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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.
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.
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.
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.
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.
This home is ranked 2nd out of 58 homes 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.
| Staff type | Hours / Day / Resident | 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 15m per day | ▲ 71% 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.
| 49m per day | ▲ 6% 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 22m per day | ▲ 83% State avg: 2h 23m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 5h 36m per day | ▲ 63% 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.
| 3m per day | ▼ 32% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 39m per day | ▲ 26% State avg: 31m per day · National avg: 28m per day |
Higher than the New Hampshire average: 81.1%St Joseph Residence Inc is administrated by Marlene Makowski.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NH Average | vs. NH Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 17 | This facility has 35% fewer total deficiencies than a typical New Hampshire nursing home (11 vs. NH avg 17).↓ 35% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 3.7 | 5.7 | This facility has 35% fewer deficiencies per year than a typical New Hampshire nursing home (3.7 vs. NH avg 5.7).↓ 35% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New Hampshire average 3.5
Last Health inspection on Oct 2024
New Hampshire average 14.4
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.
100% better than New Hampshire averageNew Hampshire average: 0.2
100% better than New Hampshire averageNew Hampshire average: 0.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
96% more staff per resident than New Hampshire average
9% worse than New Hampshire average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
11 total: 5 full-time employees and 6 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
9 total: 7 full-time employees and 2 contractors.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursHelps with daily care and mobility.
35 total: 26 full-time employees and 9 contractors.
35
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
851 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 9 | 35 | 6,870 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 7 | 2 | 9 | 1,533 | 92 | 100% | 7.5 |
| Medication Aide/Technician | 5 | 1 | 6 | 1,372 | 92 | 100% | 8.1 |
| Registered Nurse | 5 | 6 | 11 | 1,060 | 88 | 96% | 8.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 873 | 57 | 62% | 9 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 462 | 60 | 65% | 7.7 |
| Dietitian | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 436 | 55 | 60% | 7.9 |
| Administrator | 1 | 0 | 1 | 416 | 53 | 58% | 7.8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 308 | 77 | 84% | 3.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 85 | 29 | 32% | 2.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 85 | 33 | 36% | 2.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 19 | 9 | 10% | 2.1 |
| Qualified Social Worker | 0 | 2 | 2 | 9 | 9 | 10% | 0.9 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
17.8%
12% better than New Hampshire averageNew Hampshire average: 20.3%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
1.5%
66% better than New Hampshire averageNew Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
1.3%
49% better than New Hampshire averageNew Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
7.6%
35% worse than New Hampshire averageNew Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than New Hampshire averageNew Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
10.8%
38% better than New Hampshire averageNew Hampshire average: 17.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
In line with New Hampshire averageNew Hampshire average: 96.0%
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%
Number of hospitalizations per 1,000 long-stay resident days.
1.83
11% worse than New Hampshire averageNew Hampshire average: 1.65
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.
33% of new residents, usually for short-term rehab.
17% of new residents, often for short stays.
50% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
21Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
Historical financial and operational data for St Joseph Residence Inc based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #55 / 58Payroll — State benchmarkedThis home is ranked 55th out of 58 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
On-site Medical Care and Health Services
Most residents stay for extended periods and receive ongoing daily care.
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.
Add your location
St Joseph Residence Inc is located in Manchester, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
| 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 (Mammoth Road) | 22
Facility
22
NH AVG
71
Rank
#130 / 169 |
100.0%
Facility
100.0%
NH AVG
81.1%
Rank
#1 / 58 | +23% | 7.23
Facility
7.23
NH AVG
4.28
Rank
#2 / 58 | +13% | +69% | $0
Facility
$0
NH AVG
$36.9k
Rank
#1 / 59 | 10
Facility
10
NH AVG
14.4
Rank
#18 / 59 | 3.3
Facility
3.3
NH AVG
4.0
Rank
#21 / 59 | - | 22 |
40
Facility
40
NH AVG
31
Rank
#84 / 229 | Jacqueline Lambert | $4.6M
Facility
$4.6M
NH AVG
$14.7M
Rank
#55 / 58 | $3.4M
Facility
$3.4M
NH AVG
$5.7M
Rank
#55 / 58 | 74.7%
Facility
74.7%
NH AVG
39.8%
Rank
#8 / 58 | 305088 | ||||
| Ridgewood Center |
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).
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. | Bedford | 148
Facility
148
NH AVG
71
Rank
#14 / 169 |
64.5%
Facility
64.5%
NH AVG
81.1%
Rank
#54 / 58 | -21% | 3.40
Facility
3.40
NH AVG
4.28
Rank
#41 / 58 | +26% | -20% | $15.6k
Facility
$15.6k
NH AVG
$36.9k
Rank
#49 / 59 | 11
Facility
11
NH AVG
14.4
Rank
#24 / 59 | 2.8
Facility
2.8
NH AVG
4.0
Rank
#14 / 59 | 1 | 113 |
55
Facility
55
NH AVG
31
Rank
#51 / 229 | Chantal Djakonan | $15.9M
Facility
$15.9M
NH AVG
$14.7M
Rank
#23 / 58 | $8.3M
Facility
$8.3M
NH AVG
$5.7M
Rank
#23 / 58 | 52.1%
Facility
52.1%
NH AVG
39.8%
Rank
#32 / 58 | 305052 |
St Joseph Residence Inc is in the Mammoth Road neighborhood of Manchester.
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.
According to NH state health department records, St Joseph Residence Inc's license number is 2470.
According to NH state health department records, St Joseph Residence Inc's license expires on June 30, 2026.
St Joseph Residence Inc's occupancy is 100%.
Marlene Makowski is the administrator of St Joseph Residence Inc.
St Joseph Residence Inc has 22 beds.
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