Home / New Hampshire / Manchester
Holy Cross Health Center
357 Island Pond Road, Manchester, NH 03109 · Hillsborough County · (603) 628-3550
40 certified beds, about 24 residents a day · Non profit - Church related · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305074 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 25, 2026, inspectors cited 1 health deficiency (the New Hampshire average is 4, the national average 9.2).
None of its 2 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.70 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.78 of those hours.
34.3% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
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.
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 2 health citations on file.
February 25, 2026Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure appropriate sanitization of dishware for 1 of 1 kitchen observed.
January 3, 2025Standard inspection · 1 citation
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the required committee members attended Quality Assurance Performance Improvement (QAPI) meetings at least quarterly for 3 of the 4 quarterly meetings reviewed for 2024.
January 31, 2024Standard inspection · 0 citations
Fire safety inspections
11 fire safety citations on file: 3 on February 25, 2026, 3 on January 3, 2025, 5 on January 31, 2024.
Every fire safety citation11 citations
- F Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- C Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C Install emergency lighting that can last at least 1 1/2 hours.
- C Have properly located and lighted "Exit" signs.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- C Properly select, install, inspect, or maintain portable fire extinguishes.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.70 | 3.90 | 3.86 |
| Registered nurses | 0.78 | 0.78 | 0.69 |
| All nursing staff on weekends | 4.26 | 3.47 | 3.42 |
| Nurse aides | 3.00 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 34.3% | 44.1% | 45.8% |
| Registered nurse turnover | 20.0% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.05 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 4.88 on weekdays and 4.26 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.76 in April to June 2025 to 4.70 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 | 4.70 | 0.78 | 4.88 | 4.26 | 0.9% | 1 of 90 | 24 |
| Oct to Dec 2025 | 4.78 | 0.75 | 4.93 | 4.40 | 0.2% | 0 of 92 | 23 |
| Jul to Sep 2025 | 5.21 | 0.84 | 5.40 | 4.74 | 1.3% | 0 of 92 | 23 |
| Apr to Jun 2025 | 4.76 | 0.83 | 5.00 | 4.15 | 3.6% | 2 of 91 | 23 |
| 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 | 34.9 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.9 | 4.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.4 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.1 | 17.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.9 | 1.8 |
Owners and operators
Legal business name: HOLY CROSS HEALTH CENTER INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sisters of Holy Cross, Inc./U.s. Region | 5% or greater direct ownership interest | Organization | 100% | 05/11/1995 |
| Hoffler, Anne | Corporate officer | Individual | 01/01/2024 | |
| Lamarre, Marie Blanche | Corporate officer | Individual | 01/01/2024 | |
| Martin, Therese | Corporate officer | Individual | 01/01/2024 | |
| Murphy, Kelly | Corporate officer | Individual | 01/01/2017 | |
| Coulombe, Kelli | Operational/managerial control | Individual | 02/22/2022 | |
| Dinardo, Susan | Operational/managerial control | Individual | 11/19/2013 | |
| Eafrati, Jody | Operational/managerial control | Individual | 01/05/2004 | |
| Farra, Raphael | Operational/managerial control | Individual | 03/01/2018 | |
| Fraser, Stephanie | Operational/managerial control | Individual | 02/26/2014 | |
| Ishak, Victor | Operational/managerial control | Individual | 12/01/2008 | |
| Oliveira, Jessica | Operational/managerial control | Individual | 07/15/2022 | |
| Osiek, Stefanie | Operational/managerial control | Individual | 04/01/2021 | |
| Phillips, Bonni | Operational/managerial control | Individual | 04/27/2018 | |
| Renfer, Laura | Operational/managerial control | Individual | 01/09/2001 | |
| Sisters of Holy Cross, Inc./U.s. Region | Adp of the SNF | Organization | 05/11/1995 | |
| Farra, Raphael | Adp of the SNF | Individual | 03/01/2018 | |
| Osiek, Stefanie | Adp of the SNF | Individual | 02/28/2025 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 25, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on January 3, 2025: "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly"
Other nursing homes nearby
- Villa Crest Nursing and Retirement Center Manchester, 1.2 mi · 4 of 5 stars · 9 citations
- Hanover Hill Health Care Center Manchester, 1.5 mi · 4 of 5 stars · 7 citations
- St. Joseph Residence Manchester, 1.5 mi · 4 of 5 stars · 11 citations
- Saint Teresa Rehabilitation & Nursing Center Manchester, 2 mi · 2 of 5 stars · 15 citations
- Maple Leaf Health Care Center Manchester, 2.6 mi · 5 of 5 stars · 7 citations
- Mount Carmel Rehabilitation and Nursing Center Manchester, 2.6 mi · 3 of 5 stars · 11 citations
- Ridgewood Center, Genesis Healthcare Bedford, 3.3 mi · 2 of 5 stars · 14 citations
- Courville at Manchester Manchester, 3.4 mi · 2 of 5 stars · 20 citations
Common questions
- What is Holy Cross Health Center's Medicare star rating?
- CMS rates Holy Cross Health Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Holy Cross Health Center get at its last inspection?
- 1 health deficiency at the standard inspection on February 25, 2026. The New Hampshire average is 4.
- Has Holy Cross Health Center been fined?
- CMS lists no fines in the last three years.
- Does Holy Cross Health 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 Holy Cross Health Center?
- CMS lists 18 owners and managers. Legal business name: HOLY CROSS HEALTH CENTER INC.
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.