The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Nursing home report
ST JOSEPH RESIDENCE
MANCHESTER, NH · Medicare-certified · 22 beds
In good standing
Non-profit
4 of 5 overall
ST JOSEPH RESIDENCE (Manchester, NH) has a 4-star overall rating, with strong staffing at 5 stars and reported nurse staffing of 6.43 hours per resident per day, above the 4.1-hour federal benchmark. Health inspection and quality measures are both 3 stars, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
6.4289 hrs/resident/day
Quality measures
Last inspection: December 23, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.4289.
Staffing detail
- Registered nurses
- 1.25
- Licensed practical nurses
- 0.81
- Nurse aides
- 4.36
- Weekend nursing
- 5.60
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 67%
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
—10%—
Residents with a fall causing major injury
4.5%10%Worsening
Residents with pressure ulcers (bedsores)
5.7%0%Improving
Residents with a urinary tract infection
0%5%Worsening
Residents who lost too much weight
9.5%5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—30.6%—
Residents whose ability to walk got worse
—24.1%—
Long-stay residents on antianxiety or sleep medication
13.6%10%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
8.5%26.6%Worsening
Residents with depressive symptoms
—0%—
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
—95.7%—
Long-stay residents given the pneumonia vaccine
95.5%95%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to properly train staff about dementia care and how to recognize and report abuse, neglect, and exploitation. Cited November 2023 — limited pattern, potential for harm.
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F-Tag 943 — 42 CFR §483.95 — S/S: E
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.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited October 2024 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Occupancy
- 20.5 residents on an average day (93% of 22 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 28 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.