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 Center
Registered name: HACKETT HILL HEALTHCARE CENTER
MANCHESTER, NH · Medicare-certified · 70 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Hackett Hill Center in Manchester, NH has a 2 out of 5 overall rating, with a 1-star health inspection rating and a recent federal penalty. Staffing is rated 4 stars, but reported nurse staffing is 3.75 hours per resident per day, below the federal benchmark of 4.1; fines in the last 24 months totaled $8,278.
Facility ratings
Health inspections
Staffing
3.75 hrs/resident/day
Quality measures
Last inspection: April 24, 2026Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.75.
Staffing detail
- Registered nurses
- 1.24
- Licensed practical nurses
- 0.64
- Nurse aides
- 1.87
- Weekend nursing
- 3.20
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 27%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.7%16.1%Worsening
Residents with a fall causing major injury
4.4%0%Improving
Residents with pressure ulcers (bedsores)
5.4%5.7%No change
Residents with a urinary tract infection
0%2.8%Worsening
Residents who lost too much weight
4.8%6.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.7%14.3%Worsening
Residents whose ability to walk got worse
0%13.1%Worsening
Long-stay residents on antianxiety or sleep medication
28.9%25.7%Improving
Short-stay residents newly given an antipsychotic
0.8%0%Improving
Residents with a long-term catheter
0%8.4%Worsening
Residents with new or worsening incontinence
2.5%29.4%Worsening
Residents with depressive symptoms
18.2%10.8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—86%—
Short-stay residents given the pneumonia vaccine
98.9%100%Improving
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 April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to provide appropriate foot care for residents. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 687 — 42 CFR §483.25 — 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
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- 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 · 185 homes · 2.4 stars avg
- Occupancy
- 58.6 residents on an average day (84% 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.