Villa Crest Nursing and Retirement Center

Name: Villa Crest Nursing and Retirement Center
Address: 1276 HANOVER STREET, Manchester, NH, 03104, US
Telephone: 6036223262

1276 Hanover Street, Manchester, NH 03104 · Hillsborough County · 126 certified beds · avg 121 residents/day · certified since Oct 1, 1996

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.41

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · 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 (9)

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
Jul 31, 2025	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.
Jul 31, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jun 20, 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.
Jun 20, 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.
Jun 20, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 2, 2023	D · Potential for 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.
Jun 2, 2023	D · Potential for 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.
Jun 2, 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.
Jun 2, 2023	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Year	Citations	Worst severity that year
2023	4	D
2024	3	E
2025	2	E

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)	3.41	4.11	3.95	bottom 39% in New Hampshire; bottom 32% in the U.S.
Registered Nurse hours	0.48	0.82	0.69	bottom 6% in New Hampshire; bottom 35% in the U.S.
Weekend total nurse staffing	3.15	3.67	3.50	bottom 43% in New Hampshire; bottom 39% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.55	0.48	bottom 22% in New Hampshire; bottom 49% in the U.S.
Total nursing staff turnover (%)	35.4	44.1	45.8	top 20% in New Hampshire; top 25% in the U.S.
RN turnover (%)	37.5	40.9	42.9	top 44% in New Hampshire; top 42% 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 3.45, RN 0.49, weekend 3.18. 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: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Esnh LLC	Organization	5% or Greater Indirect Ownership Interest	—	09/01/2022
JPNH LLC	Organization	5% or Greater Indirect Ownership Interest	—	09/01/2022
NH3 Opco Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	09/01/2022
Pepper, Yehuda	Individual	5% or Greater Indirect Ownership Interest	—	09/01/2022
Schwarcz, Elliot	Individual	5% or Greater Indirect Ownership Interest	—	09/01/2022
Dwight Mortgage Trust LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	09/01/2022
Matera Health LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Pepper, Yehuda	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Schwarcz, Elliot	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"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?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"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?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"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
Holy Cross Health Center	1.2 mi	Manchester, NH	★★★★★	4/5
St Joseph Residence	1.3 mi	Manchester, NH	★★★★☆	3/5
Hanover Hill Health Care Center	1.3 mi	Manchester, NH	★★★☆☆	3/5
Saint Teresa Rehabilitation & Nursing Center	1.5 mi	Manchester, NH	★★☆☆☆	2/5
Mount Carmel Rehabilitation and Nursing Center	2.3 mi	Manchester, NH	★★★★☆	4/5
Maple Leaf Health Care Center	2.4 mi	Manchester, NH	★★★★★	5/5
Courville at Manchester	3.1 mi	Manchester, NH	★★☆☆☆	1/5	SFF
Ridgewood Center, Genesis Healthcare	4.2 mi	Bedford, NH	★★☆☆☆	2/5
Bedford Hills Center	4.2 mi	Bedford, NH	★★★★☆	4/5
Bedford Nursing & Rehabilitation Center	4.8 mi	Bedford, NH	★☆☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

All facilities in Manchester →

Facility data as of CMS processing date 2026-08-01. CCN 305079.

The Care File

Visit checklist — Villa Crest Nursing and Retirement Center

1276 Hanover Street, Manchester, NH 03104 · 6036223262

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "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?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "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?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "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 305079 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)