Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Oct 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Assisted Living in Manchester
CMS overall rating
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.
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.
St Joseph Residence Inc
Assisted Living in Manchester
CMS overall rating
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.
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.
St Joseph Residence Inc
Ideally situated in the quiet residential area of Manchester, NH, St. Joseph Residence Inc. is an award-winning nursing home that offers long-term care. Here, residents receive high-quality care for their healthcare needs with the community’s wide range of care options. As a non-profit, church-related community, this nursing home focuses on providing residents with exceptional services.
Promoting an active lifestyle and social engagement, recreational activities, stimulating programs, and light exercises are conducted based on residents’ interests and capabilities. Medicare and Medicaid are also accepted to ease residents’ financial burdens. With its nurturing setting, this nursing home can accommodate up to 22 older adults and provide them with the utmost care for their healthcare needs.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
22
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
94.3%
Residents per day (avg)
22
Occupancy rate
94.3%
Residents per day (avg)
22
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
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
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$4.6M
Surplus of revenue
$13.9K
Voluntary non-profit community
Operated by a church.
Home revenue
$4.6M
Surplus of revenue
$13.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.5M
22-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 40 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026
CountyHILLSBOROUGH
License Number2470
St Joseph Residence Inc is administrated by Marlene Makowski.
What does this home offer?
Accept Medicaid: Yes
On-site Medical Care and Health Services
Types of Care at St Joseph Residence Inc
Nursing Home
Health Inspection History
Inspections
Total health citations
10
New Hampshire average 14.4
Citations per inspection
3.33
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 3 years)
Critical Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.2
Serious Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.1
0 critical citations
0 serious citations
8 moderate citations
2 minor citations
Citations history (last 3 years)
Administration minor citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 31, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 31, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 31, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 31, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 31, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 31, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 31, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 31, 2024
Corrected
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.
Compare Assisted Living around Manchester The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
Filter by care type
Ridgewood Center
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Bedford
148
No
55
1
-
Leanndra Kittle
Benchmark at Bedford Falls
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Bedford
114
Yes
29
28
F
April J Lyons
St Joseph Residence Inc
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Manchester
39
No
40
1
-
Marlene Makowski
Places of interest near St Joseph Residence Inc
1.4 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
76
Employees
51
Contractors
25
Staff to resident ratio
3.62:1
94% better than New Hampshire averageNew Hampshire average ratio: 1.87:1
Avg staff/day
21
Average shift
7.2 hours
8% worse than New Hampshire averageNew Hampshire average: 7.8 hours
Total staff hours (quarter)
13,707
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
32
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
7.2%
985 contractor hours this quarter
Licensed Practical Nurse: 7
Certified Nursing Assistant: 6
Physical Therapy Assistant: 3
Medication Aide/Technician: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 1
Qualified Social Worker: 1
Registered Nurse: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 26 | 6 | 32 | 6,563 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 7 | 7 | 14 | 1,353 | 90 | 99% | 6.9 |
| Medication Aide/Technician | 3 | 2 | 5 | 1,174 | 88 | 97% | 8.5 |
| Registered Nurse | 8 | 1 | 9 | 973 | 82 | 90% | 8.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 919 | 63 | 69% | 8.3 |
| Dietitian | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 452 | 59 | 65% | 7.7 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 412 | 52 | 57% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 392 | 50 | 55% | 7.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 312 | 77 | 85% | 3.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 105 | 30 | 33% | 3.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 78 | 32 | 35% | 2.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 23 | 9 | 10% | 2.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 10 | 3 | 3% | 3.3 |
| Qualified Social Worker | 0 | 1 | 1 | 9 | 7 | 8% | 1.2 |
32 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
99%
5 Medication Aide/Technician
% of Days
97%
9 Registered Nurse
% of Days
90%
2 Clinical Nurse Specialist
% of Days
69%
1 Dietitian
% of Days
68%
1 Other Dietary Services Staff
% of Days
65%
1 Administrator
% of Days
60%
1 Nurse Practitioner
% of Days
57%
1 Mental Health Service Worker
% of Days
55%
3 Physical Therapy Assistant
% of Days
85%
2 Speech Language Pathologist
% of Days
33%
1 Respiratory Therapy Technician
% of Days
35%
1 Occupational Therapy Aide
% of Days
10%
1 Occupational Therapy Assistant
% of Days
3%
1 Qualified Social Worker
% of Days
8%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
21 residents
Residents by payment source
Medicaid
20 residents (95.2%)
Private pay or other
1 resident (4.8%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
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 averageNew Hampshire average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.0
10% better than New Hampshire averageNew Hampshire average: 23.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
29.2%
Percent of long-stay residents whose need for help with daily activities has increased
29.2%
33% worse than New Hampshire averageNew Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.8%
Percent of long-stay residents whose ability to move independently worsened
17.8%
12% better than New Hampshire averageNew Hampshire average: 20.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.0%
41% better than New Hampshire averageNew Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
6% worse than New Hampshire averageNew Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.5%
Percent of long-stay high risk residents with pressure ulcers
1.5%
66% better than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.3%
Percent of long-stay residents with a urinary tract infection
1.3%
49% better than New Hampshire averageNew Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.6%
Percent of long-stay residents who lose too much weight
7.6%
35% worse than New Hampshire averageNew Hampshire average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.8%
Percent of long-stay residents who received an antipsychotic medication
10.8%
38% better than New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
In line with New Hampshire averageNew Hampshire average: 96.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
In line with New Hampshire averageNew Hampshire average: 98.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for St Joseph Residence Inc based on CMS SNF Cost Reports.
Occupancy Rate
94.3%
↑ 7.6pp vs 2023
Net Income
$13.9K
↑ ~$200.5K vs 2023
Total Payroll
$3.4M
↑ ~$110.4K vs 2023
Profit Margin
0.4%
↑ 6.4pp vs 2023
Loading trend charts...
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