 | 3.21 | 0.2% | 0 of 91 | 63 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Hampshire, Jan to Mar 2026 | 3.85 | 0.74 | 4.01 | 3.45 | 13.1% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Hampshire | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.2 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.8 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.7 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.6 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.4 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.4 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.9 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.9 | 1.8 |
Owners and operators
Legal business name: 191 HACKETT HILL ROAD OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| 191 Hackett Hill Road Operations LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2014 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 03/02/2015 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 03/02/2015 | |
| Genesis Nh Holdings LLC | 5% or greater indirect ownership interest | Organization | 11/01/2014 | |
| Genesis Operations LLC | 5% or greater indirect ownership interest | Organization | 11/01/2014 | |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 03/02/2015 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 12/01/2012 | |
| Berg, Michael | Corporate officer | Individual | 12/01/2012 | |
| Bridgeford, Laura | Corporate officer | Individual | 06/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 06/01/2024 | |
| Cullerot, Elizabeth | Operational/managerial control | Individual | 06/01/2024 | |
| Ojutalayo, Ayobami | Operational/managerial control | Individual | 06/01/2024 | |
| Cullerot, Elizabeth | Adp of the SNF | Individual | 02/09/2025 | |
| Ojutalayo, Ayobami | Adp of the SNF | Individual | 02/09/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on April 24, 2026: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 24, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 24, 2026: "Provide appropriate foot care."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 13, 2025: "Ensure that residents are fully informed and understand their health status, care and treatments."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the New Hampshire average of 3.47.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Courville at Manchester Manchester, 2.4 mi · 2 of 5 stars · 20 citations
- Mount Carmel Rehabilitation and Nursing Center Manchester, 3.2 mi · 3 of 5 stars · 11 citations
- Maple Leaf Health Care Center Manchester, 3.2 mi · 5 of 5 stars · 7 citations
- Hillsborough County Nursing Home Goffstown, 3.4 mi · 5 of 5 stars · 9 citations
- Goffstown Nursing and Rehab Center Goffstown, 3.5 mi · 1 of 5 stars · 34 citations
- Saint Teresa Rehabilitation & Nursing Center Manchester, 3.7 mi · 2 of 5 stars · 15 citations
- St. Joseph Residence Manchester, 4.2 mi · 4 of 5 stars · 11 citations
- Hanover Hill Health Care Center Manchester, 4.2 mi · 4 of 5 stars · 7 citations
Common questions
- What is Hackett Hill Healthcare Center's Medicare star rating?
- CMS rates Hackett Hill Healthcare Center 2 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hackett Hill Healthcare Center get at its last inspection?
- 3 health deficiencies at the standard inspection on April 24, 2026. The New Hampshire average is 4.
- Has Hackett Hill Healthcare Center been fined?
- Yes. CMS lists 1 fine totaling $8,278 in the last three years.
- Does Hackett Hill Healthcare Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Hackett Hill Healthcare Center?
- CMS lists 19 owners and managers, and links the home to Genesis Healthcare. Legal business name: 191 HACKETT HILL ROAD OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.