Villa Crest Nursing and Retirement Center

1276 Hanover Street · Manchester, NH · 03104 · 6036223262

126 certified beds For profit - Limited Liability company

  • Cleaner inspection record than most facilities nationally.
  • 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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 80
Serious harm & abuse 20% 100
Staffing 20% 72
Federal penalties 15% 100
Trend 10% 68
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.963.48 min · 4.1 strong
RN hours / resident-day0.460.55–0.75
Weekend hours / resident-day3.62≈ weekday level
Nursing turnover / year37%median 45%
Fines (3-yr window)none

Inspection citations (9 in the current record)

  • Potential for harm · D July 31, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected August 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 31, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 2, 2025 · Nutrition and Dietary

  • Potential for harm · D June 20, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 20, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected July 12, 2024 · Pharmacy Service

  • Potential for harm · E June 20, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 25, 2024 · Infection Control

  • Potential for harm · D June 2, 2023

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Corrected June 7, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 2, 2023

    Ensure that residents are free from significant medication errors.

    Corrected June 7, 2023 · Pharmacy Service

  • Potential for harm · D June 2, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 16, 2023 · Nutrition and Dietary

  • Potential for harm · D June 2, 2023

    Keep all essential equipment working safely.

    Corrected June 6, 2023 · Environmental

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 305079 · certified since October 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.