Hackett Hill Healthcare Center
191 Hackett Hill Road · Manchester, NH · 03102 · 6036688161
70 certified beds For profit - Corporation Chain: Genesis Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.25 | 0.55–0.75 |
| Weekend hours / resident-day | 3.23 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | 1 · $8,278 |
Inspection citations (13 in the current record)
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Actual harm · G December 17, 2025 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected November 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 9, 2026 · Infection Control
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Potential for harm · D March 13, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 15, 2025 · Resident Rights
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Potential for harm · D March 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2025
Provide and implement an infection prevention and control program.
Corrected April 22, 2025 · Infection Control
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Potential for harm · D March 13, 2025
Keep all essential equipment working safely.
Corrected April 22, 2025 · Environmental
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No harm found · B March 13, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 15, 2025 · Resident Rights
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Potential for harm · D April 2, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 29, 2024 · Quality of Life and Care
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Potential for harm · D April 2, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected April 24, 2024 · Pharmacy Service
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Potential for harm · D April 2, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 19, 2024 · Pharmacy Service
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No harm found · B April 2, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected April 29, 2024 · Quality of Life and Care
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No harm found · B January 9, 2024 · found via complaint
Post nurse staffing information every day.
Corrected February 2, 2024 · Nursing and Physician Services
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Potential for harm · D March 10, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 7, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 17, 2025 | Fine | $8,278 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305038 · certified since October 20, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.