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Nursing Home

Villa Crest Nursing and Retirement Center

Nursing Home

Villa Crest Nursing and Retirement Center

1276 Hanover St, Manchester, NH 03104 View map
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 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.
5/5
New Hampshire average: 3.0/5
Health Inspection Info 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.
4/5
New Hampshire average: 2.9/5
Staffing Info 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.
4/5
New Hampshire average: 3.1/5
Quality Measures Info 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.
5/5
New Hampshire average: 3.1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 15m per day

This home provides 1% more nursing time per resident than the New Hampshire average.

New Hampshire average: 4h 11m 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
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

Privately-owned community
Operated by a business corporation.
Home revenue
$20.1M
Profit
$1.3M
Privately-owned community Operated by a business 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 details

Facility type
Nursing Home
Status Active
Issuance January 1, 2026
Expiration December 31, 2026
County: Hillsborough

Additional licensing details

License number: 4619

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

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.

3 visits/inspections

1 visits/inspections triggered by complaints

Results

3 with issues

0 without issues

Latest inspection

Date:July 31, 2025
Type:Annual Inspection

9 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Health Inspection History

Inspections
Total health inspections 3

New Hampshire average 3.5


Last Health inspection on Jul 2025

Total health citations 9

New Hampshire average 14.4

Citations per inspection
3

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.

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 Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jul 31, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jul 31, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jun 20, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jun 20, 2024
Corrected

Compare Nursing Homes around Manchester The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.

5 facilities compared · CMS & NH Dept. of Health data · Updated Mar 2026

Villa Crest Nursing and Retirement 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.

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.

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).

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
165
89.6%
+10%
4.24
-13%
-1%
0
9
0
121
-
39
Obara, Nathan
$19,9M
$6,7M
33.8%
305079
Private Rooms
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
0
43
-
56
Rogers, Luanne
$6,7M
$2,4M
36.4%
305071
Private Rooms
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
120
85.5%
+5%
4.71
0%
+10%
0
10
0
112
A+
81
Bohunicky, Joseph
$18,7M
$5,8M
30.9%
305067
Private Rooms
Hanover Hill Health Care 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.

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 (Hanover Hill)
124
86.5%
+7%
3.46
+29%
-19%
1
10
1
113
A+
59
Lee, Theodore
$20,9M
$8,0M
38.4%
305009
Private Rooms
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
0
0
-
-
-
-
-
-
-
-
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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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 183
Employees 154
Contractors 29
Staff to resident ratio 1.50:1
20% worse than New Hampshire average

New Hampshire average ratio: 1.87:1

Avg staff/day 75
Average shift 7.8 hours
0% compared with New Hampshire average

New Hampshire average: 7.8 hours

Total staff hours (quarter) 53,404
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 20
Average shift length Info 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.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 37
Average shift length Info 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.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 95
Average shift length Info 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.

Contractor staffing

Total hours from contractors

7.2%

3,843 contractor hours this quarter

Registered Nurse: 7 Licensed Practical Nurse: 6 Speech Language Pathologist: 3 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Certified Nursing Assistant: 1 Medical Director: 1 Feeding Assistant: 1 Occupational Therapy Assistant: 1
Staff by category
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
95 Certified Nursing Assistant
% of Days 100%
37 Licensed Practical Nurse
% of Days 100%
20 Registered Nurse
% of Days 100%
8 Other Dietary Services Staff
% of Days 100%
2 Physical Therapy Aide
% of Days 75%
1 RN Director of Nursing
% of Days 85%
1 Administrator
% of Days 70%
1 Occupational Therapy Aide
% of Days 69%
1 Clinical Nurse Specialist
% of Days 68%
2 Physical Therapy Assistant
% of Days 69%
2 Qualified Social Worker
% of Days 70%
3 Respiratory Therapy Technician
% of Days 76%
3 Speech Language Pathologist
% of Days 68%
1 Nurse Practitioner
% of Days 60%
1 Feeding Assistant
% of Days 57%
1 Dietitian
% of Days 36%
1 Occupational Therapy Assistant
% of Days 43%
1 Mental Health Service Worker
% of Days 32%
1 Dental Services Staff
% of Days 30%
1 Medical Director
% of Days 29%

Facility Characteristics

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

Total census
122 residents
Residents by payment source
Medicare
16 residents (13.1%)
Medicaid
77 residents (63.1%)
Private pay or other
29 residents (23.8%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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
Significantly above average New Hampshire avg: 3.0 Info 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 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
Significantly above average New Hampshire avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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.