Mount Carmel Rehabilitation and Nursing Center
Manchester, New Hampshire · CCN 305067
13 surveys since 2011, 1 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 37
- Surveys
- 13
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 122
- Ownership
- Non profit - Church related
- Chain
- CATHOLIC CHARITIES NEW HAMPSHIRE
- County
- Hillsborough
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=16, floor 20).
Last survey on record
Jul 24, 2026
108 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.08 | 4.48 |
| Registered-nurse hours per resident day | 0.66 | — |
| Annual nurse turnover | 43.4% | 45.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D981.8% | E19.1% | F— |
| No harm, potential for minimal | A— | B19.1% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7612×
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F5521×
Ensure that residents are fully informed and understand their health status, care and treatments.
- F5541×
Allow residents to self-administer drugs if determined clinically appropriate.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6101×
Respond appropriately to all alleged violations.
In the surveyor’s words
From the most serious findings on record at Mount Carmel Rehabilitation and Nursing Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF812Jul 24, 2026
Based on observation, interview and record review, the facility failed to store food in accordance with professional standards for food service safety in 3 of 5 kitchenette refrigerators and 1 of 3 dining room refrigerators observed for a facility census of 109 residents. Findings include:Review on 7/22/26 of kitchenette and dining room refrigerator temperature logs revealed the following temperature that were out of range:2nd Floor Annex refrigerator:July 7th 43 degrees Fahrenheit (F) July 8th 48 degrees FJuly 9th 45 degrees FJuly 10th 48 degrees FJuly 11th 42 degrees FJuly 20th 45 degrees FJuly 21st 45 degrees F 2nd floor East Refrigerator:July 1st 45 degrees FJuly 5th 43 degrees FJuly 7th 45 degrees FJuly 8th 44 degrees FJuly 9th 43 degrees FJuly 10th 45 degrees FJuly 20th 46 degrees… […]
- No harm, potential for more than minimal, patternF880Oct 7, 2021
Based on observation, interview and record review, the facility failed to adhere to infection control practices regarding wearing eye protection per the Centers for Disease Control and Prevention (CDC) guidelines during the COVID-19 pandemic in a community with high transmission on 3 of 3 units observed. Findings include: Review on 10/7/21 of CDC website titled Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic updated 9/10/21, retrieved from https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html revealed, .1. […]
- No harm, potential for more than minimal, isolatedF554Jul 24, 2026
Based on observation, interview, and record review, the facility failed to ensure that a resident was assessed to self-administer medications for 1 of 1 resident reviewed for choices in a final sample of 22 residents. (Resident identifier is #5.)Findings include: Observation on 7/22/26 at approximately 2:03 p.m. of Resident #5's room revealed that there was a prescription inhaler, Albuterol Sulfate HFA (hydrofluoroalkane)108 (90 Base) MCG/ACT (micrograms per actuation), located on top of the resident's bedside table. Interview on 7/22/26 at approximately 2:03 p.m. with Resident #5 revealed that he/she kept the inhaler at bedside to self-administer daily. Interview on 7/24/26 at approximately 8:22 a.m. […]
- No harm, potential for more than minimal, isolatedF761Jul 24, 2026
Based on observation, record review, and interview, the facility failed to ensure medications were properly labeled with opening and discard dates to maintain safety and effectiveness for 2 of 3 medication carts observed. Findings include:Observation on 7/22/26 at approximately 9:00 a.m. of the 2nd floor [NAME] medication cart with Staff L (License Medication Nursing Assistant) revealed a Budesonide and Formoterol Fumarate Dihydrate inhalation Aerosol and one Incruse Ellipta inhalation without an open date or an open discard date. Review on 7/22/26 of the manufacturer's instruction for Budesonide and Formoterol Fumarate Dihydrate inhalation Aerosol revealed that when the counter shows zero (0) or 3 months after you take it out of its foil pouch, whichever comes first. […]
- No harm, potential for more than minimal, isolatedF880Jul 24, 2026
Based on observation, interview, and record review, the facility failed to implement infection control policies for 1 of 2 medication carts observed and for 1 of 2 residents reviewed for Transmission Based Precautions (TBP) in a final sample of 22 residents. (Resident identifiers is #5.) Findings include:Medication Cart (fourth floor back) Observation on 7/23/26 at approximately 8:02 a.m. revealed two personal beverages on the fourth floor back medication cart. Interview on 7/23/26 at approximately 8:16 a.m. with Staff J (Licensed Practical Nurse) confirmed the above findings. Observation on 7/23/26 at approximately 11:57 a.m. revealed Staff J eating a personal meal on top of the fourth floor back medication cart. […]
Read 21 findings in full →The most serious and the most recent: 21 of 37 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 24, 2026Standard and complaint4 findings
- Jul 24, 2025Standard2 findings
- May 22, 2024Standard5 findings
- Apr 27, 2023Standard3 findings
- Oct 7, 2021Complaint1 finding
- Apr 22, 2021Standard1 finding
- Jun 28, 2019Standard2 findings
- Aug 6, 2018Standard2 findings
Show the 5 earlier surveys
- May 11, 2017Standard5 findings
- Jan 9, 2014—5 findings
- Feb 12, 2013—3 findings
- Feb 24, 2012—3 findings · 1 harm
- Apr 7, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction