PlainNursing
CMS Nursing Home Compare · August 2026

Hackett Hill Healthcare Center

191 Hackett Hill Road, Manchester, NH 03102

Hackett Hill Healthcare Center, a 70-bed for profit - corporation nursing facility in Manchester, NH, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #44 of 72 rated homes in NH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6036688161

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2 / 5
Below average · CMS overall · nat'l 3.0
#44 of 72
In-state rank among rated NH homes
3.75
About average · nurse hrs/day · nat'l 3.86
15
Inspection findings · 1 serious

The verdict

Hackett Hill Healthcare Center, a 70-bed for profit - corporation nursing facility in Manchester, NH, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #44 of 72 rated homes in NH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#44 of 72
In-state rank among rated NH homes
3.75
Nurse hrs/resident-day · national 3.86
15
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 73 NH nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
305038
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
70
Residents
59
In Hospital
No
County
Hillsborough
Last Inspection
Apr 24, 2026

Staffing Data

How the 3.75 total nursing hours per resident-day are staffed:

RN Hours
1.24 (nat'l avg: 0.69)
LPN Hours
0.64
CNA Hours
1.87
Total Nursing Hours
3.75 (nat'l avg: 3.86)
PT Hours
0.13
Nursing Turnover
34.4%
RN Turnover
26.7%

What the CMS Record Reveals About Hackett Hill Healthcare Center

According to CMS Nursing Home Compare, Hackett Hill Healthcare Center ranks #44 of 72 rated nursing homes in NH on overall stars (tie-broken by health+staffing+quality, then fewer fines). Hackett Hill Healthcare Center operates 70 certified beds in Manchester, NH with approximately 59 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 1★ · staffing 4★ · quality 5★).

The inspection file contains 15 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $8K. Reported nurse staffing runs 3.75 total hours per resident day (national average 3.86); RN hours specifically are 1.24 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Hackett Hill Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 34.4% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (15 most recent)

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: May 22, 2026

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 26, 2026

F - Widespread - Minimal harm Apr 24, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 17, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 9, 2026

G - Isolated - Actual harm Dec 17, 2025 Tag: 0635

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 14, 2025

B - Pattern - No harm Mar 13, 2025 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Mar 13, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Apr 22, 2025

D - Isolated - Minimal harm Mar 13, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 22, 2025

D - Isolated - Minimal harm Mar 13, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 22, 2025

D - Isolated - Minimal harm Mar 13, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Apr 15, 2025

B - Pattern - No harm Apr 2, 2024 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 29, 2024

D - Isolated - Minimal harm Apr 2, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 19, 2024

D - Isolated - Minimal harm Apr 2, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Apr 24, 2024

D - Isolated - Minimal harm Apr 2, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 29, 2024

B - Pattern - No harm Jan 9, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 2, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 6.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 15.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 27.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 86.0% No

Penalty History 1 penalties totaling $8K

Date Type Amount
Dec 17, 2025 Fine $8K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Hackett Hill Healthcare Center, both outside NH so the neighborhoods are not the same-state geography list below.

What the CMS records show for Hackett Hill Healthcare Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NH registry aggregates state averages and the highest-rated homes in this cohort. View NH registry
  • Peer homes near 70 beds show how CMS stars vary at a similar scale in NH. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Hackett Hill Healthcare Center?
Hackett Hill Healthcare Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (5★).
Where does Hackett Hill Healthcare Center rank among nursing homes in NH?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Hackett Hill Healthcare Center ranks 44th among 72 rated nursing homes in NH (#44 of 72). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Hackett Hill Healthcare Center?
Hackett Hill Healthcare Center reports 3.75 total nursing hours per resident day (national average: 3.86). RN hours are 1.24 per resident day (national average: 0.69). Nursing staff turnover is 34.4%.
How many beds does Hackett Hill Healthcare Center have?
Hackett Hill Healthcare Center has 70 certified beds with approximately 59 residents. The facility is located at 191 Hackett Hill Road, Manchester, NH 03102.
Does Hackett Hill Healthcare Center have any deficiencies on record?
Yes, Hackett Hill Healthcare Center has 15 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Hackett Hill Healthcare Center received any fines or penalties?
Yes, Hackett Hill Healthcare Center has received 1 penalties totaling $8K.
Who owns Hackett Hill Healthcare Center?
Hackett Hill Healthcare Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Hackett Hill Healthcare Center last inspected?
The most recent health inspection for Hackett Hill Healthcare Center was on Apr 24, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Hackett Hill Healthcare Center?
Hackett Hill Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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