St Joseph Residence Inc

Assisted Living Home
Overview of 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.

(603) 668-6011

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
New Hampshire average: 3.0/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
New Hampshire average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
New Hampshire average: 3.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
New Hampshire average: 3.2/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
7h 14m per day

This home provides 69% more nursing time per resident than the state average.

New Hampshire average: 4h 17m per day

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.

Similar demand to the New Hampshire average
Occupancy rate 94.3%
Residents per day (avg) 22
Occupancy rate
94.3%
Residents per day (avg)
22

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

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 home
Church
Home revenue
$4.6M
Surplus of revenue
$13.9K
Voluntary non-profit home Church
Home revenue
$4,560,072.00
Surplus of revenue
$13,933.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
52% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.2M
Total costs $4.5M
Bed community size
22-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 40 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

License Status
Active
Facility Type
Nursing Home
License Date
January 7, 2025
License Expiration
June 30, 2026

Additional licensing details

License number: 2470
County: HILLSBOROUGH

Ownership & operating entity

St Joseph Residence Inc is administrated by MARLENE MAKOWSKI.

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

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

On-site Medical Care and Health Services

Types of Care at St Joseph Residence Inc

Nursing Home
Contact St Joseph Residence Inc

Compare Assisted Living around Manchester

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

Hospice Care

SNF

Nursing Homes 24/7 care needed

Bedford
148
No
-
55
DJAKONAN, CHANTAL
64.5%
$15,612,597.00
$5,411,367.00
34.7%
114.80
2/5
3.4042
2/5
4/5
3/5
1
11
1
+42%
-20%
-21%
Benchmark at Bedford Falls
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Bedford
114
Yes
F
29
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
St Joseph Residence Inc
SNF

Nursing Homes 24/7 care needed

Manchester
39
No
-
40
LAMBERT, JACQUELINE
94.3%
$3,737,246.00
$2,369,239.00
63.4%
21.80
4/5
7.2318
3/5
5/5
4/5
-
10
-
-6%
+69%
+16%

Places of interest near St Joseph Residence Inc

Address 1.4 miles from city center

Address 495 Mammoth Rd, Manchester, NH 03104

Calculate Travel Distance to St Joseph Residence Inc

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

76
Total Staff
51
Employees
25
Contractors
13,707
Total Hours (Quarter)
21
Avg Staff/Day
7.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse98.7 Yes
Licensed Practical Nurse146.9 Yes
Certified Nursing Assistant327.1 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
60 staff
7.4hs shift avg
Physicians & Practitioners
3 staff
8.2hs shift avg
Therapy Services
8 staff
3.3hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
1.2hs shift avg
Dietary Services
2 staff
7.8hs shift avg
Other Services
1 staff
7.8hs shift avg
Contractor Analysis
7.2%
of total hours from contractors
985 contractor hours this quarter
Licensed Practical Nurse: 7 Physical Therapy Assistant: 3 Certified Nursing Assistant: 6 Medication Aide/Technician: 2 Respiratory Therapy Technician: 1 Speech Language Pathologist: 2 Qualified Social Worker: 1 Registered Nurse: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant266326,56391100%7.1
Licensed Practical Nurse77141,3539099%6.9
Medication Aide/Technician3251,1748897%8.5
Registered Nurse8199738290%8.7
Clinical Nurse Specialist2029196369%8.3
Dietitian1014966268%8
Other Dietary Services Staff1014525965%7.7
Administrator1014405560%8
Nurse Practitioner1014125257%7.9
Mental Health Service Worker1013925055%7.8
Physical Therapy Assistant0333127785%3.6
Speech Language Pathologist0221053033%3.5
Respiratory Therapy Technician011783235%2.4
Occupational Therapy Aide01123910%2.5
Occupational Therapy Assistant0111033%3.3
Qualified Social Worker011978%1.2

Health Inspection History

Inspections
Total health inspections 3

New Hampshire average 3.5


Last Health inspection on Oct 2024

Total health citations 10
Citations per inspection
3.33

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 More info 0
100% better than New Hampshire average

New Hampshire average: 0.2


Serious Health citations More info 0
100% better than New Hampshire average

New Hampshire average: 0.1

0 critical citations More info New Hampshire average: 0.2

0 serious citations More info New Hampshire average: 0.1

8 moderate citations More info New Hampshire average: 12

2 minor citations More info New Hampshire average: 2
Citations history (last 3 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

Facility Characteristics

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

Ownership: Non-Profit (Church)
Resident Census by Payment Source
21 Total Residents
Medicaid 20 (95.2%)
Private Pay/Other 1 (4.8%)
Programs & Services
Residents' Group
Family Member Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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
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%

Guides for Better Senior Living

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Financial Aid for New Hampshire Seniors

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Choices for Independence

NH Medicaid CFI Waiver

Age 65+ or disabled, New Hampshire resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Small state; rural access emphasis.

NH ServiceLink Aging and Disability Resource Center

NH ServiceLink

Age 60+, New Hampshire resident, or caregiver.

No strict limit; prioritizes low-income.

Not applicable.

Primarily referral-based; limited direct funding.

Old Age Assistance (OAA)

New Hampshire Old Age Assistance

Age 65+, NH resident, US citizen/eligible alien, not in public institution.

~$1,063/month (individual, net after deductions); varies by living arrangement.

$1,500 (individual), $2,000 (couple).

Automatic Medicaid eligibility; estate recovery applies.

New Hampshire Family Caregiver Program (via NFCSP)

New Hampshire Family Caregiver Program

Caregivers of 60+ needing care or 55+ caregivers of others; NH resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

13 ServiceLink locations; rural/low-income priority.

Medicare Savings Program (MSP)

New Hampshire Medicare Savings Program

Age 65+ or disabled, NH resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

New Hampshire Fuel Assistance Program (FAP)

New Hampshire Fuel Assistance Program

Age 60+ prioritized, NH resident, low-income household.

~$33,614/year (1-person), ~$43,958/year (2-person) (150% FPL).

Not assessed; income-focused.

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

Senior Community Service Employment Program (SCSEP)

New Hampshire SCSEP

Age 55+, unemployed, low-income, NH resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

New Hampshire VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, NH resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

NH Low and Moderate Income Homeowners Property Tax Relief

New Hampshire Property Tax Relief

Age 65+ prioritized, NH resident, homeowner, paid property taxes.

~$47,000/year (individual), ~$60,000/year (couple).

Not assessed; home value cap at $750,000.

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

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