Hackett Hill Center

    191 Hackett Hill Rd, Manchester, NH 03102
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Clean rehab, attentive skilled staff

    I stayed here for rehab and had a very good experience. The facility is clean and welcoming with wide hallways, nice common areas, and strong security at check-in. Staff - nurses, aides, LNAs and therapists - were attentive, communicative and skilled; the therapy and recreation programs were motivating and helped my recovery, so I would return.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    3.85·(99)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.2
    • Staff

      3.7
    • Meals

      2.2
    • Amenities

      3.8
    • Value

      1.0

    Pros

    • Effective physical and occupational therapy services
    • Compassionate nursing staff and licensed nursing assistants
    • Engaging and varied recreation/activity program
    • Welcoming front-desk and reception procedures
    • Well-maintained common areas and wide hallways
    • Strong security check-in process
    • Supportive administrative systems for staff development
    • Positive hospice and end-of-life support in some cases
    • Prompt, attentive care documented by some families
    • Accessible outdoor/common spaces and outings

    Cons

    • Inconsistent staffing levels and scheduling
    • Delays in responding to resident call bells and requests
    • Variable cleanliness and housekeeping practices
    • Incontinence-care delivery gaps
    • Medication-administration and discharge-planning inconsistencies
    • Weak family communication and incident-notification processes
    • Property-management and personal-belongings tracking lapses
    • Billing, documentation, and privacy-procedure weaknesses
    • Inconsistent meal quality and dietary-adherence
    • Gaps in fall-prevention and transfer-safety practices
    • Inconsistent infection-control and outbreak-response practices
    • Variability in staff conduct and communication tone

    Summary of reviews

    Reviews of Hackett Hill Center show a highly mixed set of experiences, with clear strengths in therapy and activities alongside repeated operational concerns. Many families and patients praised the rehabilitation teams — physical and occupational therapists — for producing measurable functional gains and motivating patients to return for further therapy. Recreation programming, group exercise with music, outings, and a generally warm social environment were frequently described as highlights that supported engagement and morale. Several reviewers also praised individual nurses, licensed nursing assistants, and front-desk staff for being caring, attentive, and welcoming.

    At the same time, there is a recurring pattern of inconsistent clinical and caregiving operations. Staffing levels and scheduling appear variable; reviewers described delays in responding to call bells and extended waits for assistance. These delays were linked to issues such as inconsistent bathing and hygiene routines and concerns about skin-integrity management. Medication-administration and discharge-planning processes were also flagged, including examples of medication errors, laxative use not aligned with symptoms, and post-discharge complications that necessitated emergency care.

    Communication and administrative practices are another area of divergence. Some reviewers noted strong administrative support for staff, ongoing education, and a positive workplace culture; others described unresponsive management, disrespectful family interactions, poor documentation, and billing practices that lacked privacy or clarity. There are also specific operational weaknesses raised around property and personal-belongings handling, with instances of missing or mixed clothing and assistive devices. A few reviews referenced actions taken with oversight agencies, suggesting families have pursued formal complaints in some cases.

    Facility and dining experiences vary across reviewers. Many described clean, well-maintained common areas, wide hallways, and a comfortable environment with secure check-in. Conversely, others reported odor concerns in parts of the building, inconsistent housekeeping after certain hours, cold or inconsistent meal service, and occasional lapses in following dietary guidelines. Infection-control and outbreak-response practices were questioned in a small number of reviews, and there were mentions of privacy and documentation lapses that raise procedural concerns.

    Notable patterns to weigh when evaluating Hackett Hill Center include the contrast between strong therapy/recreation outcomes and recurrent operational inconsistencies: responsiveness to calls, hygiene and housekeeping reliability, medication and discharge controls, and family communication. For prospective residents and families, a targeted tour and specific questions can help assess current performance: ask about staffing ratios, call-bell response times, incontinence and skin-care protocols, medication reconciliation and discharge processes, personal-belongings tracking, housekeeping schedules, infection-control policies, and how the facility notifies families about incidents. Speaking directly with the therapy and recreation teams and reviewing recent inspection or complaint records may also clarify whether the facility’s stronger elements are consistent and whether the operational issues have been addressed.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Hackett Hill Center

    Hackett Hill Center is located at 191 Hackett Hill Rd, Manchester, NH, 03102.

    About Hackett Hill Center

    Hackett Hill Center sits over at 191 Hackett Hill Rd in Manchester, New Hampshire, and you'll find that they try to make things nice and comfortable for folks who need a bit more help as they get older, whether that's assisted living, skilled nursing, memory care, or even rehab right after a hospital stay, and when you go inside you see common rooms for relaxing, a dining room where they serve up meals that match all sorts of dietary needs like allergies or diabetes, not to mention private and semi-private rooms with their own bathrooms meaning people have a bit more privacy when needed, and they do their best to look after seniors with Alzheimer's or other memory troubles with extra safety measures like security alarms and special layouts to help prevent anyone from wandering where they oughtn't. People living there get help with things like bathing, dressing, and moving around, and if they've just been through a rough patch, there's a rehab clinic and programs like Powerback Rehabilitation and the ACCELerate Skilled Nursing and Rehabilitation setup, so if someone's been in the hospital and needs to get their strength back, the team of nurses and therapists help with that through physical, occupational, and speech therapy, and they offer outpatient rehab too. There's a Transitional Care Unit for folks who need extra attention for things like heart issues, and Hackett Hill Center's even earned the Skilled Nursing Facility Heart Failure Certification from the American Heart Association®, which not every place gets, and they also offer cardiac care, palliative support, and all sorts of special medical services, whether that's wound care, audiology, or diabetes management. There are on-site medical directors and nurse practitioners, and you'll see a steady rotation of happy, helpful staff-folks say the team's joyful and kind, which makes a difference when you're spending your days there, and everyone from nurses to aides seem to form good bonds with residents. They offer fun activities, movie nights, organized social events, arts and crafts, and religious or cultural programs, so there's usually something going on, and for those who like the outdoors, the gardens and walking paths are kept tidy, and there's a spot for a bit of planting if you like that sort of thing. The on-site salon means you don't have to venture out for a haircut or a bit of grooming, and laundry plus dry cleaning, housekeeping, and even mail service keep life running smoothly, and if you want to bring your pet, pets are allowed. Meals are restaurant-style, and if someone wants Kosher food, or a private dining room for family, that's available too, and there's always staff on hand to coordinate moving in or finding the right fit, but right now they're not accepting new patients. The place has about 70 beds for skilled nursing and rehabilitation, rooms with cable TV, phone, and Wi-Fi, and even with all this, the building stays pretty clean and welcoming, and you'll find both private and group areas for quiet time or socializing. Folks seem to appreciate having an environment that helps with independence while still giving needed support, and if a caregiver needs a break, the respite care programs step in for short stays. Hackett Hill Center's rating comes in at 4.0 with 48 reviews, and it's received recognition like the Best of Senior Living and Best of Senior Living All Star for high-quality care and satisfaction, plus they've got partnerships with senior living advisors to help match people with the right services when the time comes. English is the spoken language, interpreter services are available, and there's transportation and parking for getting out to appointments or events. All in all, Hackett Hill Center offers a wide mix of care and support in a setting where seniors can find community, comfort, and skilled services for a range of needs.

    People often ask...

    Hackett Hill Center offers assisted living, memory care, and skilled nursing.

    There are 10 photos of Hackett Hill Center on Mirador.

    The full address for this community is 191 Hackett Hill Rd, Manchester, NH 03102.

    No, Hackett Hill Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Hackett Hill Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hackett Hill Center directly. There is no cost for this service. We are compensated by the community you select.

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