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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.
Villa Crest Nursing and Retirement Center in Manchester is a sanctuary for the elderly seeking a peaceful haven. This remarkable home offers a range of lifestyle options, including assisted living, independent living, and nursing homes. For residents requiring specialized care, Villa Crest offers diabetic care, staffing and ancillary services, and non-ambulatory care.
The indoor common areas exude comfort and sophistication, providing ample space for residents to mingle and relax. The home also participates in Medicare and Medicaid, ensuring that residents have access to the care they need. With an unwavering commitment to providing compassionate care, Villa Crest Nursing and Retirement Center is a peaceful abode where new connections and interests could grow and last.
Nathan O’Bara serves as the Administrator at Villa Crest, leading the team dedicated to providing compassionate and professional care. He is committed to ensuring a warm and supportive environment for all residents and staff.
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 23rd out of 62 homes in New Hampshire.| Staff type | Hours / day | vs state avg |
|---|---|---|
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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.
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27m per day | ▼ 40% State avg: 45m per day · National avg: 41m per day |
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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.
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1h 3m per day | ▲ 37% State avg: 46m per day · National avg: 52m per day |
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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.
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2h 30m per day | ▲ 5% State avg: 2h 23m per day · National avg: 2h 21m per day |
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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.
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3h 52m per day | ▲ 13% State avg: 3h 26m per day · National avg: 3h 26m per day |
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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.
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3m per day | ▼ 25% State avg: 4m per day · National avg: 4m per day |
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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.
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21m per day | ▼ 32% State avg: 31m per day · National avg: 29m per day |
Occupancy between 85% and 95% suggests balanced demand.
Most residents typically stay for a few weeks or months before returning home or moving on.
88% of new residents, usually for short-term rehab.
9% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #19 / 60Payroll — state benchmarkedThis home is ranked 19th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Villa Crest Nursing and Retirement Center is administrated by Nathan E O\'bara.
Housing Options: Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New Hampshire average: 17 deficiencies
The most recent inspection on July 31, 2025, identified deficiencies related to psychotropic medication dose reduction and dishwasher sanitizer levels. Earlier inspections also noted medication management issues, including insulin administration errors, improper use of psychotropic drugs, and infection control lapses, as well as problems with medication availability and storage during a complaint investigation in 2023. The main themes across reports involved medication management, particularly psychotropic and admission medications, and some concerns with infection control and food safety practices. The complaint investigation substantiated missed medication doses for a newly admitted resident and related communication issues. The inspection history shows ongoing challenges with medication protocols, with similar types of deficiencies appearing over time.
New Hampshire average 3.5
Last Health inspection on Jul 2025
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 9 citations resulted from standard inspections.
100% better than New Hampshire average
New Hampshire average: 0.2
0
100% better than New Hampshire average
New Hampshire average: 0.1
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 31, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 31, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 20, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 20, 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.
Villa Crest Nursing and Retirement Center is located in Manchester, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
3.3 miles from city center
Estimated distance in miles from Manchester's city center to Villa Crest Nursing and Retirement Center's address, calculated via Google Maps.
— 1.45 miles to nearest hospital (Fresenius Medical Care at Elliot Hospital)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
20% worse than New Hampshire average
New Hampshire average ratio: 1.87:1
0% compared with New Hampshire average
New Hampshire average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This role is partially covered by contractors.
Total hours from contractors
3,843 contractor hours this quarter
| Certified Nursing Assistant | 94 | 1 | 95 | 28,488 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 31 | 6 | 37 | 11,796 | 91 | 100% | 8.3 |
| Registered Nurse | 13 | 7 | 20 | 3,629 | 91 | 100% | 8.2 |
| Other Dietary Services Staff | 8 | 0 | 8 | 2,385 | 91 | 100% | 6.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 976 | 68 | 75% | 7.8 |
| RN Director of Nursing | 1 | 0 | 1 | 831 | 77 | 85% | 10.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 488 | 63 | 69% | 7.7 |
| Qualified Social Worker | 0 | 2 | 2 | 485 | 64 | 70% | 7.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 478 | 69 | 76% | 6.7 |
| Speech Language Pathologist | 0 | 3 | 3 | 478 | 62 | 68% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Feeding Assistant | 0 | 1 | 1 | 416 | 52 | 57% | 8 |
| Dietitian | 1 | 0 | 1 | 263 | 33 | 36% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 234 | 39 | 43% | 6 |
| Mental Health Service Worker | 1 | 0 | 1 | 232 | 29 | 32% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 198 | 27 | 30% | 7.3 |
| Medical Director | 0 | 1 | 1 | 78 | 26 | 29% | 3 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
122
Residents meet regularly to discuss policies, care quality, 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.
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.
10.0
12% better than New Hampshire average
New Hampshire average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.6
11% better than New Hampshire average
New 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
21.8%
In line with New Hampshire average
New Hampshire average: 21.9%
Percent of long-stay residents whose ability to move independently worsened
18.0%
11% better than New Hampshire average
New Hampshire average: 20.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.2%
18% better than New Hampshire average
New Hampshire average: 27.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
38% better than New Hampshire average
New Hampshire average: 4.6%
Percent of long-stay high risk residents with pressure ulcers
1.5%
67% better than New Hampshire average
New Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
2.0%
22% better than New Hampshire average
New Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
6.1%
9% worse than New Hampshire average
New Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
7.2%
13% better than New Hampshire average
New Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
12.8%
26% better than New Hampshire average
New Hampshire average: 17.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with New Hampshire average
New Hampshire average: 96.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with New Hampshire average
New Hampshire average: 98.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.06
36% better than New Hampshire average
New Hampshire average: 1.65
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.03
46% better than New Hampshire average
New Hampshire average: 1.90
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.9%
16% better than New Hampshire average
New Hampshire average: 83.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New Hampshire average
New Hampshire average: 1.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
18% better than New Hampshire average
New Hampshire average: 83.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
15.5%
30% better than New Hampshire average
New Hampshire average: 22.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.8%
52% better than New Hampshire average
New Hampshire average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
29% better than New Hampshire average
New Hampshire average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.9%
24% worse than New Hampshire average
New Hampshire average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.0%
5% better than New Hampshire average
New Hampshire average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
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| Villa Crest Nursing and Retirement 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).
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.
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.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. |
Manchester | 126 | 89.6% | +10% | 4.24 | -13% | -1% | 0 | 9 | 3.0 | - | 121 | - | 39 | Obara, Nathan | $20.1M | $6.7M | 33.4% | 305079 | ||||
| St. Teresa Rehabilitation and Nursing 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).
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. |
Manchester (Hanover Hill) | 51 | 75.7% | -7% | 4.71 | +6% | +10% | 0 | 14 | 4.7 | - | 43 | - | 56 | Rogers, Luanne | $7.5M | $2.4M | 32.5% | 305071 | ||||
| Mt. Carmel Rehabilitation and Nursing 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).
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. |
Manchester (Myrtle Street) | 120 | 85.5% | +5% | 4.71 | 0% | +10% | 0 | 10 | 3.3 | - | 112 | A+ | 81 | Bohunicky, Joseph | $19.8M | $5.8M | 29.1% | 305067 | ||||
| Hanover Hill Health Care 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).
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. |
Manchester (Hanover Hill) | 124 | 86.5% | +7% | 3.46 | +29% | -19% | 1 | 10 | 3.3 | 1 | 113 | A+ | 59 | Lee, Theodore | $21.1M | $8.0M | 38% | 305009 | ||||
| Maple Leaf Healthcare 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).
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. |
Manchester | 114 | - | - | - | - | - | - | - | - | 0 | - | - | - | - | - | 49 | - | - | - | - | - |
Historical financial and operational data for Villa Crest Nursing and Retirement Center based on CMS SNF Cost Reports.
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Villa Crest Nursing and Retirement Center has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NH state health department records, Villa Crest Nursing and Retirement Center's license number is 4619.
According to NH state health department records, Villa Crest Nursing and Retirement Center's license expires on December 31, 2026.
Nathan E O\'Bara is the administrator of Villa Crest Nursing and Retirement Center.
Villa Crest Nursing and Retirement Center has 126 beds.
Yes — there are 3 photos of Villa Crest Nursing and Retirement Center in the photo gallery on this page.
(603) 622-3262 will put you in contact with the team at Villa Crest Nursing and Retirement Center.
Thank you for your interest!
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Show Inspection Reports
