Hillsborough County, New Hampshire · Nursing home
Hackett Hill Healthcare Center
2 of 5 overall from CMS
191 Hackett Hill Road, Manchester, NH 03102
At a glance
- Overall rating 2 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.75 hours Below the state average of 3.90
- Nursing staff who left in a year 34.4% Below the state average of 44.1%
- Health citations in 3 years 15 1 at the harm level or above
- Fines in 3 years $8,278 1 fine
- Certified beds in use 83.7% of 70 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Hackett Hill Healthcare Center is a 70-bed nursing home in Manchester, New Hampshire (Hillsborough County). CMS rates it 2 of 5 stars overall as of Aug 2026. It reports 3.75 nurse staffing hours per resident per day, below the New Hampshire average of 3.90. CMS lists 1 fine totaling $8,278 in the past three years.
- Certified beds
- 70
- Residents per day (average)
- 58.6
- Certified since
- 1989 (37 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Genesis Healthcare (184 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Questions to ask Hackett Hill Healthcare Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $8,278 in the past three years. What changed after the most recent one?Penalties in CMS data
- The latest standard inspection (Apr 24, 2026) cited 5 health deficiencies; the New Hampshire average is 3.9. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 3.20 hours per resident on weekends against 3.75 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 New Hampshire average 3.1
- Health inspections 1 of 5 New Hampshire average 2.9
- Staffing 4 of 5 New Hampshire average 3.3
- Quality measures 5 of 5 New Hampshire average 3.2
The vertical line marks the New Hampshire average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.75 h New Hampshire average 3.90
- Nurse aides 1.87 h New Hampshire average 2.34
- Licensed practical nurses 0.64 h New Hampshire average 0.78
- Registered nurses 1.24 h New Hampshire average 0.78
- All staff, weekends 3.20 h New Hampshire average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the New Hampshire average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover34.4%
- New Hampshire average44.1%
- Registered nurse turnover26.7%
- New Hampshire average40.9%
- Administrators who left1
Inspection history
Inspectors cited 15 health deficiencies in the past three years. Of these, 1 involved actual harm; the rest were graded as no actual harm. 3 followed a complaint investigation. The most recent citation at the harm level or above was on Dec 17, 2025: Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
| Inspection date | Health | Fire safety |
|---|---|---|
| Apr 24, 2026 | 5 | 0 |
| Mar 13, 2025 | 5 | 1 |
| Apr 2, 2024 | 5 | 0 |
New Hampshire homes averaged 3.9 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (15)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 17, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 26, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate foot care.
Quality of Life and Care · Deficient, Provider has date of correction (May 22, 2026)
-
GActual harm, isolated
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Complaint inspection · Resident Assessment and Care Planning · Past Non-Compliance (Nov 14, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint inspection · Infection Control · Deficient, Provider has date of correction (Feb 9, 2026)
Show 10 more
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Apr 15, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 22, 2025)
-
DPotential for more than minimal harm, isolated
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (Apr 22, 2025)
-
BPotential for minimal harm, pattern
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Apr 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 29, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Apr 24, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Apr 19, 2024)
-
BPotential for minimal harm, pattern
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 29, 2024)
-
BPotential for minimal harm, pattern
Post nurse staffing information every day.
Complaint inspection · Nursing and Physician Services · Deficient, Provider has date of correction (Feb 2, 2024)
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Dec 17, 2025 | Fine | $8,278 |
New Hampshire homes averaged 0.6 fines and $8,016 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Hampshire
- Size54 of 73 by certified beds
- New Hampshire average residents per day81.3
- ChainGenesis Healthcare
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Hillsborough County21
Common questions
What is the CMS star rating for Hackett Hill Healthcare Center?
Hackett Hill Healthcare Center has an overall rating of 2 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 5.
How many beds does Hackett Hill Healthcare Center have?
Hackett Hill Healthcare Center has 70 certified beds. It averages 58.6 residents per day, about 83.7% of its certified beds.
How much nursing care do residents get at Hackett Hill Healthcare Center?
The home reports 3.75 hours of nurse staffing per resident per day, including 1.24 hours from registered nurses. The New Hampshire average is 3.90 hours and 0.78 hours from registered nurses.
Has Hackett Hill Healthcare Center been fined?
Yes. CMS lists 1 fine totaling $8,278 in the past three years.
Does Hackett Hill Healthcare Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 2 of 5 Courville at Manchester 76beds 87.6%in use 4.18nurse hours a day
- 4 of 5 Mount Carmel Rehabilitation and Nursing Center 122beds 89.9%in use 4.08nurse hours a day
- 5 of 5 Maple Leaf Health Care Center 114beds 93.7%in use 2.91nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Hillsborough County
Who to call in New Hampshire
These offices serve residents of every nursing home in New Hampshire.
- Long-term care ombudsman Office of the Long-Term Care Ombudsman 1-800-442-5640 A free advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Administration, Health Facility Certification Unit 603-271-9049 The state agency that inspects nursing homes.
New Hampshire staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 305038. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.