Worth Considering
6
Facilities graded B or better with zero fines
Best Nursing Homes in Manchester, New Hampshire
6 of 9 nursing homes in Manchester (67%) meet our strict criteria. The New Hampshire statewide average is 29%.
6 recommended · 1 caution · 2 avoid · data
City Average
3.6
★
+0.00 vs state
Total Beds
745
across 9 facilities
High Risk Facilities
2
0 Grade F
$13,512 in combined fines
Zero Fines
7
/9
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 6?
The nursing home market in Manchester, New Hampshire, is strong, with 67% of the 9 facilities recommended. Families should note that while there are two facilities to avoid due to fines totaling $13,512, the top-rated Holy Cross Health Center offers a high-quality option with a 5-star rating.
Exceptional (Grade A, Trust Score 90+)
- 1 HOLY CROSS HEALTH CENTER (90) — Holy Cross Health Center shines with its exceptional 5★ CMS rating and an impressive Trust Score of 90/100. As a non-profit facility, it emphasizes community-focused care, fostering a nurturing environment for its 40 residents, all while maintaining a perfect record with $0 fines.
- 2 VILLA CREST NURSING AND RETIREMENT CENTER (90) — Villa Crest Nursing and Retirement Center boasts a stellar 5★ CMS rating and a Trust Score of 90/100, making it a top choice for quality care. With 126 beds, this for-profit facility provides a welcoming atmosphere and has maintained an impeccable record with no fines.
Strong (Grade B+, Trust Score 80-89)
- 3 ST JOSEPH RESIDENCE (83) — St Joseph Residence stands out with a solid Trust Score of 83/100 and a CMS 4★ rating, offering reliable care in a community-oriented non-profit setting. With only 22 beds, it fosters a close-knit environment and has achieved $0 fines, ensuring peace of mind for families.
- 4 MOUNT CARMEL REHABILITATION AND NURSING CENTER (80) — Mount Carmel Rehabilitation and Nursing Center features a commendable Trust Score of 80/100 and a CMS 4★ rating. As a non-profit facility with a community focus, it provides quality rehabilitation care for 122 residents, maintaining a clean record with no fines.
Qualified (Grade B, Trust Score 70-79)
- 5 MAPLE LEAF HEALTH CARE CENTER (75) — Maple Leaf Health Care Center is a solid choice with a Trust Score of 75/100 and a CMS 4★ rating. This for-profit facility, housing 114 beds, has a clean slate with $0 fines, ensuring residents receive consistent care and support.
- 6 SAINT TERESA REHABILITATION & NURSING CENTER (70) — Saint Teresa Rehabilitation & Nursing Center offers a nurturing environment with a Trust Score of 70/100 and a CMS 4★ rating. As a non-profit facility, it focuses on community care for its 51 residents, proudly maintaining a record of no fines.
The other 3 Manchester facilities didn't qualify — 2 carry Grade D or F ratings and 2 have fines totaling $13K.
Recommended
Holy Cross Health Center shines with its exceptional 5★ CMS rating and an impressive Trust Score of 90/100. As a non-profit facility, it emphasizes community-focused care, fostering a nurturing environment for its 40 residents, all while maintaining a perfect record with $0 fines.
Villa Crest Nursing and Retirement Center boasts a stellar 5★ CMS rating and a Trust Score of 90/100, making it a top choice for quality care. With 126 beds, this for-profit facility provides a welcoming atmosphere and has maintained an impeccable record with no fines.
St Joseph Residence stands out with a solid Trust Score of 83/100 and a CMS 4★ rating, offering reliable care in a community-oriented non-profit setting. With only 22 beds, it fosters a close-knit environment and has achieved $0 fines, ensuring peace of mind for families.
Mount Carmel Rehabilitation and Nursing Center features a commendable Trust Score of 80/100 and a CMS 4★ rating. As a non-profit facility with a community focus, it provides quality rehabilitation care for 122 residents, maintaining a clean record with no fines.
Maple Leaf Health Care Center is a solid choice with a Trust Score of 75/100 and a CMS 4★ rating. This for-profit facility, housing 114 beds, has a clean slate with $0 fines, ensuring residents receive consistent care and support.
Saint Teresa Rehabilitation & Nursing Center offers a nurturing environment with a Trust Score of 70/100 and a CMS 4★ rating. As a non-profit facility, it focuses on community care for its 51 residents, proudly maintaining a record of no fines.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Best Available Alternative
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Manchester Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 3.6 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 3?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Facilities with fines
- 2 Have fines totaling $13,512
- Low-scoring facilities
- 3 Scored below B — Trust Scores under 70
- Caution group
- 1 Had good grades but fines disqualified them
Questions Manchester Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Manchester's city average is 3.6 stars
-
2
"Have you received any fines in the past 3 years?"
2 of 9 Manchester facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Manchester avg is 0 min
-
4
"What were your most recent inspection findings?"
Manchester facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Manchester, NH are recommended?
6 of 9 nursing homes in Manchester (67%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Manchester "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Manchester?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.