Home / New Hampshire / Manchester
St. Joseph Residence
495 Mammoth Rd, Manchester, NH 03104 · Hillsborough County · (603) 668-6011
22 certified beds, about 22 residents a day · Non profit - Church related · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305088 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 23, 2025, inspectors cited 3 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 11 health citations since November 2023 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 5.90 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 1.22 of those hours.
46.3% 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 11 health citations on file.
December 23, 2025Standard inspection · 3 citations
- F Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that a Licensed Nurse was on duty for 24 hours a day, 7 days a week, for 8 of 12 days reviewed for Fiscal Year Quarter 4 (July 1, 2025 - September 30, 2025). Findings Include: Review on 12/22/25 of the Payroll Based Journal (PBJ) Staffing Data [NAME] Report for Fiscal Year Quarter 4 2025 revealed that the facility failed to have Licensed Nursing coverage 24 hours a day on the following dates: 7/5/2025, 7/12/2025, 7/19/2025, 7/26/2025, 8/2/2025, 8/9/2025, 8/16/2025, 8/23/2025, 8/30/2025, 9/6/2025, 9/7/2025, and 9/21/2025. Review on 12/23/25 of the facility's schedules and corresponding nursing time punches for the above days revealed that there was not a licensed nurse coverage on duty 24 hour a day on 7/5/2025, 7/12/2025, 7/26/2025, 8/2/2025, 8/9/2025, 8/16/2025, 9/6/2025, and 9/21/2025. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to implement and review, at least annually, the facility's water management plan that has the potential to effect the facility census of 22 residents.
- B Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and record review it was determined that the facility failed to submit accurate data for 7 of 92 days reviewed for Fiscal Quarter 4 (July 1, 2025 - September 30, 2025).
October 31, 2024Standard inspection · 4 citations
- 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 physicians orders for 1 out of 3 residents observed during medication administration (Resident Identifier #20).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow physician's orders for a nutritional intervention for 1 of 2 residents reviewed for nutrition in a final sample of 12 residents (Resident Identifier #19).
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure a resident was offered and/or provided the Pneumococcal vaccine for 1 of 5 residents reviewed for immunizations (Resident Identifier #18 ).
- B Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and record review it was determined that the facility failed to submit complete and accurate data for 5 of 91 days reviewed for Fiscal Quarter 3 (April 1, 2024 - June 30, 2024).
November 8, 2023Standard inspection · 4 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that the residents' environment remained free of accident hazards as is possible regarding storage of chemical cleaning solutions on 3 of 3 units observed (North Hall, East Hall, South Hall).
- E Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on interview and record review it was determined that the facility failed to ensure that training and education was provided to staff on abuse, neglect, exploitation, and misappropriation of resident property for 2 of 5 staff reviewed (Staff Identifiers are Staff E and J).
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to store food in accordance with professional standards for food service safety, to prevent food borne illness for one of one kitchens observed.
- B Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and record review it was determined that the facility failed to submit complete and accurate data for 6 of 92 days reviewed for Fiscal Quarter 3 (April 1, 2023 - June 30,2023).
Fire safety inspections
14 fire safety citations on file: 7 on December 23, 2025, 7 on November 8, 2023.
Every fire safety citation14 citations
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- C Install emergency lighting that can last at least 1 1/2 hours.
- C Have simulated fire drills held at unexpected times.
- C Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- D Have simulated fire drills held at unexpected times.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C Install emergency lighting that can last at least 1 1/2 hours.
- C Have properly located and lighted "Exit" signs.
- 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) | 5.90 | 3.90 | 3.86 |
| Registered nurses | 1.22 | 0.78 | 0.69 |
| All nursing staff on weekends | 5.06 | 3.47 | 3.42 |
| Nurse aides | 3.99 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 46.3% | 44.1% | 45.8% |
| Registered nurse turnover | 62.5% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.66 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 6.24 on weekdays and 5.06 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.75 in April to June 2025 to 5.90 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 | 5.90 | 1.22 | 6.24 | 5.06 | 1.2% | 0 of 90 | 22 |
| Oct to Dec 2025 | 6.43 | 1.25 | 6.75 | 5.60 | 3.0% | 0 of 92 | 21 |
| Jul to Sep 2025 | 6.21 | 1.05 | 6.65 | 5.08 | 6.2% | 5 of 92 | 21 |
| Apr to Jun 2025 | 5.75 | 1.16 | 6.11 | 4.85 | 3.9% | 0 of 91 | 22 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for New Hampshire
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New Hampshire, all employers | |||
| CNAs (nursing assistants) | $23.02 | $21.58 to $26.16 | 7,810 |
| LPNs and LVNs | $37.07 | $32.53 to $39.79 | 2,220 |
| Registered nurses | $47.93 | $39.85 to $52.12 | 15,390 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 31.9 | 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 | 4.8 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 4.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.1 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.1 | 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 | 0.9 | 1.9 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for St. Joseph Residence's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: SAINT JOSEPH RESIDENCE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Aucoin, Lorraine | Corporate officer | Individual | 08/15/2025 | |
| Connors, Kelly | Corporate officer | Individual | 08/15/2025 | |
| Gauthier, Holly | Corporate officer | Individual | 08/15/2025 | |
| Laliberte, Annette | Corporate officer | Individual | 10/11/2012 | |
| Larochelle, Therese | Corporate officer | Individual | 08/15/2025 | |
| Makowski, Marlene | Corporate officer | Individual | 08/05/2003 | |
| Rivard, Suzanne | Corporate officer | Individual | 08/15/2025 | |
| Nh Catholic Charities Inc | Operational/managerial control | Organization | 07/01/2002 | |
| Bernard, Alain | Operational/managerial control | Individual | 06/04/2018 | |
| Makowski, Marlene | Adp of the SNF | Individual | 02/27/2025 |
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.
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on December 23, 2025: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on December 23, 2025: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on October 31, 2024: "Provide enough food/fluids to maintain a resident's health."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on December 23, 2025: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
Other nursing homes nearby
- Hanover Hill Health Care Center Manchester, 0.1 mi · 4 of 5 stars · 7 citations
- Saint Teresa Rehabilitation & Nursing Center Manchester, 0.4 mi · 2 of 5 stars · 15 citations
- Mount Carmel Rehabilitation and Nursing Center Manchester, 1.1 mi · 3 of 5 stars · 11 citations
- Maple Leaf Health Care Center Manchester, 1.2 mi · 5 of 5 stars · 7 citations
- Villa Crest Nursing and Retirement Center Manchester, 1.3 mi · 4 of 5 stars · 9 citations
- Holy Cross Health Center Manchester, 1.5 mi · 5 of 5 stars · 2 citations
- Courville at Manchester Manchester, 2 mi · 2 of 5 stars · 20 citations
- Bedford Hills Center Bedford, 3.1 mi · 4 of 5 stars · 8 citations
Common questions
- What is St. Joseph Residence's Medicare star rating?
- CMS rates St. Joseph Residence 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did St. Joseph Residence get at its last inspection?
- 3 health deficiencies at the standard inspection on December 23, 2025. The New Hampshire average is 4.
- Has St. Joseph Residence been fined?
- CMS lists no fines in the last three years.
- Does St. Joseph Residence 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 St. Joseph Residence?
- CMS lists 10 owners and managers. Legal business name: SAINT JOSEPH RESIDENCE.
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.