Show Inspection Reports
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.
St Joseph Residence Inc
Assisted Living & Nursing Home · Manchester, NH
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 accepts Medicare, Medicaid, and private pay.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 2nd out of 62 homes in New Hampshire.
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.
This home is ranked 2nd out of 62 homes in New Hampshire.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.
7h 14m per day
Rank #2 / 62Nurse hours — state benchmarkedThis home is ranked 2nd out of 62 homes in New Hampshire.Shows adjusted nurse hours per resident per day benchmarked to the New Hampshire average, with a ranking across 62 New Hampshire SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs New Hampshire avg
+72%
Standout metric
Nurse Aide is +78% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
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.
| 1h 3m per day | ▲ 43% State avg: 44m per day · National avg: 41m per day |
|
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.
| 56m per day | ▲ 22% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 4h 14m per day | ▲ 78% State avg: 2h 23m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 4h 51m per day | ▲ 41% State avg: 3h 26m per day · National avg: 3h 26m per day |
|
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.
| 2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 27m per day | ▼ 13% State avg: 31m per day · National avg: 28m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
94.3%
Rank #5 / 62Occupancy rate — state benchmarkedThis home is ranked 5th out of 62 homes in New Hampshire.Shows this facility's occupancy rate versus the New Hampshire average, with its statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
189 days
Occupancy rate
94.3%
Rank #5 / 62Occupancy rate — state benchmarkedThis home is ranked 5th out of 62 homes in New Hampshire.Shows this facility's occupancy rate versus the New Hampshire average, with its statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
189 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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 Rank #59 / 60Revenue — state benchmarkedThis home is ranked 59th out of 60 homes in New Hampshire.Shows this facility's annual revenue compared to the New Hampshire SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
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.
Rank #57 / 60Payroll — state benchmarkedThis home is ranked 57th out of 60 homes in New Hampshire.Shows total annual staff payroll benchmarked to the New Hampshire average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$3.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #57 / 60Payroll — state benchmarkedThis home is ranked 57th out of 60 homes in New Hampshire.Shows total annual staff payroll benchmarked to the New Hampshire average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.1M
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 Rank #16 / 29Walk Score — state benchmarkedThis home is ranked 16th out of 29 homes in New Hampshire.Shows how walkable this facility's neighborhood is compared to the average Walk Score across New Hampshire SNFs. Higher scores benefit residents, families, and staff.
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?
On-site Medical Care and Health Services
Types of Care at St Joseph Residence Inc
Nursing Home
Inspection History
In New Hampshire, the Department of Health and Human Services, Health Facilities Administration is responsible for the unannounced inspection and licensing of all residential care and nursing facilities.
The data displayed corresponds to the last 4 years.
Health Inspection History
Inspections
Total health citations
10
Rank #18 / 63Health citations — state benchmarkedThis home is ranked 18th out of 63 homes in New Hampshire.Shows this facility's total health deficiency citations benchmarked to the New Hampshire state average, with a ranking across all 63 NH SNFs. Lower citation counts earn a better rank.
New Hampshire average 14.4
Citations per inspection
3.33
Rank #21 / 63Citations per inspection — state benchmarkedThis home is ranked 21st out of 63 homes in New Hampshire.Shows average deficiency citations per CMS inspection for this facility versus the New Hampshire mean across 63 SNFs with citation data. Lower is better.
New Hampshire average 3.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
Breakdown of citation severity (last 4 years)
Critical Health citations
0
100% better than New Hampshire 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 4 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.
Financial Assistance for
Assisted Living in New Hampshire
St Joseph Residence Inc is located in Manchester, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
Places of interest near St Joseph Residence Inc
1.4 miles from city center
Estimated distance in miles from Manchester's city center to St Joseph Residence Inc's address, calculated via Google Maps.
Calculate Travel Distance to St Joseph Residence Inc
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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 residents
21
Medicaid
20
95.2% of residents
Private pay or other
1
4.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.83
Number of hospitalizations per 1,000 long-stay resident days.
1.83
11% worse than New Hampshire averageNew Hampshire average: 1.65
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.13
41% better than New Hampshire averageNew Hampshire average: 1.90
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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 |
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.
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 |
| St Joseph Residence Inc |
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.
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 (Mammoth Road) | 22 | No | 40 | - | 1 | Marlene Makowski |
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
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Frequently Asked Questions about St Joseph Residence Inc
What neighborhood is St Joseph Residence Inc in?
St Joseph Residence Inc is in the Mammoth Road neighborhood of Manchester.
Is St Joseph Residence Inc in a walkable area?
St Joseph Residence Inc has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of St Joseph Residence Inc?
According to NH state health department records, St Joseph Residence Inc's license number is 2470.
When does St Joseph Residence Inc's license expire?
According to NH state health department records, St Joseph Residence Inc's license expires on June 30, 2026.
Who is the administrator of St Joseph Residence Inc?
Marlene Makowski is the administrator of St Joseph Residence Inc.
How many beds does St Joseph Residence Inc have?
St Joseph Residence Inc has 22 beds.
What is the address of St Joseph Residence Inc?
St Joseph Residence Inc is located at 495 Mammoth Rd, Manchester, NH 03104.
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