nursing home in Manchester, NH
St Joseph Residence
495 Mammoth Rd, Manchester, NH 03104 · (603) 668-6011
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★5
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
St Joseph Residence at a glance
St Joseph Residence is a 22-bed non-profit nursing home in Manchester, New Hampshire (Hillsborough County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the New Hampshire average of 3.
Residents receive about 5.9 hours of nursing care per day (1.2 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (December 23, 2025) found 3 health citations. The New Hampshire average is 4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 46.3% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Church Related
- Beds
- 22
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- July 2, 1997
- Resident/family council
- Both
- County
- Hillsborough County
- CMS Certification Number
- 305088
Ratings
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.90 hrs | 3.90 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.22 hrs | 0.78 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.99 hrs | 2.34 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 5.06 hrs | 3.47 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 46.3% | 44.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 62.5% | 40.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 0 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 18 | 24.6 | 80.6 | Better |
Penalties
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $7,928 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 22 | 100 | 107 | |
| Average residents per day | 22 | 81 | 86 | |
| Occupancy | 99.5% | 81.4% | 80.9% |
Long-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6% | 4.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.7% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 5.1% | 17.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4.8% | 2.1% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 31.9% | 22.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.1% | 17.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.5% | 13.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.9% | 19% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 19.4% | 25.7% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 95.7% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.6% | 97.3% | 93.6% | Average |
Inspection citations
State inspectors cited this home for 11 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 23, 2025 Fire safety | Ensure operating rooms are properly protected and written records are maintained and available for inspection. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0913 | F Potential harm, widespread | Corrected January 23, 2026 |
| December 23, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected January 23, 2026 |
| December 23, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 23, 2026 |
| December 23, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 23, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | C No harm, widespread | Corrected January 23, 2026 |
| December 23, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected January 23, 2026 |
| December 23, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | C No harm, widespread | Corrected January 23, 2026 |
| December 23, 2025 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected February 10, 2026 |
| December 23, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 15, 2026 |
| December 23, 2025 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | B No harm, pattern | Corrected February 10, 2026 |
| October 31, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected December 16, 2024 |
| October 31, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 16, 2024 |
| October 31, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected December 16, 2024 |
| October 31, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | B No harm, pattern | Corrected December 16, 2024 |
| November 8, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected December 27, 2023 |
| November 8, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected December 27, 2023 |
| November 8, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected December 27, 2023 |
| November 8, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected December 27, 2023 |
| November 8, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | C No harm, widespread | Corrected December 27, 2023 |
| November 8, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | C No harm, widespread | Corrected December 27, 2023 |
| November 8, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | C No harm, widespread | Corrected December 27, 2023 |
| November 8, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected December 5, 2023 |
| November 8, 2023 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | E Potential harm, pattern | Corrected December 9, 2023 |
| November 8, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected November 21, 2023 |
| November 8, 2023 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | B No harm, pattern | Corrected January 3, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MAKOWSKI, MARLENE Individual | adp of the snf | NOT APPLICABLE | 02/27/2025 |
| AUCOIN, LORRAINE Individual | corporate officer | NOT APPLICABLE | 08/15/2025 |
| CONNORS, KELLY Individual | corporate officer | NOT APPLICABLE | 08/15/2025 |
| GAUTHIER, HOLLY Individual | corporate officer | NOT APPLICABLE | 08/15/2025 |
| LALIBERTE, ANNETTE Individual | corporate officer | NOT APPLICABLE | 10/11/2012 |
| LAROCHELLE, THERESE Individual | corporate officer | NOT APPLICABLE | 08/15/2025 |
| MAKOWSKI, MARLENE Individual | corporate officer | NOT APPLICABLE | 08/05/2003 |
| RIVARD, SUZANNE Individual | corporate officer | NOT APPLICABLE | 08/15/2025 |
| BERNARD, ALAIN Individual | operational/managerial control | NOT APPLICABLE | 06/04/2018 |
| NH CATHOLIC CHARITIES INC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2002 |
Other nursing homes near St Joseph Residence
Hanover Hill Health Care Center
700 Hanover Street, Manchester, NH 03104 · under 1 mi
For-profit · 124 beds
★★★★★4Above averageSaint Teresa Rehabilitation & Nursing Center
519 Bridge Street, Manchester, NH 03104 · under 1 mi
Non-profit · 51 beds · Part of Catholic Charities New Hampshire
★★★★★2Below averageMount Carmel Rehabilitation and Nursing Center
235 Myrtle Street, Manchester, NH 03104 · 1.1 mi
Non-profit · 122 beds · Part of Catholic Charities New Hampshire
★★★★★3Average- ★★★★★5Much above average
Villa Crest Nursing and Retirement Center
1276 Hanover Street, Manchester, NH 03104 · 1.3 mi
For-profit · 126 beds
★★★★★4Above average- ★★★★★5Much above average
Frequently asked questions
What is St Joseph Residence's rating?
St Joseph Residence has 4 out of 5 stars on the CMS overall star rating. The average for New Hampshire nursing homes is 3 stars.
How many inspection citations did St Joseph Residence receive?
Its most recent standard health inspection found 3 citations, compared with a New Hampshire average of 4. Every citation is listed on this page with its severity.
Does St Joseph Residence accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns St Joseph Residence?
It is non profit - church related. The ownership section on this page lists the owners and managers reported to CMS.
Where is St Joseph Residence and how do I contact it?
St Joseph Residence is at 495 Mammoth Rd, Manchester, NH 03104. Phone: (603) 668-6011.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.