Hanover Hill Health Care Center
700 Hanover Street, Manchester, NH 03104 · Hillsborough County · 124 certified beds · avg 110 residents/day · certified since Jul 24, 1970
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 12, 2024 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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 13, 2024 (Past Non-Compliance)
All citations in the current public record (8)
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 |
|---|---|---|
| Mar 10, 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. |
| Dec 12, 2024 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Dec 12, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 12, 2024 | E · Potential for harm, repeated | 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. |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Dec 12, 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. |
| Dec 12, 2024 | C · Minimal risk, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Aug 30, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | F |
| 2024 | 6 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
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 $8,512.
| Date | Type | Amount / length |
|---|---|---|
| Dec 12, 2024 | Fine | $8,512 |
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) | 3.83 | 4.11 | 3.95 | top 46% in New Hampshire; top 47% in the U.S. |
| Registered Nurse hours | 0.51 | 0.82 | 0.69 | bottom 10% in New Hampshire; bottom 39% in the U.S. |
| Weekend total nurse staffing | 3.39 | 3.67 | 3.50 | top 50% in New Hampshire; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.55 | 0.48 | bottom 36% in New Hampshire; top 40% in the U.S. |
| Total nursing staff turnover (%) | 36.9 | 44.1 | 45.8 | top 26% in New Hampshire; top 29% in the U.S. |
| RN turnover (%) | 38.9 | 40.9 | 42.9 | top 45% in New Hampshire; top 45% 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 4.06, RN 0.54, weekend 3.59. Staffing rating: 3/5.
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Accordion Healthcare Consulting, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/09/2023 |
| Accordion Healthcare Consulting, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/04/2025 |
| Athar, Masooma | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2015 |
| Athar, Masooma | Individual | ADP of the SNF | NOT APPLICABLE | 08/04/2025 |
| Foster, Heather | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/08/2023 |
| Foster, Heather | Individual | ADP of the SNF | NOT APPLICABLE | 10/08/2023 |
| Intelycare INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2021 |
| Intelycare INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/04/2025 |
| Kelia, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| Kelia, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 08/04/2025 |
| Lee, Allison | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/08/2016 |
| Lee, Allison | Individual | Limited Partnership Interest | NOT APPLICABLE | 04/26/2016 |
| Lee, Allison | Individual | ADP of the SNF | NOT APPLICABLE | 04/26/2016 |
| Lee, Elisabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/26/2016 |
| Lee, Elisabeth | Individual | Limited Partnership Interest | NOT APPLICABLE | 04/26/2016 |
| Lee, Elisabeth | Individual | ADP of the SNF | NOT APPLICABLE | 04/26/2016 |
| Lee, Theodore | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/15/2006 |
| Lee, Theodore | Individual | Limited Partnership Interest | NOT APPLICABLE | 04/26/2016 |
| Lee, Theodore | Individual | ADP of the SNF | NOT APPLICABLE | 04/26/2016 |
| McIntire, Lori | Individual | Corporate Officer | NOT APPLICABLE | 12/15/2006 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "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 |
|---|---|---|---|---|---|
| St Joseph Residence | 0.1 mi | Manchester, NH | ★★★★☆ | 3/5 | |
| Saint Teresa Rehabilitation & Nursing Center | 0.5 mi | Manchester, NH | ★★☆☆☆ | 2/5 | |
| Mount Carmel Rehabilitation and Nursing Center | 1.1 mi | Manchester, NH | ★★★★☆ | 4/5 | |
| Maple Leaf Health Care Center | 1.1 mi | Manchester, NH | ★★★★★ | 5/5 | |
| Villa Crest Nursing and Retirement Center | 1.3 mi | Manchester, NH | ★★★★☆ | 4/5 | |
| Holy Cross Health Center | 1.5 mi | Manchester, NH | ★★★★★ | 4/5 | |
| Courville at Manchester | 2.0 mi | Manchester, NH | ★★☆☆☆ | 1/5 | SFF |
| Bedford Hills Center | 3.1 mi | Bedford, NH | ★★★★☆ | 4/5 | |
| Ridgewood Center, Genesis Healthcare | 3.1 mi | Bedford, NH | ★★☆☆☆ | 2/5 | |
| Bedford Nursing & Rehabilitation Center | 3.6 mi | Bedford, NH | ★☆☆☆☆ | 1/5 | SFF |
| Hackett Hill Healthcare Center | 4.2 mi | Manchester, NH | ★★☆☆☆ | 1/5 | |
| Hillsborough County Nursing Home | 5.4 mi | Goffstown, NH | ★★★★★ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 305009.