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Nursing HomeMedicaid Investigative

Hackett Hill Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

191 Hackett Hill Road, West Side · Manchester, NH 0310270 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 88 Google reviews

5
4
3
2
1
Hackett Hill Healthcare Center Nursing Home in Manchester, NH — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (7 vs median 3.0)

Below average in NH · Meets national RN staffing standard · $12,735 in fines

Source: Medicare data

What this means for your family

Hackett Hill offers a clean environment and a highly effective rehabilitation team, making it a strong candidate for short-term recovery. However, families must be prepared to be highly involved advocates, as multiple reviewers report significant issues with communication and responsiveness from nursing and social work staff.

Google Reviews

Google Reviews

88 reviews on Google
Hackett Hill Healthcare Center receives polarized feedback, with many reviewers praising the facility's cleanliness, welcoming atmosphere, and professional therapy team. However, significant concerns persist regarding communication failures, inconsistent responsiveness from nursing staff, and occasional lapses in basic patient care and administrative follow-through.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean8.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Professional and effective rehabilitation therapy
  • Welcoming and friendly front-desk staff
  • Warm, supportive nursing and LNA staff

Concerns

  • Slow response times to call bells and requests for assistance (mentioned by 5 reviewers)
  • Poor communication from case managers and social workers (mentioned by 3 reviewers)
  • Inconsistent hygiene and housekeeping standards (mentioned by 3 reviewers)
  • Subpar food quality (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.1'19(7)4.23.5'21(4)3.04.9'23(15)3.94.6'25(28)3.5'26(15)

Distribution · 92 analyzed

5
63
4
8
3
4
2
2
1
15

How They Respond to Reviews

43%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve daily operations?
  • 2With the current staffing levels, what is your protocol for ensuring call bells are answered promptly when a resident needs immediate assistance?
  • 3Could you walk me through how your case management team keeps families updated, especially regarding changes in a resident's care plan or health status?
  • 4Given the recent feedback regarding dining, what steps is the kitchen team taking to improve the quality and variety of the meals served?
  • 5How does your housekeeping team maintain consistent cleanliness standards throughout the facility, and what is the schedule for deep-cleaning resident rooms?
  • 6Since medication management is a high priority for our family, can you explain the oversight process your nursing staff uses to ensure accuracy and timely administration?

Personalized based on this facility's data


Key Review Excerpts

The physical and occupational therapy staff are amazing and push you to your limits. The nurses were right on top of everything for me.

Rehab patient · 2021★★★★★

When she was released, the nurse(s) put another patient’s medication in her bag! This is a HIPAA violation and a careless act on the nurses end!!

Long-term resident's family · 2022☆☆☆☆

I called the social worker Taylor 20 times in one month. She never called me back. My brother needed a psych consult.

Long-term resident's family · 2025★★☆☆☆
Source: 88 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.25hrs
OK
Registered nurses for medical care
Total Nursing
3.67hrs
89%
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
19.4%
NH
26.3%
Hillsborough
16.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
14.4%
NH
21.8%
Hillsborough
13.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
15.3%
NH
18.7%
Hillsborough
13.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.9%
Worse than Avg
Here
28.9%
US
19.5%
NH
19.1%
Hillsborough
18.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.5%
Worse than Avg
Here
14.5%
US
12.1%
NH
12.1%
Hillsborough
6.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NH
96.9%
Hillsborough
98.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
81.8%
NH
86.5%
Hillsborough
95.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.0%
Mixed vs Avgs
Here
86.0%
US
79.7%
NH
83.0%
Hillsborough
93.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
NH
1.4%
Hillsborough
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Well above state avg (4.0)
5 complaint-triggered
$12,735 in fines

Families have filed complaints leading to 5 deficiency findings, including recent issues with care planning and infection control in December 2024. The facility shows recurring problems across resident rights, fire safety systems, and medication management, with deficiencies appearing consistently across multiple surveys from 2023-2024. While the facility has correction dates for all violations, the pattern of repeated issues in core care areas suggests ongoing operational challenges that families should discuss during visits.

Dec 17, 2025Complaint
2
0635Actual harm · IsolatedResolved (past non-compliance)

Resident Assessment and Care Planning Deficiencies

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 13, 2025Routine
6
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Apr 2, 2024Routine
4
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0685Minimal · PatternCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

Jan 9, 2024Complaint
1
0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

May 4, 2023Complaint
2
0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0560Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

Mar 10, 2023Routine
7
0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0325Minimal · WidespreadCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

Federal Penalties

Fine

Dec 17, 2025

$8,278

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hackett Hill Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Genesis Healthcare

Chain Size

187 facilities nationwide

Chain avg rating: 2.4/5 · Rank 84 of 188

Ownership & Management

Owners

191 Hackett Hill Road Operations LLC

Owner · Organization

100%

Genesis Healthcare LLC

Owner (parent company) · Organization

Genesis Nh Holdings LLC

Owner (parent company) · Organization

Genesis Operations LLC

Owner (parent company) · Organization

Key personnel

Berg, MichaelOfficer / DirectorBridgeford, LauraOfficer / DirectorMendelson, AviOfficer / DirectorCullerot, ElizabethManagerOjutalayo, AyobamiManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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