St Joseph Residence
495 Mammoth Rd, Manchester, NH 03104
St Joseph Residence, a 22-bed non profit - church related nursing facility in Manchester, NH, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #21 of 72 rated homes in NH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm 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: 6036686011
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #21 of 72
- In-state rank among rated NH homes
- 5.90
- Well above average · nurse hrs/day · nat'l 3.86
- 11
- Inspection findings
The verdict
St Joseph Residence, a 22-bed non profit - church related nursing facility in Manchester, NH, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #21 of 72 rated homes in NH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #21 of 72
- In-state rank among rated NH homes
- 5.90
- Nurse hrs/resident-day · national 3.86
- 11
- Inspection findings on file
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 Non profit - Church related. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 305088
- Ownership
- Non profit - Church related
- Provider Type
- Medicare and Medicaid
- Beds
- 22
- Residents
- 22
- In Hospital
- No
- County
- Hillsborough
- Last Inspection
- Dec 23, 2025
Staffing Data
How the 5.90 total nursing hours per resident-day are staffed:
- RN Hours
- 1.22 (nat'l avg: 0.69)
- LPN Hours
- 0.68
- CNA Hours
- 3.99
- Total Nursing Hours
- 5.90 (nat'l avg: 3.86)
- PT Hours
- 0.05
- Nursing Turnover
- 46.3%
- RN Turnover
- 62.5%
What the CMS Record Reveals About St Joseph Residence
According to CMS Nursing Home Compare, St Joseph Residence ranks #21 of 72 rated nursing homes in NH on overall stars (tie-broken by health+staffing+quality, then fewer fines). St Joseph Residence operates 22 certified beds in Manchester, NH with approximately 22 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 5★ · quality 3★).
The inspection file contains 11 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Reported nurse staffing runs 5.90 total hours per resident day (national average 3.86); RN hours specifically are 1.22 per resident day.
Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, St Joseph Residence falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 46.3% (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 (11 most recent)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Category: Administration Deficiencies
Corrected: Feb 10, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 15, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Feb 10, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Category: Administration Deficiencies
Corrected: Dec 16, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Dec 16, 2024
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 16, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 16, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Category: Administration Deficiencies
Corrected: Jan 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 21, 2023
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Dec 9, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 5, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.8% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 1.5% | 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 | 97.6% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 11.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 95.7% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 19.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | N/A | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for St Joseph Residence, both outside NH so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NH (22 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NH (6.18 here).
Nearby Nursing Homes in NH
72 other nursing homes are on record in NH; 6 are shown here.
Alpine Healthcare Center
Keene, NH
Applewood Center
Winchester, NH
Bedford Hills Center
Bedford, NH
Bedford Nursing & Rehabilitation Center
Bedford, NH
Belknap County Nursing Home
Laconia, NH
Birch Healthcare Center
Rochester, NH
Understanding Nursing Home Data
What the CMS records show for St Joseph Residence
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 22 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 St Joseph Residence?
Where does St Joseph Residence rank among nursing homes in NH?
What are the staffing levels at St Joseph Residence?
How many beds does St Joseph Residence have?
Does St Joseph Residence have any deficiencies on record?
Has St Joseph Residence received any fines or penalties?
Who owns St Joseph Residence?
When was St Joseph Residence last inspected?
What quality measures are tracked for St Joseph Residence?
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.
Read our methodology - how this data is sourced, computed, and verified.
