Hillsborough County, New Hampshire · Nursing home
St Joseph Residence
4 of 5 overall from CMS
495 Mammoth Rd, Manchester, NH 03104
At a glance
- Overall rating 4 of 5 Above the state average of 3.1
- Nurse time per resident, per day 5.90 hours Above the state average of 3.90
- Nursing staff who left in a year 46.3% Above the state average of 44.1%
- Health citations in 3 years 11 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 99.5% of 22 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.
St Joseph Residence is a 22-bed nursing home in Manchester, New Hampshire (Hillsborough County). CMS rates it 4 of 5 stars overall as of Aug 2026. It reports 5.90 nurse staffing hours per resident per day, above the New Hampshire average of 3.90. CMS lists no fines in the past three years.
- Certified beds
- 22
- Residents per day (average)
- 21.9
- Certified since
- 1997 (29 yrs)
Non profit - Church related Participates in Medicare and Medicaid
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 St Joseph Residence
Chosen from this home's public data.
- Nursing staff turnover is 46.3%, above the New Hampshire average of 44.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 5.06 hours per resident on weekends against 5.90 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 99.5% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 New Hampshire average 3.1
- Health inspections 3 of 5 New Hampshire average 2.9
- Staffing 5 of 5 New Hampshire average 3.3
- Quality measures 3 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 5.90 h New Hampshire average 3.90
- Nurse aides 3.99 h New Hampshire average 2.34
- Licensed practical nurses 0.68 h New Hampshire average 0.78
- Registered nurses 1.22 h New Hampshire average 0.78
- All staff, weekends 5.06 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 turnover46.3%
- New Hampshire average44.1%
- Registered nurse turnover62.5%
- New Hampshire average40.9%
- Administrators who left0
Inspection history
Inspectors cited 11 health deficiencies in the past three years. None was graded as actual harm or immediate jeopardy.
| Inspection date | Health | Fire safety |
|---|---|---|
| Dec 23, 2025 | 3 | 7 |
| Oct 31, 2024 | 4 | 0 |
| Nov 8, 2023 | 4 | 7 |
New Hampshire homes averaged 3.9 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (11)
-
FPotential for more than minimal harm, widespread
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 · Deficient, Provider has date of correction (Feb 10, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 15, 2026)
-
BPotential for minimal harm, pattern
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Feb 10, 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 (Dec 16, 2024)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 16, 2024)
Show 6 more
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Dec 16, 2024)
-
BPotential for minimal harm, pattern
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Dec 16, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 5, 2023)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Dec 9, 2023)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 21, 2023)
-
BPotential for minimal harm, pattern
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Jan 3, 2024)
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
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
- Size71 of 73 by certified beds
- New Hampshire average residents per day81.3
- ChainNone listed
- Resident or family councilBoth
- Homes in Hillsborough County21
Common questions
What is the CMS star rating for St Joseph Residence?
St Joseph Residence has an overall rating of 4 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 3, staffing is 5 and quality measures is 3.
How many beds does St Joseph Residence have?
St Joseph Residence has 22 certified beds. It averages 21.9 residents per day, about 99.5% of its certified beds.
How much nursing care do residents get at St Joseph Residence?
The home reports 5.90 hours of nurse staffing per resident per day, including 1.22 hours from registered nurses. The New Hampshire average is 3.90 hours and 0.78 hours from registered nurses.
Has St Joseph Residence been fined?
CMS lists no fines for this home in the past three years.
Does St Joseph Residence 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
- 3 of 5 Hanover Hill Health Care Center 124beds 89.0%in use 4.06nurse hours a day
- 2 of 5 Saint Teresa Rehabilitation & Nursing Center 51beds 90.8%in use 4.01nurse hours a day
- 4 of 5 Mount Carmel Rehabilitation and Nursing Center 122beds 89.9%in use 4.08nurse 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 305088. 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.