Home / New Hampshire / Manchester
Villa Crest Nursing and Retirement Center
1276 Hanover Street, Manchester, NH 03104 · Hillsborough County · (603) 622-3262
126 certified beds, about 121 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305079 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 31, 2025, inspectors cited 2 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 9 health citations since June 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 3.45 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
35.4% 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 9 health citations on file.
July 31, 2025Standard inspection · 2 citations
- E 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 ensure that the dishes were sanitize according to manufacturer's instruction for 1 of 1 kitchen observed.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that a resident receiving psychotropic medications received a gradual dose reduction (GDR) for 1 out of 5 residents reviewed for unnecessary medications in a final sample of 24 residents. (Resident identifier is #76.)
June 20, 2024Standard inspection · 3 citations
- E 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 infection control and prevention guidelines to prevent cross-contamination by not wearing gowns when handling soiled linen and clothing in the laundry.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review,and manufacturers instructions, it was determined that the facility failed to follow professional standards when administering insulin for 1 out of 31 medications observed (Resident Identifier #83).
- D 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.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that as needed (PRN) psychotropic drugs were limited to 14 days for 2 residents in a final sample of 26 residents (Resident Identifiers are #112 and #11).
June 2, 2023Standard inspection · 4 citations
- D 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 ensure admission medications were available for 1 of 1 newly admitted resident reviewed for medications (Resident Identifier is #221).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that a newly admitted resident received potassium medication as ordered for 1 of 1 newly admitted resident reviewed for medications (Resident Identifier is #221).
- 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 thickened liquids according to manufacturer's instructions in 1 of 3 kitchenettes observed, 1 of 1 main dining room, and 1 of 1 main kitchen observed.
- D Keep all essential equipment working safely.
Inspectors wroteBased on observation, interview, and review of manufacturer's instructions, it was determined that the facility failed to label opened glucometer control solution bottles with expiration dates to ensure glucometers were in safe operating condition.
Fire safety inspections
6 fire safety citations on file: 5 on July 31, 2025, 1 on June 20, 2024.
Every fire safety citation6 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- C Have properly installed hallway dispensers for alcohol-based hand rub.
- C Have simulated fire drills held at unexpected times.
- C Have proper medical gas storage and administration areas.
- E Have generator or other power source capable of supplying service within 10 seconds.
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) | 3.45 | 3.90 | 3.86 |
| Registered nurses | 0.49 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.18 | 3.47 | 3.42 |
| Nurse aides | 2.03 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 35.4% | 44.1% | 45.8% |
| Registered nurse turnover | 37.5% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.88 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 3.56 on weekdays and 3.18 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.16 in April to June 2025 to 3.45 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 | 3.45 | 0.49 | 3.56 | 3.18 | 0.0% | 0 of 90 | 121 |
| Oct to Dec 2025 | 3.96 | 0.46 | 4.09 | 3.62 | 0.0% | 0 of 92 | 119 |
| Jul to Sep 2025 | 4.00 | 0.45 | 4.13 | 3.66 | 0.0% | 0 of 92 | 121 |
| Apr to Jun 2025 | 4.16 | 0.42 | 4.28 | 3.87 | 0.5% | 0 of 91 | 121 |
| 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 | 7.1 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.2 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.2 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.8 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.0 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.9 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.9 | 1.8 |
Owners and operators
Legal business name: BH VILLA CREST LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nh3 Opco Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 09/01/2022 |
| Esnh LLC | 5% or greater indirect ownership interest | Organization | 09/01/2022 | |
| Jpnh LLC | 5% or greater indirect ownership interest | Organization | 09/01/2022 | |
| Pepper, Yehuda | 5% or greater indirect ownership interest | Individual | 09/01/2022 | |
| Schwarcz, Eli | 5% or greater indirect ownership interest | Individual | 09/01/2022 | |
| Dwight Mortgage Trust LLC | 5% or greater security interest | Organization | 09/01/2022 | |
| Matera Health LLC | Operational/managerial control | Organization | 09/01/2022 | |
| Pepper, Yehuda | Operational/managerial control | Individual | 09/01/2022 | |
| Schwarcz, Eli | Operational/managerial control | Individual | 09/01/2022 |
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 2 problems in this area, most recently on July 31, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 20, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 20, 2024: "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."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on July 31, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.18 hours per resident per day, below the New Hampshire average of 3.47.
Other nursing homes nearby
- Holy Cross Health Center Manchester, 1.2 mi · 5 of 5 stars · 2 citations
- St. Joseph Residence Manchester, 1.3 mi · 4 of 5 stars · 11 citations
- Hanover Hill Health Care Center Manchester, 1.3 mi · 4 of 5 stars · 7 citations
- Saint Teresa Rehabilitation & Nursing Center Manchester, 1.5 mi · 2 of 5 stars · 15 citations
- Mount Carmel Rehabilitation and Nursing Center Manchester, 2.3 mi · 3 of 5 stars · 11 citations
- Maple Leaf Health Care Center Manchester, 2.4 mi · 5 of 5 stars · 7 citations
- Courville at Manchester Manchester, 3.1 mi · 2 of 5 stars · 20 citations
- Ridgewood Center, Genesis Healthcare Bedford, 4.2 mi · 2 of 5 stars · 14 citations
Common questions
- What is Villa Crest Nursing and Retirement Center's Medicare star rating?
- CMS rates Villa Crest Nursing and Retirement Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Villa Crest Nursing and Retirement Center get at its last inspection?
- 2 health deficiencies at the standard inspection on July 31, 2025. The New Hampshire average is 4.
- Has Villa Crest Nursing and Retirement Center been fined?
- CMS lists no fines in the last three years.
- Does Villa Crest Nursing and Retirement 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 Villa Crest Nursing and Retirement Center?
- CMS lists 9 owners and managers. Legal business name: BH VILLA CREST 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.