Nursing home
St Joseph Residence
495 Mammoth Rd, Manchester, NH 03104 · Map
Non profit - Church related · 22 certified beds
St Joseph Residence is a Medicare-certified nursing home in Manchester, New Hampshire. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 6.21 hours per resident per day, above the New Hampshire average of 3.88. Its most recent inspection on Dec 23, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How St Joseph Residence 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.
| Metric | This facility | New Hampshire avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 6.21 | 3.88 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.05 | 0.74 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 4.23 | 2.39 | 2.34 | above avg |
| Nursing staff turnover | 44.4% | 48.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 4.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 23, 2025 inspection was corrected by February 15, 2026
What inspectors found at St Joseph Residence
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Dec 23, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 23, 2025 · Full report (PDF) - Minimal
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Dec 23, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Oct 31, 2024 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Oct 31, 2024 · Full report (PDF)
Show all 11 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Oct 31, 2024 · Full report (PDF) - Minimal
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Oct 31, 2024 · Full report (PDF) - Potential for harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 8, 2023 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 8, 2023 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 8, 2023 · Full report (PDF) - Minimal
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Nov 8, 2023 · 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
- 495 Mammoth Rd
Manchester, NH 03104 - CMS certification #
- 305088
- Ownership
- Non profit - Church related
- Certified beds
- 22
- Avg residents/day
- 20.9
- Provider type
- Medicare and Medicaid
- First certified
- 1997-07-02
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around St Joseph Residence using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Elliot Hospital, Manchester. 0.5 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Hanover Hill Health Care Center, Manchester. 0.1 miles away, straight line.
- Nearest home health agency office
- Interim Healthcare, Manchester. 1.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 03104 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Manchester Dialysis, Manchester, 0.4 miles away, straight line (CMS rating 4 of 5 stars)
Fmc Manchester Kidney Center, Manchester, 1.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Fresenius Medical Care Londonderry, Londonderry, 8.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 03104.
Vna Home Health And Hospice Services, Inc, office in Manchester, 2.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Brookhaven Hospice Of New Hampshire LLC, office in Bedford, 3.3 miles away, straight line (CMS family survey rating 5 of 5 stars)
Compassus - Greater Manchester, office in Bedford, 3.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Elliot Physicians Network, Manchester. 0.4 miles away, straight line. 3 geriatric medicine doctors 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 very low, earthquake very 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.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is St Joseph Residence a good nursing home?
CMS gives St Joseph Residence an overall rating of 2 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is St Joseph Residence staffed?
St Joseph Residence reports 6.21 total nurse hours per resident per day, compared with the New Hampshire average of 3.88.
Has St Joseph Residence had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does St Joseph Residence have?
St Joseph Residence is certified for 22 beds.