HACKETT HILL HEALTHCARE CENTER – MANCHESTER, NH

CMS Verified | 2026-03-01

Hackett Hill Healthcare Center

191 HACKETT HILL ROAD, Manchester, NH 3102
(603) 668-8161
70 beds
All Manchester facilities
2.0*
Overall
1.0*
Health Inspection
5.0*
Quality Care
3.0*
Staffing
79.77
Score /100
#3799
National Rank

#3799
of 14703 facilities
National
74.2% position
#14
of 74 in NH
State Rank
#7
of 21 in Hillsborough
County Rank
#4
of 9 in Manchester
City Rank
#1
of 1 in ZIP 3102
ZIP Rank






About Hackett Hill Healthcare CenterHackett Hill Healthcare Center is located at 191 Hackett Hill Road, Manchester, NH, reachable at (603) 668-8161. This For profit – Corporation facility operates 70.0 certified beds and serves an average of 62 residents per day. It is part of the Genesis Healthcare network (193 facilities nationwide). Medicare and Medicaid services have been provided since 1989-10-20. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Hackett Hill Healthcare Center

Address

191 Hackett Hill Road, Manchester, NH 3102

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 70 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: GENESIS HEALTHCARE

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
⚠️ 1 fine(s) over 5 years
5-Year Trend
Declining over 5 years
79.77
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#3799 of 14703 nationally – #14 of 74 in New Hampshire

Who Is This Facility Best For?

Hackett Hill Healthcare Center may be considered for families with limited options in Manchester, NH, but its lower CMS ratings suggest careful due diligence is warranted. It scores well for both long-term residents and short-stay rehabilitation patients.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

1 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

5 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightHackett Hill Healthcare Center currently provides 3 hours 37 minutes of total nurse staffing per resident per day, including 1 hour 12 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). RN hours per resident have increased from 44 min/day (2022) to 72 min/day (2026), a positive sign of investment in skilled nursing. Total nursing staff turnover stands at 40.6% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 37 minutes
Nurse Aide Hours1 hour 50 minutes
Licensed Practical Nurse (LPN) Hours35 minutes
Registered Nurse (RN) Hours1 hour 12 minutes
Physical Therapist Hours7 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 11 minutes
Weekend Registered Nurse (RN) Hours51 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $12,735. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $12735.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 35.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#3,799
of 14,703
National
Top 26%
#14
of 74
NH State
Top 19% in NH
#7
of 21
️ Hillsborough County
#7 of 21
#4
of 9
️ Manchester
#4 of 9
#1
of 1
ZIP 3102
Best in ZIP

Nationally, Hackett Hill Healthcare Center ranks 3799th out of 14,703 facilities (composite score: 79.8/100), placing it in the above average nationwide. Within NH, it ranks 14th out of 74 nursing homes. In Manchester, it ranks 4th out of 9 facilities. For 2026 staffing: total nurse hours rank #7,963 nationally and RN hours rank #1,132 nationally (#2 in NH).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank NH State Rank Note
2022 3.77 #5,855 / 14,703 #36 / 74 Above average
2023 3.54 #7,497 / 14,703 #39 / 74 Below average
2024 3.77 #5,849 / 14,703 #31 / 74 Above average
2025 3.67 #7,257 / 14,703 #39 / 74 Above average
2026 3.61 #7,963 / 14,703 #31 / 74 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank NH State Rank Note
2022 0.73 #4,712 / 14,703 #30 / 74 Above average
2023 0.94 #2,126 / 14,703 #13 / 74 Top 25%
2024 1.43 #586 / 14,703 #3 / 74 Top 5%
2025 1.24 #978 / 14,703 #5 / 74 Top 10%
2026 1.20 #1,132 / 14,703 #2 / 74 Top 10%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Hackett Hill Healthcare Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1989-10-20. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (603) 668-8161 or your local Medicaid office to verify current eligibility.

Hackett Hill Healthcare Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (3★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 79.8/100, placing it #3799 of 14703 facilities nationally and #14 of 74 in New Hampshire. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Hackett Hill Healthcare Center receives a reported average of 3 hours 37 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 12 minutes; Licensed Practical Nurse (LPN) — 35 minutes; Nurse Aide — 1 hour 50 minutes. On weekends, total nurse staffing is 3 hours 11 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 40.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $12,735. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $12,735, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 35.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Hackett Hill Healthcare Center ranks 3799th out of 14,703 facilities (composite score: 79.8/100), placing it in the above average nationwide. Within NH, it ranks 14th out of 74 nursing homes. In Manchester, it ranks 4th out of 9 facilities. For 2026 staffing: total nurse hours rank #7,963 nationally and RN hours rank #1,132 nationally (#2 in NH). Our composite quality score of 79.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Manchester, visit: https://nursinghomesnearme.org/new_hampshire/manchester/

Contact and Location

ADR
Address

191 HACKETT HILL ROAD, Manchester, NH 3102
Get directions on Google Maps

TEL
LLC
Legal Name

191 HACKETT HILL ROAD OPERATIONS LLC

MAP

Facility Details

Number of Certified Beds 70
Average Residents / Day 62 (90% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Hillsborough County, NH
City Manchester, NH
ZIP Code 3102
Approved Since October 20, 1989
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 305038
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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