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C
Below Standard

VILLA CREST NURSING AND RETIREMENT CENTER

1276 HANOVER STREET · MANCHESTER, NH 03104

6036223262 · For profit - Limited Liability company

126 beds120.8 residents174 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

VILLA CREST NURSING AND RETIREMENT CENTER receives an overall staffing grade of C (Below Standard). With 4.0003 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4471 HPRD, below the recommended 0.75. It is 0.10 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 11.5% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4471 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
4.0003hrs/resident/day▲ 0.10
CMS benchmark: 3.48
RN HPRD
0.4471hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
11.5%
4.1347 weekday → 3.6591 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.4982hrs/resident/day
Direct care aides
LPN HPRD
1.055hrs/resident/day
Licensed practical nurses
Consistency
0.2733std 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+0.26 HPRD
3.74
04.00 HPRD
vs. New Hampshire State Average+0.04 HPRD
3.96
04.00 HPRD
vs. National Average+0.10 HPRD
3.90
04.00 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
VILLA CREST NURSING AND RETIREMENT CENTER ★
MANCHESTER · This facility
—
C
4.00030.4471★★★★★
HOLY CROSS HEALTH CENTER
MANCHESTER
1.2 mi
A
5.23260.8448★★★★★
ST JOSEPH RESIDENCE
MANCHESTER
1.3 mi
A+
6.22581.0531★★☆☆☆
HANOVER HILL HEALTH CARE CENTER
MANCHESTER
1.3 mi
C
3.36880.4275★☆☆☆☆
SAINT TERESA REHABILITATION & NURSING CENTER
MANCHESTER
1.5 mi
B
4.03970.6834★★★★☆
MOUNT CARMEL REHABILITATION AND NURSING CENTER
MANCHESTER
2.3 mi
B
4.26570.663★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
9
Total Deficiencies
$0
Fines Assessed
Jul 31, 2025Health
2 deficiencies cited
▼
Jun 20, 2024Health
3 deficiencies cited
▼
Jun 2, 2023Health
4 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.