87/100
Excellent
495 Mammoth Rd, Manchester, NH 03104
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: December 23, 2025 (8 months ago).
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, minimal potential
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, minimal potential
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| AUCOIN, LORRAINE | Individual | CORPORATE OFFICER | — |
| CONNORS, KELLY | Individual | CORPORATE OFFICER | — |
| GAUTHIER, HOLLY | Individual | CORPORATE OFFICER | — |
| LALIBERTE, ANNETTE | Individual | CORPORATE OFFICER | — |
| LAROCHELLE, THERESE | Individual | CORPORATE OFFICER | — |
| MAKOWSKI, MARLENE | Individual | CORPORATE OFFICER | — |
| RIVARD, SUZANNE | Individual | CORPORATE OFFICER | — |
| NH CATHOLIC CHARITIES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BERNARD, ALAIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MAKOWSKI, MARLENE | Individual | ADP OF THE SNF | — |
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St Joseph Residence holds an ElderGrade of A (87 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 5.90 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 11 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, St Joseph Residence is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.