Home›New Hampshire›Hillsborough County›ST JOSEPH RESIDENCE
A+
Excellent

ST JOSEPH RESIDENCE

495 MAMMOTH RD · MANCHESTER, NH 03104

6036686011 · Non profit - Church related

22 beds20.9 residents69 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ST JOSEPH RESIDENCE receives an overall staffing grade of A+ (Excellent). With 6.2258 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 2.33 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 23.83% compared to weekdays. The facility has low agency staff usage (6.22% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Had 5 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
📊Staffing levels are highly variable day to day (consistency score: 0.9741). This means the care experience can be very different depending on the day.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
Total Nurse HPRD
6.2258hrs/resident/day▲ 2.33
CMS benchmark: 3.48
RN HPRD
1.0531hrs/resident/day▲ 0.37
Recommended: 0.75
Weekend Drop-off
23.83%
6.6753 weekday → 5.0848 weekend
⚠ Significant weekend reduction
Agency Staff
6.22%
1.53% of RN hours from contractors
Days with Zero RN
5days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
3.5708hrs/resident/day
Direct care aides
LPN HPRD
0.9374hrs/resident/day
Licensed practical nurses
Consistency
0.9741std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Hillsborough County Average+2.49 HPRD
3.74
06.23 HPRD
vs. New Hampshire State Average+2.27 HPRD
3.96
06.23 HPRD
vs. National Average+2.33 HPRD
3.90
06.23 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ST JOSEPH RESIDENCE ★
MANCHESTER · This facility
—
A+
6.22581.0531★★☆☆☆
HANOVER HILL HEALTH CARE CENTER
MANCHESTER
0.1 mi
C
3.36880.4275★☆☆☆☆
SAINT TERESA REHABILITATION & NURSING CENTER
MANCHESTER
0.4 mi
B
4.03970.6834★★★★☆
MOUNT CARMEL REHABILITATION AND NURSING CENTER
MANCHESTER
1.1 mi
B
4.26570.663★★★★☆
MAPLE LEAF HEALTH CARE CENTER
MANCHESTER
1.2 mi
C
3.22330.5126★★★★☆
VILLA CREST NURSING AND RETIREMENT CENTER
MANCHESTER
1.3 mi
C
4.00030.4471★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
10
Total Deficiencies
$0
Fines Assessed
Oct 31, 2024Health
4 deficiencies cited
▼
Nov 8, 2023Health
4 deficiencies cited
▼
Dec 21, 2022Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.