Nursing HomeMedicaid

Hackett Hill Healthcare Center

A middle-range Medicare rating. Review each component and visit in person before deciding.

191 Hackett Hill Road, West Side · Manchester, NH 03102|70 beds|Licensed & active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

4.1/5

based on 96 Google reviews

(603) 668-8161 Directions Website

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3flags

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Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Low health inspection rating (2/5 stars)
1 Medicare penalty on record
Above-median findings in the latest survey (7 vs median 3)

Source: Medicare data

What this means for your family

Hackett Hill Healthcare Center has a middle-range Medicare overall rating. Strengths include clean, well-maintained facility. Some reviewers note concerns about slow response times to call bells and requests for assistance (mentioned by 5 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.

Google Reviews

100 public Google reviews available

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

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

Distribution · 100 analyzed

How They Respond to Reviews

60%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: 100 Google reviews in the current analysis set

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

1.25hrs

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 the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

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

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility6.1%

Better than Avg

Here

6.1%

19.4%

26.3%

Hillsborough

26.2%

Residents needing more daily help over time

↓ Lower is better

This Facility4.1%

Better than Avg

Here

4.1%

14.4%

21.8%

Hillsborough

21.4%

Residents whose walking got worse

↓ Lower is better

This Facility5.4%

Better than Avg

Here

5.4%

15.3%

18.7%

Hillsborough

18.0%

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility28.9%

Worse than Avg

Here

28.9%

19.5%

19.1%

Hillsborough

21.2%

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

96.9%

Hillsborough

98.6%

Residents on antipsychotic medication

↓ Lower is better

This Facility11.9%

Better than Avg

Here

11.9%

15.5%

17.8%

Hillsborough

16.0%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility98.9%

Better than Avg

Here

98.9%

81.8%

86.5%

Hillsborough

92.5%

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility86.0%

Mixed vs Avgs

Here

86.0%

79.8%

83.0%

Hillsborough

90.3%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.4%

Better than Avg

Here

0.4%

1.6%

1.4%

Hillsborough

0.9%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

20findings in history

1penalty

Latest survey: 7 · well above NH avg (4.0)

3 complaint-triggered findings

$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, 2025Complaint2 findings

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, 2025Routine6 findings

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, 2024Routine4 findings

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, 2024Complaint1 finding

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 10, 2023Routine7 findings

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%

Gen Operations I LLC