St Joseph Residence Inc
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

St Joseph Residence Inc

CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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St Joseph Residence Inc accepts Medicare, Medicaid, and private pay.

Inspection History

In New Hampshire, the Department of Health and Human Services, Health Facilities Administration is responsible for the unannounced inspection and licensing of all residential care and nursing facilities.

Since 2023 · 3 years of data 11 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. New Hampshire state average
Overall vs. NH average 0 Worse No metrics in this bucket. 2 Better Metrics better than New Hampshire average:
• Total deficiencies (35% below)
• Deficiencies per year (35% below)
Latest Inspection December 23, 2025 Other An inspection that falls outside standard annual surveys and formal complaint investigations. May include administrative compliance checks, documentation reviews, focused surveys on specific concerns, or revisit surveys to verify prior corrections.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNH Averagevs. NH Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1117 This facility has 35% fewer total deficiencies than a typical New Hampshire nursing home (11 vs. NH avg 17).↓ 35% better
Deficiencies per year Info Average deficiencies per year since 2023. 3.75.7 This facility has 35% fewer deficiencies per year than a typical New Hampshire nursing home (3.7 vs. NH avg 5.7).↓ 35% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on December 23, 2025, found three deficiencies related to nurse coverage, staffing data accuracy, and water management plan implementation.
  • The facility failed licensed nurse coverage 24/7 for 8 of 12 days and submitted inaccurate staffing data for 7 of 92 days in the latest quarter.
  • Prior inspections noted medication and nutritional order errors, incomplete vaccine administration, unsafe chemical storage, expired food, and inadequate staff abuse-prevention training.

Health Inspection History

Inspections since 2022
Total health inspections 3

New Hampshire average 3.5


Last Health inspection on Oct 2024

Total health citations
10 Rank #22 / 66Health citations — State benchmarkedThis home is ranked 22nd out of 66 homes in New Hampshire. Shows this facility's total health deficiency citations benchmarked to the New Hampshire State average, with a ranking across all 66 NH facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New Hampshire average 14.4

Citations per inspection
3.33 Rank #25 / 66Citations per inspection — State benchmarkedThis home is ranked 25th out of 66 homes in New Hampshire. Shows average deficiency citations per CMS inspection for this facility versus the New Hampshire mean across 66 facilities with citation data. Lower is better.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New Hampshire average 3.99


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 10 citations resulted from standard inspections.

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than New Hampshire average

New Hampshire average: 0.2


Serious health citations
0
100% better than New Hampshire average

New Hampshire average: 0.1

0 critical citations New Hampshire average: 0.2

0 serious citations New Hampshire average: 0.1

8 moderate citations New Hampshire average: 12

2 minor citations New Hampshire average: 2
Citations history (last 4 years)
Administration minor citation Oct 31, 2024
Corrected

Infection Control moderate citation Oct 31, 2024
Corrected

Quality of Care moderate citation Oct 31, 2024
Corrected

Care Planning moderate citation Oct 31, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 76
Employees 51
Contractors 25
Staff to resident ratio 3.62 : 1
96% more staff per resident than New Hampshire average
New Hampshire average ratio: 1.85 : 1 New Hampshire average ratio: 1.85 : 1See full New Hampshire ranking
Avg staff/day 22
Average shift 7.1 hours
9% worse than New Hampshire average
New Hampshire average: 7.8 hours New Hampshire average shift: 7.8 hoursSee full New Hampshire ranking
Total staff hours (quarter) 14,464

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 11 total: 5 full-time employees and 6 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 9 total: 7 full-time employees and 2 contractors. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 35 total: 26 full-time employees and 9 contractors. 35
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.9%

851 contractor hours this quarter

Certified Nursing Assistant: 9 Registered Nurse: 6 Licensed Practical Nurse: 2 Speech Language Pathologist: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Medication Aide/Technician: 1 Respiratory Therapy Technician: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant269356,87092100%7.2
Licensed Practical Nurse7291,53392100%7.5
Medication Aide/Technician5161,37292100%8.1
Registered Nurse56111,0608896%8.5
Clinical Nurse Specialist2028735762%9
Mental Health Service Worker1014806065%8
Other Dietary Services Staff1014626065%7.7
Dietitian1014565762%8
Nurse Practitioner1014365560%7.9
Administrator1014165358%7.8
Physical Therapy Assistant0223087784%3.4
Speech Language Pathologist022852932%2.9
Respiratory Therapy Technician011853336%2.6
Occupational Therapy Aide10119910%2.1
Qualified Social Worker0229910%0.9
35 Certified Nursing Assistant
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
6 Medication Aide/Technician
% of Days 100%
11 Registered Nurse
% of Days 96%
2 Clinical Nurse Specialist
% of Days 62%
1 Mental Health Service Worker
% of Days 65%
1 Other Dietary Services Staff
% of Days 65%
1 Dietitian
% of Days 62%
1 Nurse Practitioner
% of Days 60%
1 Administrator
% of Days 58%
2 Physical Therapy Assistant
% of Days 84%
2 Speech Language Pathologist
% of Days 32%
1 Respiratory Therapy Technician
% of Days 36%
1 Occupational Therapy Aide
% of Days 10%
2 Qualified Social Worker
% of Days 10%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.2
7% worse than New Hampshire average

New Hampshire average: 11.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.0
10% better than New Hampshire average

New Hampshire average: 23.2

Long-stay resident measures
Above average New Hampshire avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 29.2%
33% worse than New Hampshire average

New Hampshire average: 21.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.8%
12% better than New Hampshire average

New Hampshire average: 20.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 16.0%
41% better than New Hampshire average

New Hampshire average: 27.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.8%
6% worse than New Hampshire average

New Hampshire average: 4.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.5%
66% better than New Hampshire average

New Hampshire average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.3%
49% better than New Hampshire average

New Hampshire average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.6%
35% worse than New Hampshire average

New Hampshire average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than New Hampshire average

New Hampshire average: 8.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.8%
38% better than New Hampshire average

New Hampshire average: 17.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.6%
In line with New Hampshire average

New Hampshire average: 96.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.7%
In line with New Hampshire average

New Hampshire average: 98.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.83
11% worse than New Hampshire average

New Hampshire average: 1.65

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.13
41% better than New Hampshire average

New Hampshire average: 1.90

Breakdown by payment type

Medicare

33% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

17% of new residents, often for short stays.

Typical stay 2 - 3 years

Medicaid

50% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 21
Medicaid
20
95.2% of residents
Private pay or other
1
4.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Church Related
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$808.9K
Nonprofit Church Related
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.7M Rank #62 / 65Revenue — State benchmarkedThis home is ranked 62nd out of 65 homes in New Hampshire. Shows this facility's annual revenue compared to the New Hampshire average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$808.9K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$822.8K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #62 / 65Payroll — State benchmarkedThis home is ranked 62nd out of 65 homes in New Hampshire. Shows total annual staff payroll benchmarked to the New Hampshire average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.0M 83.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #10 / 65Payroll % — State benchmarkedThis home is ranked 10th out of 65 homes in New Hampshire. Shows payroll as a percentage of revenue versus the New Hampshire average. Well-run New Hampshire facilities typically land around 59–80% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.5M

What does this home offer?

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (50% of admissions), and a typical Medicaid stay runs around 10 - 11 months.

Admissions
42 total

Coverage residents most often arrive under.

Medicare 33%
Private pay 17%
Medicaid 50%
Discharges
92 total

Coverage residents most often leave under.

Medicare 34%
Private pay 15%
Medicaid 51%

Places of interest near St Joseph Residence Inc

Address 1.4 miles from city center Info Estimated distance in miles from Manchester's city center to St Joseph Residence Inc's address, calculated via Google Maps.

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Address

Compare Nursing Homes around Manchester

The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.

5 facilities compared · CMS & NH Dept. of Health data

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89.6%
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Rank #16 / 65
+10%
4.24
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9
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3.0
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-119-
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Nathan Obara
$18.5MFiscal year ending 12/2023
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Facility $7.6MFiscal year ending 12/2023
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41.2%Fiscal year ending 12/2023
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NH AVG 39.8%
Rank #38 / 65
305079
Maple Leaf Healthcare Center
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114
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NH AVG 71
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95.6%
Facility 95.6%
NH AVG 81.1%
Rank #5 / 65
+18%
3.25
Facility 3.25
NH AVG 4.28
Rank #50 / 65
-30%-24%
$0
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6
Facility 6
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2.0
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-107-
49
Facility 49
NH AVG 31
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Nh3 Opco Holdco LLC
$3.8MFiscal year ending 08/2023
Facility $3.8MFiscal year ending 08/2023
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Facility $1.8MFiscal year ending 08/2023
NH AVG $5.7M
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47.4%Fiscal year ending 08/2023
Facility 47.4%Fiscal year ending 08/2023
NH AVG 39.8%
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305030
Mt. Carmel Rehabilitation and Nursing Center
NH
MC
PC
RC
SNF
Manchester (Myrtle Street)
120
Facility 120
NH AVG 71
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85.5%
Facility 85.5%
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4.71
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-110A+
81
Facility 81
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Joseph Bohunicky
$16.2MFiscal year ending 03/2024
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305067
Hanover Hill Health Care Center
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MC
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124
Facility 124
NH AVG 71
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93.5%
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3.46
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10
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305009
St Joseph Residence Inc
NH
Manchester (Mammoth Road)
22
Facility 22
NH AVG 71
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100.0%
Facility 100.0%
NH AVG 81.1%
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+23%
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10
Facility 10
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-21-
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NH AVG 39.8%
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305088

Financial Assistance for
Nursing Home in New Hampshire

St Joseph Residence Inc is located in Manchester, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.

Get Financial aid guidance

Choices for Independence

NH Medicaid CFI Waiver

Age 65+ or disabled
General New Hampshire resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NH

Small state; rural access emphasis.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home aides

NH ServiceLink Aging and Disability Resource Center

NH ServiceLink

Age 60+
General New Hampshire resident, or caregiver.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NH

Primarily referral-based; limited direct funding.

Benefits
Care coordination Respite (up to 5 days/year) Transportation (~5 trips/month)

Old Age Assistance (OAA)

New Hampshire Old Age Assistance

Age 65+
General NH resident, US citizen/eligible alien, not in public institution.
Income Limits (2025) ~$1,063/month (individual, net after deductions); varies by living arrangement.
Asset Limits $1,500 (individual), $2,000 (couple).
NH

Automatic Medicaid eligibility; estate recovery applies.

Benefits
Cash (~$50-$200/month) for living costs (e.g., rent, utilities, care support)

New Hampshire Family Caregiver Program (via NFCSP)

New Hampshire Family Caregiver Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; NH resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
NH

13 ServiceLink locations; rural/low-income priority.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Medicare Savings Program (MSP)

New Hampshire Medicare Savings Program

Age 65+ or disabled
General NH resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NH

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

New Hampshire Fuel Assistance Program (FAP)

New Hampshire Fuel Assistance Program

Age 60+ prioritized
General NH resident, low-income household.
Income Limits (2025) ~$33,614/year (1-person), ~$43,958/year (2-person) (150% FPL).
Asset Limits Not assessed; income-focused.
NH

Administered by 5 CAP agencies; covers oil, gas, electric, wood.

Benefits
Heating aid ($300-$1,200/season) Weatherization Emergency fuel ($450 max)

VA Aid and Attendance (A&A) and Housebound Benefits

New Hampshire VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NH resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NH

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

NH Low and Moderate Income Homeowners Property Tax Relief

New Hampshire Property Tax Relief

Age 65+ prioritized
General NH resident, homeowner, paid property taxes.
Income Limits (2025) ~$47,000/year (individual), ~$60,000/year (couple).
Asset Limits Not assessed; home value cap at $750,000.
NH

Refundable relief (~$100-$500/year); annual application.

Benefits
Tax relief (~$100-$500/year) to offset housing costs Indirectly aiding care funding

Frequently Asked Questions about St Joseph Residence Inc

What neighborhood is St Joseph Residence Inc in?

St Joseph Residence Inc is in the Mammoth Road neighborhood of Manchester.

Is St Joseph Residence Inc in a walkable area?

St Joseph Residence Inc has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of St Joseph Residence Inc?

According to NH state health department records, St Joseph Residence Inc's license number is 2470.

When does St Joseph Residence Inc's license expire?

According to NH state health department records, St Joseph Residence Inc's license expires on June 30, 2026.

What is the occupancy rate at St Joseph Residence Inc?

St Joseph Residence Inc's occupancy is 100%.

Does St Joseph Residence Inc operate as a for-profit or non-profit?

St Joseph Residence Inc is registered as a non-profit in NH.

Who is the administrator of St Joseph Residence Inc?

Marlene Makowski is the administrator of St Joseph Residence Inc.

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