Hackett Hill Healthcare Center
191 Hackett Hill Road, Manchester, NH 03102 · Hillsborough County · 70 certified beds · avg 59 residents/day · certified since Oct 20, 1989
Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 17, 2025 · F-0635 · triggered by a complaint
The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
Why it matters: Without admission orders, a new resident may miss critical medications or treatments during their first days.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 14, 2025 (Past Non-Compliance)
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 24, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 24, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 24, 2026 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Dec 17, 2025 | ▲ G · Actual harm, one-off | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Mar 13, 2025 | B · Minimal risk, repeated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Apr 2, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 2, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 2, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 2, 2024 | B · Minimal risk, repeated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jan 9, 2024 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 0 | D |
| 2025 | 7 | 1 | G ▲ |
| 2026 | 3 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,278.
| Date | Type | Amount / length |
|---|---|---|
| Dec 17, 2025 | Fine | $8,278 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.38 | 4.11 | 3.95 | bottom 36% in New Hampshire; bottom 30% in the U.S. |
| Registered Nurse hours | 1.12 | 0.82 | 0.69 | top 14% in New Hampshire; top 11% in the U.S. |
| Weekend total nurse staffing | 2.88 | 3.67 | 3.50 | bottom 32% in New Hampshire; bottom 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.87 | 0.55 | 0.48 | top 8% in New Hampshire; top 9% in the U.S. |
| Total nursing staff turnover (%) | 34.4 | 44.1 | 45.8 | top 17% in New Hampshire; top 23% in the U.S. |
| RN turnover (%) | 26.7 | 40.9 | 42.9 | top 22% in New Hampshire; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.75, RN 1.24, weekend 3.20. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 191 Hackett Hill Road Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2014 |
| Fc-Gen Operations Investment LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Gen Operations I LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Gen Operations II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Genesis Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/02/2015 |
| Genesis Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Genesis Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/02/2015 |
| Genesis NH Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2014 |
| Genesis Operations LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2014 |
| GHC Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Sun Healthcare Group INC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/02/2015 |
| Whitman, Arnold | Individual | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Berg, Michael | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2012 |
| Bridgeford, Laura | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Cullerot, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Cullerot, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 02/09/2025 |
| Mendelson, Avi | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Ojutalayo, Ayobami | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Ojutalayo, Ayobami | Individual | ADP of the SNF | NOT APPLICABLE | 02/09/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Courville at Manchester | 2.4 mi | Manchester, NH | ★★☆☆☆ | 1/5 | SFF |
| Mount Carmel Rehabilitation and Nursing Center | 3.2 mi | Manchester, NH | ★★★★☆ | 4/5 | |
| Maple Leaf Health Care Center | 3.2 mi | Manchester, NH | ★★★★★ | 5/5 | |
| Hillsborough County Nursing Home | 3.4 mi | Goffstown, NH | ★★★★★ | 3/5 | |
| Goffstown Nursing and Rehab Center | 3.5 mi | Goffstown, NH | ★☆☆☆☆ | 1/5 | |
| Saint Teresa Rehabilitation & Nursing Center | 3.7 mi | Manchester, NH | ★★☆☆☆ | 2/5 | |
| St Joseph Residence | 4.2 mi | Manchester, NH | ★★★★☆ | 3/5 | |
| Hanover Hill Health Care Center | 4.2 mi | Manchester, NH | ★★★☆☆ | 3/5 | |
| Bedford Nursing & Rehabilitation Center | 4.8 mi | Bedford, NH | ★☆☆☆☆ | 1/5 | SFF |
| Villa Crest Nursing and Retirement Center | 5.1 mi | Manchester, NH | ★★★★☆ | 4/5 | |
| Bedford Hills Center | 5.2 mi | Bedford, NH | ★★★★☆ | 4/5 | |
| Ridgewood Center, Genesis Healthcare | 5.4 mi | Bedford, NH | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 305038.