Skilled nursing · MANCHESTER, NH

HANOVER HILL HEALTH CARE CENTER

700 HANOVER STREET, MANCHESTER, NH 03104

124 bedsFor profit - Corporation
6.0Clarity
Score history
Aug 20266.0 flagged
Jul 20266.0 flagged
Jun 20266.0 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 3 Jul 2026

Read this record before you tour: registered-nurse time runs well below the national average, inspectors levied $8,512 in federal fines over the last 36 months, and antipsychotic use runs 1.7 times the national median. Every number below prints the same way for every facility, good or bad — these are the ones to ask about.

palmelle

Written by Palmelle from federal and state records. Last updated 3 Jul 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.

The record

CMS Care Compare · Jun 2026
Federal ratings
Overall★★★★☆ 4 of 5
Health inspection★★★☆☆ 3 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★★ 5 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
31 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
4 hr 14 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
41.3%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
23.2%
National
14%

On sedatives / sleep medicationlower is better

This home
21.2%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
2.3%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$8,512 · 1 penalty
Abuse iconNone
Conflict flags in latest reconcile1

NH does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Mixed — worth touring with these questions in hand.

  • A sedation pattern. Antipsychotic use (23%) and sleep-medication use (21%) are BOTH far above national norms — the pattern associated with medicating residents instead of staffing for them.
  • $8,512 in federal fines. 1 penalty in the last 36 months — the citation detail is in the record above.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for HANOVER HILL HEALTH CARE CENTER?
HANOVER HILL HEALTH CARE CENTER has an overall CMS Care Compare rating of 4 out of 5 stars.
Has HANOVER HILL HEALTH CARE CENTER been cited for resident harm?
HANOVER HILL HEALTH CARE CENTER has $8,512 in federal fines across 1 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.