Hearth Record

Hackett Hill Healthcare Center

A nursing home in Manchester, New Hampshire 03102

191 Hackett Hill Road, Manchester, New Hampshire 03102. (603) 668-8161.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 15 citations in 5 months of the last 36. Last cited Apr 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

5 health citations at the latest inspection cycle

The New Hampshire average is 4.1.

Last standard inspection Apr 24, 2026.

Most serious in three years: actual harm (G), at a complaint inspection on Dec 17, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

15 citations in 5 months of the last 36. Last cited Apr 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

15 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 15 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 3 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Apr 24, 2026: standard inspection3 citations

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

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 26, 2026.

  • Provide appropriate foot care.

    Rule F0687. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 22, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 17, 2026.

Dec 17, 2025: complaint inspection2 citations

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

    Rule F0635. G: actual harm. From a complaint. Correction date, as CMS recorded it: Nov 14, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 9, 2026.

Mar 13, 2025: standard inspection5 citations

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 15, 2025.

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

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2025.

  • Keep all essential equipment working safely.

    Rule F0908. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2025.

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Apr 15, 2025.

Apr 2, 2024: standard inspection4 citations

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 29, 2024.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 19, 2024.

  • Assist a resident in gaining access to vision and hearing services.

    Rule F0685. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Apr 29, 2024.

Jan 9, 2024: complaint inspection1 citation

  • Post nurse staffing information every day.

    Rule F0732. B: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 2, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Oct 20, 1989.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 70 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $8,278 in all.
  • No Medicare payment denials in the last three years.
  • 3 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Dec 17, 2025Fine$8,278

Who does the caring?

3.66 nurse hours per resident per day

The New Hampshire average is 3.87.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeNew Hampshire average
Nurse hours per resident per day3.663.87
Of which registered nurses1.060.78
At weekends3.043.43
Nursing staff turnover32.1%43.4%
Registered nurse turnover21.4%40.5%
Administrators who left0Not given

Who owns it?

  • 191 Hackett Hill Road Operations LLC owns 100% directly since Nov 1, 2014.
  • 9 owners or officers are people: Arnold M Whitman (owns 5% or more through other companies, 21%); Steven E Fishman (owns 5% or more through other companies, 11.4%); Laura Bridgeford (corporate officer, 0%); Elizabeth Cullerot (runs it (operational or managerial control)); Elizabeth Cullerot (additional disclosable party (controls, leases property to, or provides services to the home)); Avi Pinchas Mendelson (corporate officer, 0%); Michael T Berg (corporate officer, 0%); Ayobami O Ojutalayo (runs it (operational or managerial control)); Ayobami O Ojutalayo (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Genesis Healthcare (183 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Gen Operations I LLCOwns 5% or more through other companies100%Dec 1, 2012
Gen Operations II LLCOwns 5% or more through other companies100%Dec 1, 2012
Fc-Gen Operations Investment LLCOwns 5% or more through other companies100%Dec 1, 2012
Genesis Operations LLCOwns 5% or more through other companies100%Nov 1, 2014
Sundance Rehabilitation Holdco Inc.Owns 5% or more through other companies100%Mar 2, 2015
Genesis Healthcare LLCOwns 5% or more through other companies100%Dec 1, 2012
Sun Healthcare Group Inc.Owns 5% or more through other companies100%Mar 2, 2015
Genesis NH Holdings LLCOwns 5% or more through other companies100%Nov 1, 2014
Genesis Healthcare Inc.Owns 5% or more through other companies100%Mar 2, 2015
191 Hackett Hill Road Operations LLCOwns 5% or more directly100%Nov 1, 2014
GHC Holdings LLCOwns 5% or more through other companies100%Dec 1, 2012
Genesis Holdings LLCOwns 5% or more through other companies100%Mar 2, 2015
Hccf Management Group Xi LLCOwns 5% or more through other companies21%Dec 1, 2012
Zac Properties Xi LLCOwns 5% or more through other companies12%Dec 1, 2012
Welltower Op LLCOwns 5% or more through other companies5.7%Jun 1, 2024
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 27, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 9, 2025

How do residents fare?

  • CMS rates its quality measures 5 of 5 (New Hampshire average 3.2).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections1 of 5
Staffing4 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 5.2 miles, this one had the 5th most health citations at the latest inspection cycle (5; the middle value was 3.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Hackett Hill Healthcare Center This nursing home5
Courville at Manchester2.48
Mount Carmel Rehabilitation and Nursing Center3.24
Maple Leaf Health Care Center3.22
Hillsborough County Nursing Home3.43
Goffstown Nursing and Rehab Center3.510
Saint Teresa Rehabilitation & Nursing Center3.76
St Joseph Residence4.23
Hanover Hill Health Care Center4.21
Bedford Nursing & Rehabilitation Center4.86
Villa Crest Nursing and Retirement Center5.12
Bedford Hills Center5.20

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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