St Joseph Residence
495 Mammoth Rd · Manchester, NH · 03104 · 6036686011
22 certified beds Non profit - Church related
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
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: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 6.43 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.25 | 0.55–0.75 |
| Weekend hours / resident-day | 5.60 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (11 in the current record)
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Potential for harm · F December 23, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 10, 2026 · Nursing and Physician Services
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Potential for harm · D December 23, 2025
Provide and implement an infection prevention and control program.
Corrected February 15, 2026 · Infection Control
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No harm found · B December 23, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected February 10, 2026 · Administration
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Potential for harm · D October 31, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 31, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected December 16, 2024 · Quality of Life and Care
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Potential for harm · D October 31, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected December 16, 2024 · Infection Control
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No harm found · B October 31, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected December 16, 2024 · Administration
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Potential for harm · E November 8, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 5, 2023 · Quality of Life and Care
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Potential for harm · D November 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 21, 2023 · Nutrition and Dietary
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Potential for harm · E November 8, 2023
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected December 9, 2023 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · B November 8, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected January 3, 2024 · Administration
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305088 · certified since July 2, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.