Skilled nursing · MANCHESTER, NH

HACKETT HILL HEALTHCARE CENTER

191 HACKETT HILL ROAD, MANCHESTER, NH 03102

70 bedsFor profit - Corporation
5.2Clarity

▲ 0.8 since Jun

Score history
Aug 20265.2 flagged
Jul 20265.2▲ 0.8 flagged
Jun 20264.4 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 3 Jul 2026

The record on Hackett Hill Healthcare Center cuts both ways. On one side, nurses here log 1.6 times the national average of registered-nurse time with each resident, and staff turnover is roughly half the U.S. rate. On the other, inspectors levied $8,278 in federal fines over the last 36 months, and sedative and sleep-medication use runs 1.9 times the national median. The sections below show exactly where each number comes from — read them before you tour.

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★★★☆☆ 3 of 5
Health inspection★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
1 hr 15 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
3 hr 40 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
33.9%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is better

This home
11.5%
National
14%

On sedatives / sleep medicationlower is better

This home
28.8%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
5.6%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$8,278 · 1 penalty
Abuse iconNone
Conflict flags in latest reconcile4

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.

  • Staffed like a place that cares. Nurses spend 1.6× the national RN time with each resident, and staff turnover is below the U.S. average — the opposite of the churn you see in warehouse facilities.
  • The falls number is the outlier: 4× the national rate. 5.6% of long-stay residents had a fall with major injury vs 1.6% nationally. High staffing makes this surprising, which is exactly why it needs asking about: one bad cluster, a reporting artifact, or a real problem.
  • $8,278 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 HACKETT HILL HEALTHCARE CENTER?
HACKETT HILL HEALTHCARE CENTER has an overall CMS Care Compare rating of 3 out of 5 stars.
Has HACKETT HILL HEALTHCARE CENTER been cited for resident harm?
HACKETT HILL HEALTHCARE CENTER has $8,278 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.