Hackett Hill Healthcare CenterCMS ratings, inspections and fines
- Address
- 191 Hackett Hill Road, Manchester, NH 03102
- CCN
- 305038
- Ownership type
- For-profit, corporation
- Certified beds
- 70
- Chain
- Genesis Healthcare
- Residents per day
- 59
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Hackett Hill Healthcare Center an overall rating of 2 of 5 stars. The last standard survey was on 24 Apr 2026. The latest survey cycle has 5 health citations. The median for nursing homes in New Hampshire is 3. CMS lists 1 fine of $8,278 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in New Hampshire (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Hillsborough County median | New Hampshire median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 21 homes in the county, 73 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New Hampshire median |
|---|---|---|---|
| Cycle 1 (latest) | 24 Apr 2026 | 5 | 3 |
| Cycle 2 | 13 Mar 2025 | 5 | 4 |
| Cycle 3 | No date | 5 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | E0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 May 2026 |
| 24 Apr 2026 | F0687 | Provide appropriate foot care. | D | Standard survey | 22 May 2026 |
| 24 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 17 Jun 2026 |
| 17 Dec 2025 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | G | Complaint investigation | 14 Nov 2025 |
| 17 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 Feb 2026 |
Survey cycle 2: 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Mar 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 15 Apr 2025 |
| 13 Mar 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 15 Apr 2025 |
| 13 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 22 Apr 2025 |
| 13 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Apr 2025 |
| 13 Mar 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 22 Apr 2025 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Apr 2024 |
| 2 Apr 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | B | Standard survey | 29 Apr 2024 |
| 2 Apr 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Apr 2024 |
| 2 Apr 2024 | F0761 | 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. | D | Standard survey | 19 Apr 2024 |
| 9 Jan 2024 | F0732 | Post nurse staffing information every day. | B | Complaint investigation | 2 Feb 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 17 Dec 2025 | Fine | $8,278 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New Hampshire median | New Hampshire average (CMS) |
|---|---|---|---|
| All nurse staff | 3.75 | 3.60 | 3.90 |
| Registered nurses (RN) | 1.24 | 0.70 | 0.78 |
| Licensed practical nurses (LPN) | 0.64 | 0.78 | |
| Nurse aides | 1.87 | 2.34 | |
| All nurse staff, weekends | 3.20 | 3.30 | 3.47 |
- Nurse staff turnover in a year
- 34.4%
- Nurse staff turnover, New Hampshire median
- 43.6%
- RN turnover in a year
- 26.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New Hampshire median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.2% | 22.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 4.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.7% | 17.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.4% | 16.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- 191 Hackett Hill Road Operations LLC
- Chain
- Genesis Healthcare (184 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 191 Hackett Hill Road Operations LLC | 5% or greater direct ownership interest | 100% | 1 Nov 2014 |
| FC-Gen Operations Investment LLC | 5% or greater indirect ownership interest | 1 Dec 2012 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | 1 Dec 2012 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | 2 Mar 2015 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | 1 Dec 2012 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | 2 Mar 2015 | |
| Genesis NH Holdings LLC | 5% or greater indirect ownership interest | 1 Nov 2014 | |
| Genesis Operations LLC | 5% or greater indirect ownership interest | 1 Nov 2014 | |
| GHC Holdings LLC | 5% or greater indirect ownership interest | 1 Dec 2012 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | 2 Mar 2015 |
The site shows organisations only. It does not show the names of persons.
Other homes in Hillsborough County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Courville at ManchesterSpecial Focus candidate | Manchester | 2 of 5 | 8 | $35,270 | 19 Feb 2026 | |
| Mount Carmel Rehabilitation and Nursing Center | Manchester | 4 of 5 | 2 | $0 | 24 Jul 2025 | |
| Maple Leaf Health Care Center | Manchester | 5 of 5 | 2 | $0 | 4 Mar 2026 | |
| Hillsborough County Nursing Home | Goffstown | 5 of 5 | 3 | $0 | 7 May 2026 | |
| Goffstown Nursing and Rehab Center | Goffstown | 1 of 5 | 10 | $0 | 3 Dec 2025 | |
| Saint Teresa Rehabilitation & Nursing Center | Manchester | 2 of 5 | 6 | $0 | 29 Apr 2026 | |
| St Joseph Residence | Manchester | 4 of 5 | 3 | $0 | 23 Dec 2025 | |
| Hanover Hill Health Care Center | Manchester | 3 of 5 | 1 | $8,512 | 10 Mar 2026 | |
| Bedford Nursing & Rehabilitation CenterSpecial Focus candidate | Bedford | 1 of 5 | 6 | $16,153 | 17 Dec 2025 | |
| Villa Crest Nursing and Retirement Center | Manchester | 4 of 5 | 2 | $0 | 31 Jul 2025 | |
| Bedford Hills Center | Bedford | 4 of 5 | 0 | $16,452 | 21 Aug 2025 | |
| Ridgewood Center, Genesis Healthcare | Bedford | 2 of 5 | 5 | $15,646 | 11 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Hackett Hill Healthcare Center (CCN 305038). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/hackett-hill-healthcare-center-manchester-nh-305038/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Hackett Hill Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 24 Apr 2026. It was a standard survey. It gave 3 citations. The standard survey before the last one was on 13 Mar 2025.
- Who operates Hackett Hill Healthcare Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Genesis Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Hackett Hill Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in New Hampshire as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.