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Nursing HomeMedicaid Top Rated

Villa Crest Nursing and Retirement Center

Strong Medicare quality ratings; families often praise consistently clean and well-maintained facility. Still worth an in-person visit.

1276 Hanover Street, Manchester, NH 03104126 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 67 Google reviews

5
4
3
2
1
Villa Crest Nursing and Retirement Center Nursing Home in Manchester, NH — Street View
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What this means for your family

Villa Crest is highly regarded for its clean environment and dedicated therapy staff, making it a strong candidate for rehabilitation. However, because of conflicting reports regarding medical oversight and management communication, we strongly recommend that families conduct a thorough tour and ask specific questions about how the facility handles medical emergencies and family complaints.

Google Reviews

Google Reviews

67 reviews on Google
Villa Crest Nursing and Retirement Center receives overwhelmingly positive feedback for its cleanliness, welcoming atmosphere, and attentive staff. While many families praise the facility for its compassionate care and effective rehabilitation services, a small subset of reviewers report serious concerns regarding medical oversight, communication, and occasional understaffing.

Quality Themes

Tap a score for details
Food8.0Staff8.0Clean10.0Activities7.0Meds4.0Memory6.0Comms5.0ValueN/A

Strengths

  • Consistently clean and well-maintained facility
  • Warm, welcoming, and attentive nursing staff
  • Effective rehabilitation and physical therapy programs
  • Friendly and compassionate environment

Concerns

  • Inconsistent medical oversight and failure to identify serious health issues (mentioned by 2 reviewers)
  • Understaffing leading to slow response times or lack of attention (mentioned by 2 reviewers)
  • Poor communication and lack of transparency from management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(1)'20(2)'23(3)'25(41)'26(8)

Distribution · 70 analyzed

5
55
4
5
3
1
2
2
1
7

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's 5-star CMS rating, what specific protocols do you have in place to ensure consistent communication between the medical team and families regarding changes in a resident's health status?
  • 2How does your nursing team manage medication administration to ensure accuracy and consistency for residents?
  • 3I noticed some feedback regarding response times; could you explain how your staffing levels are managed throughout the day and night to ensure residents receive timely assistance?
  • 4How do you handle medical oversight for residents with complex health needs, and what is your process for escalating concerns if a resident's condition changes?
  • 5With the facility being well-regarded for its rehabilitation programs, how do you integrate these physical therapy goals into the daily social and activity schedule for residents?
  • 6How does your management team approach transparency when addressing family concerns or questions about care quality?

Personalized based on this facility's data


Key Review Excerpts

The nursing care, even for complicated situations, has been excellent. The 100 days of PT that our dear friend received at Villa Crest restored her functionality to a level that she never thought possible.

Long-term resident's family · 2024★★★★★

Rosie and her team in the Special Care Unit are amazing. She treats each resident as if they were a member of her own family.

Memory care family member · 2025★★★★★

The facility is small so all of the residents get personal attention and the staff seems very experienced and caring. I can always find someone if something is needed and the staff is in and out of rooms often so any care that is needed is given promptly.

Friend of resident · 2025★★★★★
Source: 67 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.46hrs
62%
Registered nurses for medical care
Total Nursing
3.96hrs
97%
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility15.3%
Worse than Avg
Here
15.3%
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%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.0%
Mixed vs Avgs
Here
20.0%
US
19.4%
NH
26.3%
Hillsborough
16.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
19.5%
NH
19.1%
Hillsborough
18.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
15.3%
NH
18.7%
Hillsborough
13.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility12.3%
Mixed vs Avgs
Here
12.3%
US
15.4%
NH
17.8%
Hillsborough
11.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
79.7%
NH
83.0%
Hillsborough
93.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
81.8%
NH
86.5%
Hillsborough
95.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NH
1.4%
Hillsborough
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (4.0)

Villa Crest has 15 deficiencies across three surveys with no family complaints filed. The most recurring issues involve medication management, food safety/nutrition, and building safety systems like generators and fire equipment. All deficiencies have been corrected by the facility, though some problems like generator issues and food safety have reappeared in recent surveys, suggesting potential ongoing challenges in these areas.

Jul 31, 2025Routine
7
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0325Minimal · WidespreadCorrected

Smoke Deficiencies

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

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0923Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jun 20, 2024Routine
4
0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Jun 2, 2023Routine
4
0635Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Villa Crest Nursing and Retirement Center

Organization Type

for profit

Ownership & Management

Owners

Nh3 Opco Holdco LLC

Owner · Organization

100%

Esnh LLC

Owner (parent company) · Organization

Jpnh LLC

Owner (parent company) · Organization

Pepper, Yehuda

Owner (parent company)

Schwarcz, Elliot

Owner (parent company)

Key personnel

Dwight Mortgage Trust LLC5% or Greater Security InterestObara, NathanW-2 Managing EmployeeMatera Health LLCManagerPepper, YehudaManagerSchwarcz, ElliotManager
Source: Medicare provider data

Contact

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References & Resources

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