Villa Crest Nursing and Retirement Center

Nursing Home
Overview of Villa Crest Nursing and Retirement Center

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.

Managed by Nathan O’Bara

Administrator

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
New Hampshire average: 3.0/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
New Hampshire average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
New Hampshire average: 3.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
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.
4h 15m per day

This home provides 1% less nursing time per resident than the state average.

New Hampshire average: 4h 17m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 27m per day 45m per day 41m per day
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 1h 3m per day 46m per day 52m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 30m per day 2h 23m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 39m per day 3h 26m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 3m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 21m per day 31m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 126

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the New Hampshire average
Occupancy rate 89.6%
Residents per day (avg) 121
Occupancy rate
89.6%
Residents per day (avg)
121

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

88% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

9% of new residents, often for short stays.

Typical stay 3 - 4 years

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 16 - 17 years

Finances and operations

Proprietary home
Corporation
Home revenue
$20.1M
Profit
$1.3M
Proprietary home Corporation
Home revenue
$20,128,947.00
Profit
$1,329,723.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.7M
33.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$12.1M
Total costs $18.8M
Bed community size
126-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 39 / 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 1, 2026
License Expiration
December 31, 2026

Additional licensing details

License number: 4619
County: Hillsborough

Ownership & operating entity

Villa Crest Nursing and Retirement Center is administrated by NATHAN E O\'BARA.

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing

Amenities & Lifestyle

Modern
semi-private or private room options
complimentary wifi
phone and television
beautiful outdoor courtyard.

Programs & Activities

Activities
Full schedule of therapeutic and recreational programming.
Specific Programs
Rehabilitation, Assisted Living, Activities, Medical Management, Fine Dining

Dining & Nutrition

Food Description
Wholesome, tasty meals and snacks are served to suit cultural preferences and dietary needs.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Villa Crest Nursing and Retirement Center

Assisted Living Memory Care Nursing Home
Contact Villa Crest Nursing and Retirement Center

Compare Nursing Homes around Manchester

The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
Villa Crest Nursing and Retirement Center
AL

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

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

RC

Respite Care

Manchester
165
No
-
39
OBARA, NATHAN
89.6%
$19,940,613.00
$6,733,103.00
33.8%
120.70
5/5
4.2436
4/5
4/5
5/5
-
9
-
-13%
-1%
+10%
Private Rooms
St. Teresa Rehabilitation and Nursing Center
SNF

Nursing Home 24/7 care needed

AL

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

Manchester (Hanover Hill)
51
No
-
56
ROGERS, LUANNE
75.7%
$6,692,338.00
$2,433,645.00
36.4%
43.10
4/5
4.7087
4/5
4/5
3/5
-
14
-
+6%
+10%
-7%
Private Rooms
Mt. Carmel Rehabilitation and Nursing Center
SNF

Nursing Home 24/7 care needed

AL

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

Manchester
120
No
A+
81
BOHUNICKY, JOSEPH
85.5%
$18,675,879.00
$5,762,680.00
30.9%
112.30
4/5
4.7076
4/5
4/5
3/5
-
10
-
0%
+10%
+5%
Private Rooms
The Courville at Manchester
AL

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

SNF

Nursing Homes 24/7 care needed

Manchester (North End)
76
No
A+
71
LEBOEUF, RICHARD
89.8%
$12,465,011.00
$4,790,295.00
38.4%
67.10
2/5
4.2426
2/5
4/5
4/5
1
22
-
+34%
-1%
+11%
Private Rooms
Hanover Hill Health Care Center
AL

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

SNF

Nursing Homes 24/7 care needed

Manchester (Hanover Hill)
124
No
A+
59
LEE, THEODORE
86.5%
$20,855,289.00
$8,012,085.00
38.4%
113.30
1/5
3.4644
1/5
2/5
4/5
1
10
1
+29%
-19%
+7%
Private Rooms

Places of interest near Villa Crest Nursing and Retirement Center

Address 3.3 miles from city center — 1.45 miles to nearest hospital (Fresenius Medical Care at Elliot Hospital)

Address 1276 Hanover St, Manchester, NH 03104

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

183
Total Staff
154
Employees
29
Contractors
53,404
Total Hours (Quarter)
75
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse208.2 Yes
Licensed Practical Nurse378.3 Yes
Certified Nursing Assistant957.8 Yes
Staff by Category
Administration
2 staff
6.6hs shift avg
Nursing Staff
154 staff
8hs shift avg
Physicians & Practitioners
2 staff
8hs shift avg
Therapy Services
12 staff
7.4hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
7.6hs shift avg
Dietary Services
9 staff
6.3hs shift avg
Other Services
2 staff
7.7hs shift avg
Contractor Analysis
7.2%
of total hours from contractors
3,843 contractor hours this quarter
Licensed Practical Nurse: 6 Certified Nursing Assistant: 1 Registered Nurse: 7 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Speech Language Pathologist: 3 Respiratory Therapy Technician: 3 Qualified Social Worker: 2 Medical Director: 1 Feeding Assistant: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant9419528,48891100%7.8
Licensed Practical Nurse3163711,79691100%8.3
Registered Nurse137203,62991100%8.2
Other Dietary Services Staff8082,38591100%6.2
Physical Therapy Aide0229766875%7.8
RN Director of Nursing1018317785%10.8
Administrator1015126470%8
Occupational Therapy Aide1015046369%8
Clinical Nurse Specialist1014966268%8
Physical Therapy Assistant0224886369%7.7
Qualified Social Worker0224856470%7.6
Respiratory Therapy Technician0334786976%6.7
Speech Language Pathologist0334786268%7.7
Nurse Practitioner1014405560%8
Feeding Assistant0114165257%8
Dietitian1012633336%8
Occupational Therapy Assistant0112343943%6
Mental Health Service Worker1012322932%8
Dental Services Staff1011982730%7.3
Medical Director011782629%3

Health Inspection History

Inspections
Total health inspections 3

New Hampshire average 3.5


Last Health inspection on Jul 2025

Total health citations 9
Citations per inspection
3

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 9 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

9 moderate citations More info New Hampshire average: 12

0 minor citations More info New Hampshire average: 2
Citations history (last 3 years)
Abuse/Neglect moderate citation Jul 31, 2025
Corrected

Nutrition moderate citation Jul 31, 2025
Corrected

Infection Control moderate citation Jun 20, 2024
Corrected

Pharmacy moderate citation Jun 20, 2024
Corrected

Facility Characteristics

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

Ownership: For-Profit LLC
Resident Census by Payment Source
122 Total Residents
Medicare 16 (13.1%)
Medicaid 77 (63.1%)
Private Pay/Other 29 (23.8%)
Programs & Services
Residents' 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. 10.0
12% better 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. 20.6
11% 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 21.8%
In line with New Hampshire average

New Hampshire average: 21.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.0%
11% 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 22.2%
18% 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 2.8%
38% better 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%
67% better than New Hampshire average

New Hampshire average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.0%
22% 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 6.1%
9% worse than New Hampshire average

New Hampshire average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.2%
13% better than New Hampshire average

New Hampshire average: 8.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.8%
26% 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 100.0%
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 100.0%
In line with New Hampshire average

New Hampshire average: 98.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.06
36% better than New Hampshire average

New Hampshire average: 1.65

ED visits per 1,000 days Info 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

Short-stay resident measures
Pneumococcal Vaccine Info 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%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than New Hampshire average

New Hampshire average: 1.6%

Influenza Vaccine Info 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%

Re-hospitalized after SNF stay Info 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%

Emergency department visits Info 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%

Falls with major injury Info 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%

Ability to care for self at discharge Info 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%

Successful return to home or community Info 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%

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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