The nursing home failed to provide the doctor’s immediate care orders when the resident was admitted. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 635 — 42 CFR §483.20 — S/S: G
Nursing home report
HACKETT HILL HEALTHCARE CENTER
MANCHESTER, NH · Medicare-certified · 70 beds
Needs attention
For-profitChain member
2 of 5 overall
Hackett Hill Healthcare Center has a 2-out-of-5 overall rating, with a 1-star health inspection rating despite 4-star staffing and 5-star quality measures. Reported nurse staffing is 3.67 hours per resident per day, below the 4.1 federal benchmark, and the facility has had $8,278 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6682 hrs/resident/day
Quality measures
Last inspection: December 17, 2025Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6682.
Staffing detail
- Registered nurses
- 1.25
- Licensed practical nurses
- 0.64
- Nurse aides
- 1.78
- Weekend nursing
- 3.23
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 20%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.9%Improving
Residents with a fall causing major injury
4%Improving
Residents with pressure ulcers (bedsores)
4.5%Steady
Residents with a urinary tract infection
0.6%Worsening
Residents who lost too much weight
4.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.1%Improving
Residents whose ability to walk got worse
5.4%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
28.9%Improving
Short-stay residents newly given an antipsychotic
0.4%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
6.1%Improving
Residents with depressive symptoms
14.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
86%Steady
Short-stay residents given the pneumonia vaccine
98.9%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The home failed to make sure residents fully understood their health status, care, and treatments. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The nursing home failed to keep essential equipment working safely. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
Dec 17, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of GENESIS HEALTHCARE · 187 homes · 2.4 stars avg
- Occupancy
- 59.4 residents on an average day (85% of 70 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.