Courville at Manchester

Nursing Home · Manchester, NH

CMS overall rating 2/5 SFF candidate For profit - Limited Liability company

CMS certification number305057
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

Contact & location

44 West Webster Street
Manchester, NH 03104
Hillsborough County
Phone
(603) 647-5900
ZIP code
03104 – all care providers

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Facility details

Certified beds
76
Residents per day
66.6 (88% occupied)
Ownership
For profit - Limited Liability company
Legal name
Courville at Manchester LLC
Medicare certified since
January 1, 1996
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.9
Staffing★★★★★ 5/5
State avg 3.3
Quality measures★★★★★ 4/5
State avg 3.2
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.18 (state 3.90 · U.S. 3.86)
Registered nurses (RN)
0.92 (state 0.78 · U.S. 0.69)
Licensed practical nurses
0.92 (state 0.78 · U.S. 0.86)
Nurse aides
2.34 (state 2.34 · U.S. 2.32)
Weekend total
3.73 (state 3.47 · U.S. 3.42)
Nursing staff turnover
43.6 (state 44.1 · U.S. 45.8)%
RN turnover
25.0 (state 40.9 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 19, 2026
Health deficiencies (last cycle)
8.0 (state 3.9 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
20 health · 15 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2026-05-18
2026-05-06 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-19
2026-05-06 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-12
2026-02-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-11
2026-02-19 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-16
2026-02-19 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-12
2026-02-19 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-12
2026-02-19 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-13
2025-01-17 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-10
2025-01-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-10
2025-01-17 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-05
2025-01-17 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-04
2025-01-17 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-10
2025-01-17 Implement 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-04
2025-01-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-04
2025-01-17 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-10
2025-01-17 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-02-07
2024-02-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-19
2024-02-15 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-19
2024-02-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-19

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $35,270 in fines.

DateTypeAmount
2026-05-06Fine$22,205
2026-05-06Fine$13,065

Ownership & management

NameRoleSince
Richard Courville 1999 Revocable Trust, As Amended (organization)5%+ Direct Ownership Interest · 99%
Courville, Adam (individual)5%+ Indirect Ownership Interest · 33%
Courville, Michael (individual)5%+ Indirect Ownership Interest · 33%
Courville, Ryan (individual)5%+ Indirect Ownership Interest · 33%
Courville, Adam (individual)Administrator · NOT APPLICABLE
Courville, Michael (individual)Administrator · NOT APPLICABLE
Courville, Ryan (individual)Administrator · NOT APPLICABLE
Didomenico, Paulette (individual)Administrator · NOT APPLICABLE
Goldman, Samuel (individual)Administrator · NOT APPLICABLE
Richard Courville 1999 Revocable Trust, As Amended (organization)Administrator · NOT APPLICABLE
Rifkin, Alyssa (individual)Administrator · NOT APPLICABLE
The Courville Company INC (organization)Administrator · NOT APPLICABLE
Courville, Ryan (individual)Corporate Director · NOT APPLICABLE
Courville, Ryan (individual)Corporate Officer · NOT APPLICABLE
La Quinta Holdings I, INC. (organization)Direct Ownership Interest · NOT APPLICABLE
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, Ryan (individual)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Courville at Manchester?

Courville at Manchester has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in New Hampshire.

How many beds does Courville at Manchester have?

It has 76 certified beds and cares for about 67 residents per day.

Has Courville at Manchester been fined?

Yes. CMS lists 2 penalties totaling $35,270 in the last three years.

What is the phone number of Courville at Manchester?

(603) 647-5900. The facility is located at 44 West Webster Street, Manchester, NH 03104.

Other nursing homes in Manchester

Compare all nursing homes in Manchester, NH →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.