St Joseph Residence

Name: St Joseph Residence
Address: 495 MAMMOTH RD, Manchester, NH, 03104, US
Telephone: 6036686011

495 Mammoth Rd, Manchester, NH 03104 · Hillsborough County · 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)

Serious findings on record

Fines, last 3 years

6.18

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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.

All citations in the current public record (11)

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
Dec 23, 2025	F · Potential for harm, facility-wide	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.
Dec 23, 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.
Dec 23, 2025	B · Minimal risk, repeated	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Oct 31, 2024	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.
Oct 31, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 31, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 31, 2024	B · Minimal risk, repeated	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Nov 8, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 8, 2023	E · Potential for harm, repeated	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.
Nov 8, 2023	D · Potential for harm, one-off	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.
Nov 8, 2023	B · Minimal risk, repeated	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).

Year	Citations	Worst severity that year
2023	4	E
2024	4	D
2025	3	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)

No fines or payment denials in the published 3-year window.

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)	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, 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. Staffing rating: 5/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

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

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?"
"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
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 →

All facilities in Manchester →

Facility data as of CMS processing date 2026-08-01. CCN 305088.

The Care File

Visit checklist — St Joseph Residence

495 Mammoth Rd, Manchester, NH 03104 · 6036686011

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 305088 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)