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Nursing home

Hackett Hill Healthcare Center

191 Hackett Hill Road, Manchester, NH 03102 · Map
For profit - Corporation · Part of Genesis Healthcare (193 facilities) · 70 certified beds

Medicare and Medicaid certified
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Hackett Hill Healthcare Center is a Medicare-certified nursing home in Manchester, New Hampshire. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.61 hours per resident per day, below the New Hampshire average of 3.88. Its most recent inspection on Mar 13, 2025 cited 7 deficiencies.

2 out of 5Overall CMS rating
1 out of 5Health inspections
3 out of 5Staffing
70 bedsCertified beds
  • 1 fine totaling $12,735In CMS records: 1 total penalty.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating2/5
Health inspections1/5
Staffing3/5
Quality measures5/5
Long-stay quality5/5
Short-stay quality5/5

How Hackett Hill Healthcare Center compares

This facility vs. the New Hampshire and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityNew Hampshire avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.613.883.89below avg
RN staffing (hrs/resident/day)1.200.740.68above avg
Aide staffing (hrs/resident/day)1.832.392.34below avg
Nursing staff turnover40.6%48.5%46.4%below avg
Deficiencies cited, last inspection7.04.09.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.61Total nurse hrs/resident/day
1.20RN hrs/resident/day
0.59LPN hrs/resident/day
1.83Aide hrs/resident/day
3.19Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff40.6%
Registered nurses35.0%
Administrator changes1 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Mar 13, 2025Most recent inspection
7Deficiencies found
40Health inspection score
1Fines

Penalties in CMS records: 1 fine totaling $12,735, 1 total penalty.

What inspectors found at Hackett Hill Healthcare Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Actual harm

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

    Resident Assessment and Care Planning Deficiencies · Dec 17, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Dec 17, 2025 · Full report (PDF)
  • Potential for harm

    Keep all essential equipment working safely.

    Environmental Deficiencies · Mar 13, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Mar 13, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Mar 13, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

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

    Resident Rights Deficiencies · Mar 13, 2025 · Full report (PDF)
  • Minimal

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

    Resident Rights Deficiencies · Mar 13, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Apr 2, 2024 · Full report (PDF)
  • Potential for harm

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies · Apr 2, 2024 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Apr 2, 2024 · Full report (PDF)
  • Minimal

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

    Quality of Life and Care Deficiencies · Apr 2, 2024 · Full report (PDF)
  • Minimal

    Post nurse staffing information every day.

    Nursing and Physician Services Deficiencies · Jan 9, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
191 Hackett Hill Road
Manchester, NH 03102
CMS certification #
305038
Ownership
For profit - Corporation
Certified beds
70
Avg residents/day
62.7
Provider type
Medicare and Medicaid
First certified
1989-10-20
Chain
Genesis Healthcare (193 facilities)
Setting
Urban

Part of Genesis Healthcare

Genesis Healthcare operates 193 nursing facilities across the United States. View all Genesis Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Hackett Hill Healthcare Center using Google Maps.

Other public records

  • Website says Respite stays, nurse 24 hours a day, transportation, pets allowed
  • Workplace safety 1 OSHA workplace safety inspection since 2020, no violations cited
Full public records, with dates and sources

Care and services

From the community’s website

What Hackett Hill Healthcare Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Offers respite or short-term stays. Respite care (page, checked Oct 12, 2026)
  • Nurse on site: 24 hours a day. 24-hour coverage by nurses specially trained in patient assessment and evaluation (page, checked Oct 15, 2026)
  • Provides transportation. Coordinated transportation (page, checked Oct 12, 2026)
  • Pets allowed. Pets Permitted (page, checked Oct 12, 2026)
  • Apartment types named: private room, semi-private room. Private and Semi-Private Rooms (page, checked Oct 12, 2026)

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

Federal wage and hour cases

The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.

DOL also concluded 1 case here with no violations found, most recently for a period ending May 3, 2006.

Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • May 27, 2020: fatality or catastrophe inspection, partial (health). Case closed Nov 23, 2020. No violations cited. OSHA record. OSHA recorded the employer as 191 Hackett Hill Road Operations LLC.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Catholic Medical Center, Manchester. 1.9 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
Nearest Medicare nursing home
Courville at Manchester, Manchester. 2.4 miles away, straight line.
Nearest home health agency office
Maxim Healthcare Services, Manchester. 2.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
CVS Pharmacy. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 03102 as metropolitan (metropolitan core).
Dialysis within 15 miles
Fmc Manchester Kidney Center, Manchester, 2.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Davita Manchester Dialysis, Manchester, 4.5 miles away, straight line (CMS rating 4 of 5 stars)
Fmc New Hampshire Kidney Center (Fmc), Concord, 11.5 miles away, straight line (CMS rating 1 of 5 stars)
Hospice
11 Medicare hospices tell CMS they serve ZIP code 03102.
Compassus - Greater Manchester, office in Bedford, 5.7 miles away, straight line (CMS family survey rating 3 of 5 stars)
Brookhaven Hospice Of New Hampshire LLC, office in Bedford, 5.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Vna Home Health And Hospice Services, Inc, office in Manchester, 6.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Nearest geriatric medicine practice
Raphael Farra, MD, Manchester. 1.7 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: very low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire very low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026See above
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Hackett Hill Healthcare Center a good nursing home?

CMS gives Hackett Hill Healthcare Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Hackett Hill Healthcare Center staffed?

Hackett Hill Healthcare Center reports 3.61 total nurse hours per resident per day, compared with the New Hampshire average of 3.88.

Has Hackett Hill Healthcare Center had inspection problems?

Its most recent CMS inspection cited 7 deficiencies.

How many beds does Hackett Hill Healthcare Center have?

Hackett Hill Healthcare Center is certified for 70 beds.