Nursing HomeInspections

Hackett Hill Healthcare Center

Nursing home in Manchester, NH

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
191 Hackett Hill Road, Manchester, NH 03102
Phone
(603) 668-8161
Listed under
For-profit
Medicare CCN
305038
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
70
Average residents per day
62
Ownership
For-profit, corporation
Legal business name
191 Hackett Hill Road Operations LLC
Chain
Genesis Healthcare (183 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 20, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 305038. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 24, 2026. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 9, 2024 to Apr 24, 2026): 3 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 24, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Apr 24, 2026Provide appropriate foot care.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 24, 2026Provide and implement an infection prevention and control program.
Infection Control
F
Potential for more than minimal harm, widespread
Dec 17, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 17, 2025Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning · complaint inspection
G
Actual harm, isolated
Mar 13, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights
B
Potential for minimal harm, pattern
Mar 13, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 13, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 13, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Mar 13, 2025Keep all essential equipment working safely.
Environmental
D
Potential for more than minimal harm, isolated
Apr 2, 2024Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care
B
Potential for minimal harm, pattern
Apr 2, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 15. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,278 in the last three years.

Dec 17, 2025Fine: $8,278

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.66 hours
Registered nurse (RN) time per resident per day
1.06 hours
Nurse aide time per resident per day
1.73 hours
Total nurse staffing on weekends
3.04 hours
Nursing staff turnover (yearly)
32%
RN turnover (yearly)
21%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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