Hackett Hill Healthcare Center — nursing home in Manchester, NH

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 70 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 62.2 CMS, MDS-derived
CMS Certification Number: 305038
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 20, 1989
Ownership type: For profit - Corporation
Operator (legal business name): 191 Hackett Hill Road Operations LLC
CMS chain: Genesis Healthcare 183 facilities
Phone: (603) 668-8161
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Apr 24, 2026

Citations

16

15 health · 1 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D11	E·	F1
Minimal	A·	B3	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,278

Payment denials

0

Latest

Dec 17, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 305038
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 70
First approved: Oct 20, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for New Hampshire.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 24, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Apr 24, 2026	Health	Health Standard	3	Potential harm	—	Open →
Dec 17, 2025	Health	Health Complaint	2	Actual harm	—	Open →
Mar 13, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Mar 13, 2025	Health	Health Standard	5	Potential harm	—	Open →
Apr 2, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Apr 2, 2024	Health	Health Standard	4	Potential harm	—	Open →
Jan 9, 2024	Health	Health Complaint	1	Minimal	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Dec 17, 2025	Civil money penalty (fine)	$8,278	—	305038\|Fine\|136472

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D11	E·	F1
Minimal	A·	B3	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 24, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 26, 2026
Apr 24, 2026	F-0687	Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 22, 2026
Apr 24, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jun 17, 2026
Dec 17, 2025	F-0635	Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance Nov 14, 2025	Complaint
Dec 17, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 9, 2026	Complaint
Mar 13, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 2, 2025
Mar 13, 2025	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 15, 2025
Mar 13, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 22, 2025
Mar 13, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 22, 2025
Mar 13, 2025	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 22, 2025
Mar 13, 2025	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Apr 15, 2025
Apr 2, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 29, 2024
Apr 2, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 24, 2024
Apr 2, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 19, 2024
Apr 2, 2024	F-0685	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care	B · Minimal Pattern	Corrected Apr 29, 2024
Jan 9, 2024	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	B · Minimal Pattern	Corrected Feb 2, 2024	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.4

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.66

State avg 3.87US avg 3.90

Registered nurse (RN)1.06

State avg 0.78US avg 0.69

Licensed practical nurse0.88

State avg 0.76US avg 0.86

Nurse aide1.73

State avg 2.32US avg 2.35

Weekend total nurse3.04

State avg 3.43US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.29 (case-mix index 1.56).

Staff turnover

Total nursing staff turnover32.1%

State avg 43.4%US avg 45.3%

Registered nurse turnover21.4%

State avg 40.5%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Apr 24, 2026
Cycle 1 health score: 48
Total weighted score: 40

Operating entity

191 Hackett Hill Road Operations LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Genesis Healthcare

183 facilities in 18 states. CMS chain ID 237.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.4

Ownership disclosures

Disclosures

19

Organizations

11

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
191 Hackett Hill Road Operations LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Nov 1, 2014
Fc-Gen Operations Investment LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Gen Operations I LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Gen Operations II LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Genesis Healthcare Inc	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Mar 2, 2015
Genesis Healthcare LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Genesis Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Mar 2, 2015
Genesis Nh Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2014
Genesis Operations LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2014
Ghc Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Sun Healthcare Group Inc	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Mar 2, 2015
Arnold Whitman	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
191 Hackett Hill Road Operations LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Nov 1, 2014
Fc-Gen Operations Investment LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Gen Operations I LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Gen Operations II LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Genesis Healthcare Inc	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Mar 2, 2015
Genesis Healthcare LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Genesis Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Mar 2, 2015
Genesis Nh Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2014
Genesis Operations LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2014
Ghc Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Sun Healthcare Group Inc	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Mar 2, 2015
Arnold Whitman	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Elizabeth Cullerot	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2024
Ayobami Ojutalayo	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2024
Michael Berg	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2012
Laura Bridgeford	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 1, 2024
Avi Mendelson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 1, 2024
Elizabeth Cullerot	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 9, 2025
Ayobami Ojutalayo	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 9, 2025

Same chain in New Hampshire

All 182 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Rochester Manor 40 Whitehall Road, Rochester, NH 03867 CCN 305024	108		Jun 11, 2026	22	—
Laconia Rehabilitation Center 175 Blueberry Lane, Laconia, NH 03246 CCN 305040	120		Jul 1, 2026	331 harm	$7,901
Elm Wood Center at Claremont 290 Hanover Street, Claremont, NH 03743 CCN 305041	68		Sep 11, 2025	41	—
Lebanon Center, Genesis Healthcare 24 Old Etna Road, Lebanon, NH 03766 CCN 305050SFF	110	Not rated	Oct 6, 2025	431 IJ1 open	$73k
Keene Center, Genesis Healthcare 677 Court Street, Keene, NH 03431 CCN 305051	106		May 14, 2026	14	—
Ridgewood Center, Genesis Healthcare 25 Ridgewood Road, Bedford, NH 03110 CCN 305052	150		Feb 11, 2026	141 IJ	$16k
Oceanside Skilled Nursing and Rehabilitation 22 Tuck Road, Hampton, NH 03842 CCN 305055	117		Jan 29, 2026	291 IJ	$15k
Pheasant Wood Center 50 Pheasant Road, Peterborough, NH 03458 CCN 305059SFF Candidate	99		Jul 16, 2026	281 harm	$16k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 191 Hackett Hill Road, Manchester, NH 03102
ZIP: 03102
County: Hillsborough County FIPS 33011
State: New Hampshire
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Courville at Manchester 44 West Webster Street, Manchester, NH 03104 CCN 305057SFF Candidate	3.9 km	76	May 6, 2026	351 IJ1 harm	$23k
Mount Carmel Rehabilitation and Nursing Center 235 Myrtle Street, Manchester, NH 03104 CCN 305067	5.1 km	122	Jul 24, 2026	30	—
Maple Leaf Health Care Center 198 Pearl Street, Manchester, NH 03104 CCN 305030	5.2 km	114	Mar 4, 2026	11	—
Hillsborough County Nursing Home 400 Mast Road, Goffstown, NH 03045 CCN 305048	5.4 km	300	May 7, 2026	20	—
Goffstown Nursing and Rehab Center 29 Center Street, Goffstown, NH 03045 CCN 305096	5.7 km	41	Dec 3, 2025	54	—
Saint Teresa Rehabilitation & Nursing Center 519 Bridge Street, Manchester, NH 03104 CCN 305071	6 km	51	Apr 29, 2026	27	—
St Joseph Residence 495 Mammoth Rd, Manchester, NH 03104 CCN 305088	6.7 km	22	Dec 23, 2025	25	—
Hanover Hill Health Care Center 700 Hanover Street, Manchester, NH 03104 CCN 305009	6.8 km	124	Mar 10, 2026	131 harm	$8,512

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	305038	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	305038	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 305038

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction