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St Joseph Residence
495 Mammoth Rd, Manchester, NH 03104 (opens Google Maps) · Hillsborough County · (603) 668-6011· 22 certified beds · avg 22 residents/day · certified since Jul 2, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Dec 23, 2025
0
Serious findings on record
$0
Fines, last 3 years
6.18
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. F-0725
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. F-0880
The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. F-0851
View all 11 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 23, 2025 | F · Potential for more than minimal harm, widespread | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Dec 23, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Dec 23, 2025 | B · Potential for minimal harm, pattern | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Oct 31, 2024 | B · Potential for minimal harm, pattern | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Nov 8, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 8, 2023 | E · Potential for more than minimal harm, pattern | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · F-0943 |
| Nov 8, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| Nov 8, 2023 | B · Potential for minimal harm, pattern | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 4 | 0 | D |
| 2025 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNew Hampshire averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 6.18
New Hampshire average: 4.11
U.S. average: 3.95
Registered Nurse hours
This facility: 1.28
New Hampshire average: 0.82
U.S. average: 0.69
Weekend total nurse staffing
This facility: 5.30
New Hampshire average: 3.67
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.18 | 4.11 | 3.95 | top 6% in New Hampshire; top 3% in the U.S. |
| Registered Nurse hours | 1.28 | 0.82 | 0.69 | top 7% in New Hampshire; top 8% in the U.S. |
| Weekend total nurse staffing | 5.30 | 3.67 | 3.50 | top 10% in New Hampshire; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.62 | 0.55 | 0.48 | top 28% in New Hampshire; top 22% in the U.S. |
| Total nursing staff turnover (%) | 46.3 | 44.1 | 45.8 | bottom 39% in New Hampshire; bottom 46% in the U.S. |
| RN turnover (%) | 62.5 | 40.9 | 42.9 | bottom 13% in New Hampshire; bottom 19% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 5.90, RN 1.22, weekend 5.06.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.90 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for St Joseph Residence. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aucoin, Lorraine | Individual | Corporate Officer | NOT APPLICABLE | 08/15/2025 |
| Bernard, Alain | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/04/2018 |
| Connors, Kelly | Individual | Corporate Officer | NOT APPLICABLE | 08/15/2025 |
| Gauthier, Holly | Individual | Corporate Officer | NOT APPLICABLE | 08/15/2025 |
| Laliberte, Annette | Individual | Corporate Officer | NOT APPLICABLE | 10/11/2012 |
| Larochelle, Therese | Individual | Corporate Officer | NOT APPLICABLE | 08/15/2025 |
| Makowski, Marlene | Individual | Corporate Officer | NOT APPLICABLE | 08/05/2003 |
| Makowski, Marlene | Individual | ADP of the SNF | NOT APPLICABLE | 02/27/2025 |
| NH Catholic Charities INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2002 |
| Rivard, Suzanne | Individual | Corporate Officer | NOT APPLICABLE | 08/15/2025 |
All 10 owning or managing parties CMS has on file are shown — none excluded.
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 is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What training do all staff get on dementia care and on spotting and reporting abuse?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 46% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 29 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hanover Hill Health Care Center | 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 | 3.7 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 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Hillsborough, NH — 21 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- The Elms Center — Milford, NH · overall 2/5
- Courville at Nashua — Nashua, NH · overall 5/5
- Crestwood Center — Milford, NH · overall 4/5
- Fairview Nursing Home — Hudson, NH · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 305088.