Courville At Manchester
44 West Webster Street, Manchester, NH 03104603647590076 certified beds · 67 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
20
● 1● 17● 2
Penalties · 3 yrs
$35,270
2 fines
Last survey
2026-05-06
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · New Hampshire Health Facilities Administration · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-06 | Complaint | 012 | CMS-2567 (Care Compare) | — |
| 2026-02-19 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-01-17 | Standard | 180 | CMS-2567 (Care Compare) | — |
| 2024-02-15 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · New Hampshire Health Facilities Administration publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-06-19Record 305057-20260506-F760
F880Provide and implement an infection prevention and control program.Scope/severity JHarm
Infection control
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-05-18Record 305057-20260506-F880
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-12Record 305057-20260506-F761
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-16Record 305057-20260219-F561
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-12Record 305057-20260219-F604
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-12Record 305057-20260219-F658
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 305057-20260219-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-11Record 305057-20260219-F812
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 305057-20250117-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 305057-20250117-F609
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-05Record 305057-20250117-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-04Record 305057-20250117-F677
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 305057-20250117-F730
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-04Record 305057-20250117-F758
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-04Record 305057-20250117-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 305057-20250117-F947
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-02-07Record 305057-20250117-F641
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 305057-20240215-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 305057-20240215-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 305057-20240215-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-05-06 | Civil money penalty | $13,065 | CMS · Penalties |
| 2026-05-06 | Civil money penalty | $22,205 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.92
Facility
New Hampshire
National
New Hampshire 0.78 · National 0.69
Total nurse hours per resident day4.18
Facility
New Hampshire
National
New Hampshire 3.90 · National 3.86
Weekend total nurse hours3.73
Facility
New Hampshire
National
New Hampshire 3.47 · National 3.42
Total nursing staff turnover44%
Facility
New Hampshire
National
New Hampshire 44% · National 46%
Registered nurse turnover25%
Facility
New Hampshire
National
New Hampshire 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | New Hampshire | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.6% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.6% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.7% | 17.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 2.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 8.1% | 22.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.8% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 18.7% | 19.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Richard Courville 1999 Revocable Trust, As Amended Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | — | — |
| Courville, Adam Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | — | — |
| Courville, Michael Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | — | — |
| Courville, Ryan Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | — | — |
| Didomenico, Paulette Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Goldman, Samuel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| La Quinta Holdings I, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rifkin, Alyssa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| The Courville Company Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Courville, Adam Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Courville, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Courville, Ryan Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Courville, Ryan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Courville, Ryan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Courville, Ryan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Didomenico, Paulette Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goldman, Samuel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| La Quinta Holdings I, Inc. Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Richard Courville 1999 Revocable Trust, As Amended Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rifkin, Alyssa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Courville Company Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New Hampshire.
No county cost figures on file for Hillsborough.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Maple Leaf Health Care Center Manchester | 0.9 mi | 2026-03-04 | 250 |
| Mount Carmel Rehabilitation And Nursing Center Manchester | 0.9 mi | 2025-07-24 | 160 |
| Saint Teresa Rehabilitation & Nursing Center Manchester | 1.6 mi | 2026-04-29 | 3120 |
| Hanover Hill Health Care Center Manchester | 2.0 mi | 2026-03-10 | 151 |
| St Joseph Residence Manchester | 2.0 mi | 2025-12-23 | 380 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |