Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
153
102 employees · 51 contractors · 54 on an average day Hanover Hill Health Care Center
Nursing Home, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Manchester, NH
ALM Inspection Grade
B+
ALM's inspection grade is 88 / 100, a B+ — 4 points above the New Hampshire average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 88 / 100, a B+ — 4 points above the New Hampshire average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
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.
4/5
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.
Hanover Hill Health Care Center
Nursing Home, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Manchester, NH
ALM Inspection Grade
B+
ALM's inspection grade is 88 / 100, a B+ — 4 points above the New Hampshire average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 88 / 100, a B+ — 4 points above the New Hampshire average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
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.
4/5
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.
Hanover Hill Health Care Center accepts Medicare, Medicaid, and private pay.
Overview of Hanover Hill Health Care Center
Hanover Hill Health Care Center provides nursing home care, memory care, palliative care, respite care, and skilled nursing in Manchester, NH. Located in the Hanover Hill neighborhood, the center has 124 beds and has served residents since 1967. Its range of care can suit someone whose needs may change over time, including a resident who needs memory support or a short stay while a usual caregiver recovers.
Memory care provides a supervised setting for someone living with dementia. Skilled nursing and nursing home care support residents who need ongoing nursing services, while palliative care focuses on comfort for residents with serious or advanced illness. Respite care offers a temporary stay when a family caregiver needs support, and short-term rehabilitation is available after an illness, injury, or hospital stay. These options may make the center a good fit for someone who needs ongoing nursing care, memory support, comfort-focused care, or rehabilitation after hospitalization.
Rehabilitation services are available within the facility, so residents can receive therapy without arranging services elsewhere. A salon and spa provide on-site grooming services, and transportation supports travel beyond the community. Total nurse staffing is 2 hours and 48 minutes per resident per day, representing the daily nursing time allocated to each resident.
A Walk Score of 59 places the area in the somewhat walkable range. Some errands can be done on foot, and a resident who no longer drives may be able to reach certain nearby destinations independently. Medicare, Medicaid, and private pay are accepted. Lori J Mc Intire, NHA, serves as the administrator.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 55th out of 59 nursing homes we track in New Hampshire for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 48m
This nursing home is ranked 55th out of 59 nursing homes we track in New Hampshire for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 48mStandout metric: Physical therapist is +37% above New Hampshire average
5 of 6 metrics below New Hampshire average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 19 total: 8 of the facility's own employees and 11 agency contractors.
19 staff · 7.4-hour shifts
21m
↓ 54% · NH 45mThis facility: 21m per resident per day, 54% below the New Hampshire average of 45m (among New Hampshire facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 19 total: 8 of the facility's own employees and 11 agency contractors.
19 staff · 7.4-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 34 total: 20 of the facility's own employees and 14 agency contractors.
34 staff · 7.8-hour shifts
42m
↓ 8% · NH 46mThis facility: 42m per resident per day, 8% below the New Hampshire average of 46m (among New Hampshire facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 34 total: 20 of the facility's own employees and 14 agency contractors.
34 staff · 7.8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 72 total: 51 of the facility's own employees and 21 agency contractors.
72 staff · 7.7-hour shifts
1h 45m
↓ 27% · NH 2h 23mThis facility: 1h 45m per resident per day, 27% below the New Hampshire average of 2h 23m (among New Hampshire facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 72 total: 51 of the facility's own employees and 21 agency contractors.
72 staff · 7.7-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
5m
↑ 37% · NH 4mThis facility: 5m per resident per day, 37% above the New Hampshire average of 4m (among New Hampshire facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
2h 22m
↓ 31% · NH 3h 26mThis facility: 2h 22m per resident per day, 31% below the New Hampshire average of 3h 26m (among New Hampshire facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
13m
↓ 58% · NH 31mThis facility: 13m per resident per day, 58% below the New Hampshire average of 31m (among New Hampshire facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
153
102 employees · 51 contractors · 54 on an average day
153 total staff / 110 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.39 : 1
↓ 24% · NH 1.84This facility: 1.39 staff per resident, 24% below the New Hampshire average of 1.84 (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
153 staff ÷ 110 residents
See full New Hampshire ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.6 h
↓ 3% · NH 7.8 hThis facility: 7.6 h, 3% below the New Hampshire average of 7.8 h (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
37,290 staff hours this quarter
See full New Hampshire ranking →95.2% of staff hours were worked by the facility's own employees
New Hampshire average: 86.8% · Contractors this quarter: Certified Nursing Assistant (21), Licensed Practical Nurse (14), Registered Nurse (11), Occupational Therapy Aide (2), Feeding Assistant (1), Medical Director (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
124
Rank #14 / 64Bed count — State benchmarked This nursing home is ranked 14th out of 64 nursing homes we track in New Hampshire for bed count. Shows this facility's certified or reported bed count compared to other New Hampshire facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
124
Rank #14 / 64Bed count — State benchmarked This nursing home is ranked 14th out of 64 nursing homes we track in New Hampshire for bed count. Shows this facility's certified or reported bed count compared to other New Hampshire facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #1 / 40Years in operation — State benchmarked This nursing home is ranked 1st out of 40 nursing homes we track in New Hampshire for years in operation. Shows how long this facility has been in operation compared to other New Hampshire facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #1 / 40Years in operation — State benchmarked This nursing home is ranked 1st out of 40 nursing homes we track in New Hampshire for years in operation. Shows how long this facility has been in operation compared to other New Hampshire facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
56
years
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #13 / 59Walk Score — State benchmarked This nursing home is ranked 13th out of 59 nursing homes we track in New Hampshire for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across New Hampshire facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #13 / 59Walk Score — State benchmarked This nursing home is ranked 13th out of 59 nursing homes we track in New Hampshire for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across New Hampshire facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
59
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #9 / 49Occupancy rate — State benchmarked This nursing home is ranked 9th out of 49 nursing homes we track in New Hampshire for occupancy. Shows this facility's occupancy rate versus the New Hampshire average, with its Statewide rank out of 49. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #9 / 49Occupancy rate — State benchmarked This nursing home is ranked 9th out of 49 nursing homes we track in New Hampshire for occupancy. Shows this facility's occupancy rate versus the New Hampshire average, with its Statewide rank out of 49. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
91.9%
This home usually has limited availability
Based on 114 residents and 124 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Higher than the New Hampshire average: 84.4%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
91
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
Facility TypeNursing Home
IssuanceJanuary 5, 2025
CountyHillsborough
License Number3562
CMS Certification Number305009
Hanover Hill Health Care Center is administered by Nha Lori J Mc Intire.
Resident Council
Short-Term Rehab
Palliative CareCare focused on relieving pain, symptoms, and stress while supporting quality of life. It can be provided alongside treatment for a serious illness.
Pets not allowed
CMS Health Inspection History
ALM Inspection Grade
88 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
4 points above the New Hampshire average for CMS-certified facilities (84/100)
Category breakdown
Citations
Typical
18 severity-weighted points (8 deficiencies) · 38% lower than the typical CMS-certified NH facility (median: 29)
Enforcement
Concern
1 enforcement action · above the typical CMS-certified NH facility (median: 0) · $8,512 in fines
Persistence
Typical
28 days to fix issues · faster than the typical CMS-certified NH facility (median: 31)
Total health inspections
2
↓ 41% · NH 3.4This facility: 2, 41% below the New Hampshire average of 3.4 (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
7
Rank #16 / 60Health citations — State benchmarked This nursing home is ranked 16th out of 60 nursing homes we track in New Hampshire for health citations. Shows this facility's total health deficiency citations benchmarked to the New Hampshire State average, with a ranking across all 60 NH facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 47% · NH 13.3This facility: 7, 47% below the New Hampshire average of 13.3 (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3.5
Rank #15 / 60Citations per inspection — State benchmarked This nursing home is ranked 15th out of 60 nursing homes we track in New Hampshire for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New Hampshire mean across 60 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 9% · NH 3.86This facility: 3.5, 9% below the New Hampshire average of 3.86 (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
7 of 7 citations corrected
Critical
J–L
0
↓ 100% · NH 0.2This facility: 0, 100% below the New Hampshire average of 0.2 (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 400% · NH 0.2This facility: 1, 400% above the New Hampshire average of 0.2 (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
5
↓ 56% · NH 11.4This facility: 5, 56% below the New Hampshire average of 11.4 (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
↓ 38% · NH 1.6This facility: 1, 38% below the New Hampshire average of 1.6 (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Mar 10, 2026 · 1 citation (Care Planning, moderate), corrected
Most cited category: Resident Assessment & Care Planning, 2 of 7 citations · 5 categories in total
Citations history
Most recent first
Mar 10, 2026
1 citation
Care Planning moderate citation
Corrected
Corrected
Dec 12, 2024
6 citations
Pharmacy serious citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Administration minor citation
Corrected
Corrected
Top deficiency categories
Share of 7 citations
Resident Assessment & Care Planning
2 deficiencies (29%)
Pharmacy Services
2 deficiencies (29%)
Infection Control
1 deficiency (14%)
Nutrition & Dietary
1 deficiency (14%)
Administration
1 deficiency (14%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
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 · Data as of Oct 2026
1 penalty in the past 3 years
Latest: Dec 12, 2024 · $8,512 civil money penalty
Dec 12, 2024 · $8,512 civil money penalty
Total fines
$8,512
↓ 64% · NH $23KThis facility: $8,512, 64% below the New Hampshire average of $23,322. Average among the 24 New Hampshire facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #45 / 60Federal fines — State benchmarked This nursing home is ranked 45th out of 60 nursing homes we track in New Hampshire for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the New Hampshire average among facilities with fines, and where it ranks among 60 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 33% · NH 1.5This facility: 1, 33% below the New Hampshire average of 1.5. Average among the 24 New Hampshire facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
NH avg 0.08New Hampshire average: 0.08. Average among the 24 New Hampshire facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Dec 12, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,512
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,512Fine amount comparison
This facility
$8,512
New Hampshire average
$23,322
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. New Hampshire and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the New Hampshire average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 46% · NH 2.7This facility: 4.0, 46% above the NH average of 2.7 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 37% · NH 2.9This facility: 4.0, 37% above the NH average of 2.9 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
7.9
Score · lower is better
↓ 24% · NH 10.3This facility: 7.9, 24% below the NH average of 10.3 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
18.4
Score · lower is better
↓ 14% · NH 21.3This facility: 18.4, 14% below the NH average of 21.3 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 3 worse, 3 near NH average
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
17.9%
↓ 20% · NH 22.3This facility: 17.9, 20% below the NH average of 22.3 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
17.9%
↓ 20% · NH 22.3This facility: 17.9, 20% below the NH average of 22.3 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
11.3%
↓ 29% · NH 15.8This facility: 11.3, 29% below the NH average of 15.8 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
11.3%
↓ 29% · NH 15.8This facility: 11.3, 29% below the NH average of 15.8 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.2%
↑ 3% · NH 25.4This facility: 26.2, 3% above the NH average of 25.4 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.2%
↑ 3% · NH 25.4This facility: 26.2, 3% above the NH average of 25.4 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.6%
↑ 17% · NH 2.2This facility: 2.6, 17% above the NH average of 2.2 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.6%
↑ 17% · NH 2.2This facility: 2.6, 17% above the NH average of 2.2 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
↓ 26% · NH 4.5This facility: 3.3, 26% below the NH average of 4.5 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
↓ 26% · NH 4.5This facility: 3.3, 26% below the NH average of 4.5 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.7%
↑ 7% · NH 4.3This facility: 4.7, 7% above the NH average of 4.3 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.7%
↑ 7% · NH 4.3This facility: 4.7, 7% above the NH average of 4.3 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
2.4%
↓ 53% · NH 5.2This facility: 2.4, 53% below the NH average of 5.2 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.4%
↓ 53% · NH 5.2This facility: 2.4, 53% below the NH average of 5.2 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
3.4%
↓ 79% · NH 15.8This facility: 3.4, 79% below the NH average of 15.8 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
3.4%
↓ 79% · NH 15.8This facility: 3.4, 79% below the NH average of 15.8 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
23.9%
↑ 34% · NH 17.9This facility: 23.9, 34% above the NH average of 17.9 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
23.9%
↑ 34% · NH 17.9This facility: 23.9, 34% above the NH average of 17.9 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
↑ 2% · NH 97.7This facility: 99.8, 2% above the NH average of 97.7 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
↑ 2% · NH 97.7This facility: 99.8, 2% above the NH average of 97.7 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
≈ 0% · NH 97.8This facility: 98.1, level with the NH average of 97.8 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
≈ 0% · NH 97.8This facility: 98.1, level with the NH average of 97.8 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.64
↓ 61% · NH 1.65This facility: 0.64, 61% below the NH average of 1.65 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
0.64
↓ 61% · NH 1.65This facility: 0.64, 61% below the NH average of 1.65 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.56
↓ 71% · NH 1.90This facility: 0.56, 71% below the NH average of 1.90 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.56
↓ 71% · NH 1.90This facility: 0.56, 71% below the NH average of 1.90 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
45.1%
↓ 16% · US 53.7This facility: 45.1, 16% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
45.1%
↓ 16% · US 53.7This facility: 45.1, 16% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
53.7%
↑ 6% · US 50.6This facility: 53.7, 6% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
53.7%
↑ 6% · US 50.6This facility: 53.7, 6% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
↓ 21% · US 0.8This facility: 0.6, 21% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
↓ 21% · US 0.8This facility: 0.6, 21% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
↑ 12% · NH 1.2This facility: 1.3, 12% above the NH average of 1.2 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
↑ 12% · NH 1.2This facility: 1.3, 12% above the NH average of 1.2 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
↑ 11% · NH 87.1This facility: 97.1, 11% above the NH average of 87.1 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
↑ 11% · NH 87.1This facility: 97.1, 11% above the NH average of 87.1 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
↑ 5% · NH 85.7This facility: 89.7, 5% above the NH average of 85.7 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
↑ 5% · NH 85.7This facility: 89.7, 5% above the NH average of 85.7 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.0%
↓ 14% · NH 22.1This facility: 19.0, 14% below the NH average of 22.1 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.0%
↓ 14% · NH 22.1This facility: 19.0, 14% below the NH average of 22.1 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.1%
↓ 28% · NH 14.1This facility: 10.1, 28% below the NH average of 14.1 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
10.1%
↓ 28% · NH 14.1This facility: 10.1, 28% below the NH average of 14.1 (among NH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Hanover Hill Health Care Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 58 New Hampshire nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
6.3% operating margin
+1.8 pts vs prior year
Positive margin in 5 of the last 8 reported years. Net income $1.4M after other income.
Does it invest in staff?
Spends more on payroll than most New Hampshire homes
60.3% payroll share of revenue
NH average 55.5%Rank #16 / 58Payroll % of net patient revenue — State benchmarked This nursing home is ranked 16th out of 58 nursing homes we track in New Hampshire for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the New Hampshire average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.2M while revenue rose $1.9M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with New Hampshire homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | NH median | Compared with NH homesRank in NH | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $17.3M | +$1.9M | Trend 20172024 | NH median $11.2M | Rank in NH Rank #14 / 58Net patient revenue — State benchmarked This nursing home is ranked 14th out of 58 nursing homes we track in New Hampshire for net patient revenue. Shows this facility's net patient revenue compared to the New Hampshire average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 77% of homes | Above NH median Higher net patient revenue than 77% of NH homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $16.2M | +$1.5M | Trend 20172024 | NH median $12.1M | Rank in NH Rank #15 / 58Operating expenses — State benchmarked This nursing home is ranked 15th out of 58 nursing homes we track in New Hampshire for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other New Hampshire homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 75% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $1.1M | +$0.4M | Trend 20172024 | NH median −$0.4M | Rank in NH Rank #6 / 58Net patient income — State benchmarked This nursing home is ranked 6th out of 58 nursing homes we track in New Hampshire for net patient income. Shows net patient revenue minus operating expenses, compared with other New Hampshire homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 91% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 6.3% | +1.8 pts | Trend 20172024 | NH median −4.4% | Rank in NH Rank #8 / 58Operating margin — State benchmarked This nursing home is ranked 8th out of 58 nursing homes we track in New Hampshire for operating margin. Shows net patient income as a share of net patient revenue, compared with other New Hampshire homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 88% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.3M | — | Trend — | NH median $0.1M | Rank in NH Rank #18 / 56Other income — State benchmarked This nursing home is ranked 18th out of 56 nursing homes we track in New Hampshire for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other New Hampshire homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 69% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.4M | +$0.4M | Trend — | NH median −$0.1M | Rank in NH Rank #7 / 58Net income — State benchmarked This nursing home is ranked 7th out of 58 nursing homes we track in New Hampshire for net income. Shows the bottom line after other income, compared with other New Hampshire homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 89% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends more of revenue on staff than most New Hampshire homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | NH median | Compared with NH homesRank in NH | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $10.4M | +$1.2M | Trend 20172024 | NH median $6.1M | Rank in NH Rank #10 / 58Payroll costs — State benchmarked This nursing home is ranked 10th out of 58 nursing homes we track in New Hampshire for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New Hampshire average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 84% of homes | Above NH median Higher payroll than 84% of NH homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 60.3% | +0.1 pts | Trend 20172024 | NH median 51.4% | Rank in NH Rank #16 / 58Payroll % of net patient revenue — State benchmarked This nursing home is ranked 16th out of 58 nursing homes we track in New Hampshire for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the New Hampshire average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 74% of homes | 4.8 pts over NH average The NH average is 55.5% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · NH benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the New Hampshire payroll average.
% of net patient revenue
Payroll share Operating margin NH payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $13.6M | $13.8M | $14.2M | $14.7M | $14.5M | $14.5M | $15.4M | $17.3M |
| Operating expenses | $13.2M | $13.4M | $13.6M | $17.0M | $14.8M | $14.7M | $14.7M | $16.2M |
| Net patient income | $0.5M | $0.5M | $0.5M | −$2.3M | −$0.3M | −$0.2M | $0.7M | $1.1M |
| Operating margin | 3.3% | 3.5% | 3.8% | −15.3% | −1.8% | −1.3% | 4.5% | 6.3% |
| Net income | $0.7M | $0.8M | $0.8M | $0.5M | $0.9M | $2.5M | $0.9M | $1.4M |
| Payroll costs | $9.2M | $9.3M | $9.5M | $12.5M | $10.0M | $9.5M | $9.3M | $10.4M |
| Payroll share of revenue | 67.2% | 67.3% | 67.0% | 84.7% | 69.3% | 65.3% | 60.2% | 60.3% |
| Beds | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 |
| Gross revenue | $20.4M | $20.7M | $21.1M | $18.6M | $19.0M | $20.1M | $20.9M | $24.6M |
| Salaries | $7.9M | $8.0M | $8.2M | $11.1M | $8.8M | $8.0M | $8.0M | $9.1M |
| Wage-related costs | $1.3M | $1.3M | $1.3M | $1.3M | $1.2M | $1.5M | $1.3M | $1.3M |
| Contract labor | $0.1M | $0.1M | $0.1M | $0.2M | $0.4M | $1.4M | $1.5M | $1.5M |
| Other operating costs | $4.0M | $4.0M | $4.1M | $4.5M | $4.7M | $5.2M | $5.4M | $5.8M |
| Net patient revenue per day | $316 | $320 | $328 | $391 | $373 | $373 | $393 | $411 |
| Cost per day | $306 | $309 | $316 | $451 | $380 | $378 | $376 | $385 |
| Average length of stay | 106.4 days | 105.3 days | 102.3 days | 139.6 days | 118.5 days | 129.0 days | 121.2 days | 90.6 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
468 admissions · FY2024
Residents admitted during the year.
Medicare
199 · 43%
Medicaid
93 · 20%
Private pay & other
176 · 38%
Resident snapshot
110 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
16 · 15%
Medicaid
81 · 74%
Private pay & other
13 · 12%
Leaving
464 discharges · FY2024
Residents discharged during the year.
Medicare
193 · 42%
Medicaid
92 · 20%
Private pay & other
179 · 39%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Hanover Hill Health Care Center
1.5 miles from city center
Estimated distance in miles from Manchester's city center to Hanover Hill Health Care Center's address, calculated via Google Maps.
Calculate Travel Distance to Hanover Hill Health Care Center
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Compare Nursing Homes around Manchester
Info below is compiled from CMS reports & the NH Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New Hampshire average is: 55.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Maple Leaf Healthcare Center | NH MC SNF | Manchester | 114
Facility
114
NH AVG
102
Rank
#18 / 64 | A+ |
95.1%
Facility
95.1%
NH AVG
84.4%
Rank
#3 / 49 | +13% | 2.68
Facility
2.68
NH AVG
4.16
Rank
#57 / 59 | -14% | -36% | $0
Facility
$0
NH AVG
$23.3k
Rank
#1 / 60 | 7
Facility
7
NH AVG
13.3
Rank
#10 / 60 | 2.3
Facility
2.3
NH AVG
3.9
Rank
#7 / 60 | - | 108 | - |
49
Facility
49
NH AVG
35
Rank
#19 / 59 | Nh3 Opco Holdco LLC | $14.7MFiscal year ending 12/2024
Facility
$14.7MFiscal year ending 12/2024
NH AVG
$13.3M
Rank
#17 / 58 | $7.8MFiscal year ending 12/2024
Facility
$7.8MFiscal year ending 12/2024
NH AVG
$7.4M
Rank
#18 / 58 | 52.9%Fiscal year ending 12/2024
Facility
52.9%Fiscal year ending 12/2024
NH AVG
55.5%
Rank
#23 / 58 | 305030 | ||||
| Mt. Carmel Rehabilitation and Nursing Center | NH MC PC RC SNF | Manchester | 120
Facility
120
NH AVG
102
Rank
#15 / 64 | A+ |
91.4%
Facility
91.4%
NH AVG
84.4%
Rank
#12 / 49 | +8% | 4.83
Facility
4.83
NH AVG
4.16
Rank
#15 / 59 | -23% | +16% | $0
Facility
$0
NH AVG
$23.3k
Rank
#1 / 60 | 11
Facility
11
NH AVG
13.3
Rank
#20 / 60 | 3.7
Facility
3.7
NH AVG
3.9
Rank
#21 / 60 | - | 112 | A+ |
81
Facility
81
NH AVG
35
Rank
#4 / 59 | Joseph Bohunicky | $18.0MFiscal year ending 03/2025
Facility
$18.0MFiscal year ending 03/2025
NH AVG
$13.3M
Rank
#12 / 58 | $9.3MFiscal year ending 03/2025
Facility
$9.3MFiscal year ending 03/2025
NH AVG
$7.4M
Rank
#13 / 58 | 51.4%Fiscal year ending 03/2025
Facility
51.4%Fiscal year ending 03/2025
NH AVG
55.5%
Rank
#29 / 58 | 305067 | ||||
| St Joseph Residence Inc | NH | Manchester | 22
Facility
22
NH AVG
102
Rank
#63 / 64 | B+ |
89.1%
Facility
89.1%
NH AVG
84.4%
Rank
#17 / 49 | +6% | 8.14
Facility
8.14
NH AVG
4.16
Rank
#1 / 59 | +49% | +96% | $0
Facility
$0
NH AVG
$23.3k
Rank
#1 / 60 | 11
Facility
11
NH AVG
13.3
Rank
#23 / 60 | 3.7
Facility
3.7
NH AVG
3.9
Rank
#25 / 60 | - | 20 | - |
40
Facility
40
NH AVG
35
Rank
#25 / 59 | Jacqueline Lambert | $3.7MFiscal year ending 06/2024
Facility
$3.7MFiscal year ending 06/2024
NH AVG
$13.3M
Rank
#57 / 58 | $3.0MFiscal year ending 06/2024
Facility
$3.0MFiscal year ending 06/2024
NH AVG
$7.4M
Rank
#54 / 58 | 83.1%Fiscal year ending 06/2024
Facility
83.1%Fiscal year ending 06/2024
NH AVG
55.5%
Rank
#3 / 58 | 305088 | ||||
| Hanover Hill Health Care Center | NH MC PC RC SNF | Manchester (Hanover Hill) | 124
Facility
124
NH AVG
102
Rank
#14 / 64 | B+ |
91.9%
Facility
91.9%
NH AVG
84.4%
Rank
#9 / 49 | +9% | 2.80
Facility
2.80
NH AVG
4.16
Rank
#55 / 59 | -9% | -33% | $8.5k
Facility
$8.5k
NH AVG
$23.3k
Rank
#45 / 60 | 7
Facility
7
NH AVG
13.3
Rank
#16 / 60 | 3.5
Facility
3.5
NH AVG
3.9
Rank
#15 / 60 | 1 | 114 | A+ |
59
Facility
59
NH AVG
35
Rank
#13 / 59 | Theodore Lee | $17.3MFiscal year ending 12/2024
Facility
$17.3MFiscal year ending 12/2024
NH AVG
$13.3M
Rank
#14 / 58 | $10.4MFiscal year ending 12/2024
Facility
$10.4MFiscal year ending 12/2024
NH AVG
$7.4M
Rank
#10 / 58 | 60.3%Fiscal year ending 12/2024
Facility
60.3%Fiscal year ending 12/2024
NH AVG
55.5%
Rank
#16 / 58 | 305009 | ||||
| St. Teresa Rehabilitation and Nursing Center | NH IL PC RC SNF | Manchester (Hanover Hill) | 51
Facility
51
NH AVG
102
Rank
#53 / 64 | B+ |
88.8%
Facility
88.8%
NH AVG
84.4%
Rank
#19 / 49 | +5% | 4.62
Facility
4.62
NH AVG
4.16
Rank
#16 / 59 | +6% | +11% | $0
Facility
$0
NH AVG
$23.3k
Rank
#1 / 60 | 15
Facility
15
NH AVG
13.3
Rank
#32 / 60 | 5.0
Facility
5.0
NH AVG
3.9
Rank
#44 / 60 | - | 45 | - |
56
Facility
56
NH AVG
35
Rank
#16 / 59 | Luanne Rogers | $6.3MFiscal year ending 03/2025
Facility
$6.3MFiscal year ending 03/2025
NH AVG
$13.3M
Rank
#51 / 58 | $3.7MFiscal year ending 03/2025
Facility
$3.7MFiscal year ending 03/2025
NH AVG
$7.4M
Rank
#46 / 58 | 58.8%Fiscal year ending 03/2025
Facility
58.8%Fiscal year ending 03/2025
NH AVG
55.5%
Rank
#17 / 58 | 305071 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NH nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in New Hampshire
Hanover Hill Health Care Center is located in Manchester, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
Know before you visit
Frequently Asked Questions about Hanover Hill Health Care Center
Quick answers from public records and the community's own listing.01 What neighborhood is Hanover Hill Health Care Center in?
Hanover Hill Health Care Center is in the Hanover Hill neighborhood of Manchester.
02 Is Hanover Hill Health Care Center in a walkable area?
Hanover Hill Health Care Center has a walk score of 59. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
03 What is the license number of Hanover Hill Health Care Center?
According to NH state health department records, Hanover Hill Health Care Center's license number is 3562.
04 What is the occupancy rate at Hanover Hill Health Care Center?
Hanover Hill Health Care Center's occupancy is 91.9%.
05 How long has Hanover Hill Health Care Center been in business?
Hanover Hill Health Care Center has been operating for approximately 56 years, based on available licensing and registration records.
06 Are pets allowed at Hanover Hill Health Care Center?
No, Hanover Hill Health Care Center has a no-pet policy.
07 Does Hanover Hill Health Care Center operate as a for-profit or non-profit?
Hanover Hill Health Care Center is registered as a for-profit in NH.
Updated on
