All 9 Medicare-certified nursing homes in Manchester,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Holy Cross Health Center runs 40 certified beds in Manchester under church-related nonprofit ownership, and the staffing numbers are the story here: 4.70 total nurse hours per resident day, roughly 22 percent above the national average. Weekend coverage dips about 9 percent below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 34.3 percent, well under the 45.8 percent national figure, which matters for whether your parent sees the same faces week to week. Two deficiencies on the current record, none at the harm level and none abuse-related, with the most recent inspection dated February 2026.
St Joseph Residence runs on 5.90 nurse hours per resident day, roughly half again the national average of 3.86, and that staffing shows up as a five-star CMS rating even though the home only has 22 beds. Weekends dip about 14% below its own weekday coverage, so care can thin out on Saturdays and Sundays. The record shows 11 deficiencies, none at the harm level, one tied to abuse, and the last inspection came in December 2025. Turnover sits at 46.3%, essentially the national norm. Church-affiliated and nonprofit, it's small and well-staffed on paper, with a health inspection and quality record that lands in the middle.
Hackett Hill runs a split personality on paper. The clinical numbers look good, a five-star quality measure rating and a four-star staffing score, with turnover at 34.4% against a national average of 45.8%, meaning workers here tend to stick around longer than at the typical home. But the inspection record tells a rougher story: 15 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a one-star health inspection rating. Nurse staffing sits at 3.75 hours per resident day, just under the national 3.86, and weekends run about 15% thinner than weekdays. For-profit corporate ownership, one fine of $8,278, and a recent April 2026 inspection round out the picture.
Mount Carmel runs on 4.08 nurse hours per resident day, a bit above the national average of 3.86, and its staffing rating reflects that. Weekends thin out by roughly 9% compared to weekdays, which is worth knowing if your visits tend to fall on Saturdays or Sundays. The current record shows 10 deficiencies, none at the harm level, though two are abuse-related, ask about those specifically. Staff turnover sits at 43.4%, slightly better than the 45.8% national figure, and the most recent inspection was in July 2025, so the picture is current. As a church-affiliated nonprofit, it answers to a mission rather than shareholders, which tends to show up in how long caregivers stay.
Saint Teresa Rehabilitation & Nursing Center runs on 4.01 nurse hours per resident day, a bit above the national average, and that staffing shows up in its above-average rating there. The catch is weekends, when coverage drops roughly 12% below what the home staffs during the week, worth asking about if your family tends to visit Saturday or Sunday. Its record carries 15 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy. Staff turnover sits at 47.4%, slightly worse than the national figure, which matters for how well residents are known. The last inspection was April 2026, so the picture is current.
Hanover Hill runs on more nursing hours than the typical U.S. home, 4.06 per resident day against a national average of 3.86, and its staff tends to stay longer, with turnover at 36.9% versus roughly 46% nationally. Inspectors did cite eight deficiencies, one serious enough to involve harm or jeopardy, and fined the corporation $8,512; the last visit was in March 2026. Weekend coverage does dip about 12% below weekday levels, so ask how that plays out on a Sunday. For-profit ownership and a mid-range inspection record are worth weighing against the steadier staffing.
Villa Crest runs 126 certified beds under for-profit LLC ownership, and its staffing tells the clearest story: 3.45 nurse hours per resident day, about 11% under the national average of 3.86, with weekends running roughly 8% leaner than weekdays. Turnover sits at 35.4%, better than the 45.8% national figure, which matters for consistency of care. The inspection record shows 9 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was July 2025. Its four-star marks for health inspections and quality measures are genuinely earned, but the three-star staffing rating reflects that thinner coverage.
Maple Leaf runs lean on nursing hours: 2.91 per resident day against a national average of 3.86, roughly a quarter below. Weekend coverage dips about 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Turnover sits at 40.4%, a bit better than the 45.8% national figure. The inspection record is the strongest part of the picture, a recent March 2026 survey, seven deficiencies, none at harm or jeopardy level and none abuse-related. A for-profit LLC operates its 114 beds. What you'd want to weigh is whether that staffing level matches what your relative needs, especially on weekends.
Courville At Manchester runs a for-profit LLC with 76 beds, and the staffing numbers look strong on paper: 4.18 nurse hours per resident day, roughly 8% above the national average, with turnover at 43.6%, slightly better than the 45.8% norm. Weekends thin out about 11% below weekday coverage, which is where gaps tend to show up. The trouble sits in the inspection record. Twenty deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $35,270 in fines and a spot in CMS's Special Focus Facility program, which is reserved for homes with a pattern of serious problems. The most recent inspection was February 2026. Good staffing hasn't translated into safe care here.