Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Villa Crest Nursing And Retirement Center during CMS and state inspections, most recent first.
Staff failed to ensure proper sanitization of dishes when dietary aides used a low-temperature chemical sanitizing dishwasher without verifying chlorine levels, resulting in no detectable chlorine during multiple tests. Facility procedures and manufacturer instructions requiring specific sanitizer concentrations and temperature were not followed.
A resident with dementia and no recent psychiatric or behavioral concerns continued to receive an antipsychotic medication without an attempted gradual dose reduction (GDR), despite facility policy and regulatory requirements. Staff confirmed no GDR was attempted and no clinical contraindication was documented, with the decision influenced by the resident's DPOA refusing GDR.
The facility did not ensure that laundry staff wore gowns when handling soiled linen, contrary to CDC guidelines and facility policy. Observations and interviews revealed that gowns were not available or used in the laundry room, and there was a discrepancy between the facility's expectations and actual practices regarding gown usage.
A facility failed to follow professional standards when administering insulin to a resident. An LPN was observed holding a Lantus Glargine insulin pen for only 4 seconds, instead of the recommended 10 seconds, as per the manufacturer's instructions. This was confirmed by the LPN during an interview.
The facility failed to limit PRN psychotropic drugs to 14 days for two residents. One resident received Lorazepam Intensol for anxiety/restlessness without a 14-day stop date or evaluation for continued use. Another resident had a similar PRN order for restlessness/agitation, which was not used, but also lacked a 14-day stop date or evaluation. The facility's policy requires documentation for extending PRN orders beyond 14 days, which was not followed.
Failure to Sanitize Dishes per Manufacturer's Instructions in Kitchen
Penalty
Summary
The facility failed to ensure that dishes were sanitized according to the manufacturer's instructions in the kitchen. During an observation, two dietary aides were seen using a low-temperature chemical sanitizing dishwasher. When the Dietary Services Director tested the chemical sanitizer (chlorine) with a test strip, the strip did not change color, indicating a lack of chlorine. The Director stated that the sanitizer needed to be replaced as it was low, and confirmed that the dietary aides had not checked the chemical sanitizer before washing dishes. After a new sanitizer bottle was attached and the dishwasher was put back into use, a retest still showed no chlorine present, and the aides had not retested the chlorine before resuming dishwashing. A review of the facility's procedures indicated that staff were required to ensure detergent and sanitizer dispensers were properly loaded and to check and record chemical concentrations, following manufacturer recommendations. The manufacturer's instructions for the dishwasher specified a minimum temperature of 120 degrees Fahrenheit and a required 50 parts per million (ppm) of available chlorine rinse. These requirements were not met during the observed dishwashing process.
Failure to Attempt Gradual Dose Reduction of Psychotropic Medication
Penalty
Summary
A deficiency was identified when a resident with a diagnosis of dementia with psychotic disturbance was maintained on Risperdal (an antipsychotic) for an extended period without a documented attempt at gradual dose reduction (GDR), as required. The resident had been stable, with no acute concerns or documented psychiatric or behavioral issues, and nursing progress notes did not indicate any behaviors that would contraindicate a GDR. Despite this, the resident's Durable Power of Attorney (DPOA) consistently refused attempts at GDR, and the facility did not document any clinical contraindication for not attempting a reduction. Interviews with facility staff confirmed that no GDR had been attempted and that the resident had not exhibited psychotic or hallucinatory episodes. The facility's own policy requires consideration of medication tapering when a resident's condition is stable, and mandates GDR for residents on psychotropic medications unless clinically contraindicated. The lack of documented clinical justification for not attempting a GDR constituted a failure to comply with both facility policy and regulatory requirements.
Failure to Use Gowns in Laundry Department
Penalty
Summary
The facility failed to adhere to infection control and prevention guidelines by not ensuring that laundry staff wore gowns when handling soiled linen and clothing. Observations revealed that no gowns were available in the main laundry room for staff to use when sorting and loading soiled laundry into the washing machine. Interviews with laundry aides and the housekeeping supervisor confirmed that it was not the facility's practice to use gowns, except when handling linen from residents on transmission-based precautions. This practice was contrary to the facility's policy and CDC guidelines, which require the use of personal protective equipment, including gowns, when handling potentially contaminated laundry. Further interviews with the infection preventionist and the director of nurses highlighted a discrepancy between the facility's expectations and actual practices. The director of nurses expected laundry staff to wear gowns when handling contaminated linen, while the infection preventionist stated that gowns were only necessary for residents on transmission-based precautions. The corporate director of nurses indicated that the facility follows CDC guidelines, yet the lack of gown usage in the laundry department suggests a failure to implement these guidelines effectively.
Failure to Follow Insulin Administration Guidelines
Penalty
Summary
The facility failed to adhere to professional standards of quality in the administration of insulin for one resident. During an observation, a Licensed Practical Nurse (LPN) was seen administering insulin using a Lantus Glargine insulin pen. The LPN held the pen for only 4 seconds after pressing the injection button, contrary to the manufacturer's instructions, which specify that the button should be held down until the dose window returns to 0, and the user should count to 10 before removing the pen to ensure the full dose is delivered. This deviation from the manufacturer's guidelines was confirmed by the LPN during an interview conducted at the time of the observation.
Failure to Limit PRN Psychotropic Drugs to 14 Days
Penalty
Summary
The facility failed to ensure that as needed (PRN) psychotropic drugs were limited to 14 days for two residents. For Resident #112, a PRN order for Lorazepam Intensol 0.5 mg by mouth every 4 hours for anxiety/restlessness was initiated on 5/28/2024. A review of the June Medication Administration Record (MAR) showed that three doses were administered in June. An interview with the Director of Nursing (Staff B) confirmed that there was no 14-day stop date or evaluation for continued use since the origination date, which should have been conducted. Similarly, for Resident #11, a PRN order for Lorazepam Intensol 0.5 mg every 4 hours for restlessness/agitation was initiated on 5/10/2024. Although the medication was not used, the same issue was identified: there was no 14-day stop date or evaluation for continued use. Staff B confirmed this oversight during an interview. The facility's policy on psychotropic medication, dated 9/2022, requires documentation of rationale and duration if a PRN order is to be extended beyond 14 days, which was not adhered to in these cases.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 449 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Manchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Holy Cross Health Center | 1.2 mi | ★★★★★ | 4 | 0 |
| St Joseph Residence | 1.3 mi | ★★★★★ | 10 | 0 |
| Hanover Hill Health Care Center | 1.3 mi | ★★★★★ | 2 | 0 |
| Saint Teresa Rehabilitation & Nursing Center | 1.5 mi | ★★★★★ | 7 | 0 |
| Mount Carmel Rehabilitation And Nursing Center | 2.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Villa Crest Nursing And Retirement Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.