Hillsborough County, New Hampshire · Nursing home
Courville at Manchester
2 of 5 overall from CMS
44 West Webster Street, Manchester, NH 03104
At a glance
- Overall rating 2 of 5 Below the state average of 3.1
- Nurse time per resident, per day 4.18 hours Above the state average of 3.90
- Nursing staff who left in a year 43.6% Below the state average of 44.1%
- Health citations in 3 years 20 2 at the harm level or above
- Fines in 3 years $35,270 2 fines
- Certified beds in use 87.6% of 76 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Courville at Manchester is a 76-bed nursing home in Manchester, New Hampshire (Hillsborough County). CMS rates it 2 of 5 stars overall as of Aug 2026. It reports 4.18 nurse staffing hours per resident per day, above the New Hampshire average of 3.90. CMS lists 2 fines totaling $35,270 in the past three years.
- Certified beds
- 76
- Residents per day (average)
- 66.6
- Certified since
- 1996 (30 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidCMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings. Flags are shown as published by CMS; see Medicare.gov Care Compare for their definitions.
Questions to ask Courville at Manchester
Chosen from this home's public data.
- CMS lists this home as "SFF Candidate" in its Special Focus Facility program. What is the improvement plan, and what has changed so far?Special Focus status in CMS data
- CMS lists 2 fines totaling $35,270 in the past three years. What changed after the most recent one?Penalties in CMS data
- The latest standard inspection (Feb 19, 2026) cited 8 health deficiencies; the New Hampshire average is 3.9. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 New Hampshire average 3.1
- Health inspections 1 of 5 New Hampshire average 2.9
- Staffing 5 of 5 New Hampshire average 3.3
- Quality measures 4 of 5 New Hampshire average 3.2
The vertical line marks the New Hampshire average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.18 h New Hampshire average 3.90
- Nurse aides 2.34 h New Hampshire average 2.34
- Licensed practical nurses 0.92 h New Hampshire average 0.78
- Registered nurses 0.92 h New Hampshire average 0.78
- All staff, weekends 3.73 h New Hampshire average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the New Hampshire average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover43.6%
- New Hampshire average44.1%
- Registered nurse turnover25.0%
- New Hampshire average40.9%
- Administrators who left0
Inspection history
Inspectors cited 20 health deficiencies in the past three years. Of these, 1 was at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 3 followed a complaint investigation. The most recent citation at the harm level or above was on May 6, 2026: Provide and implement an infection prevention and control program.
| Inspection date | Health | Fire safety |
|---|---|---|
| Feb 19, 2026 | 8 | 4 |
| Jan 17, 2025 | 9 | 4 |
| Feb 15, 2024 | 3 | 7 |
New Hampshire homes averaged 3.9 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (20)
-
JImmediate jeopardy, isolated
Provide and implement an infection prevention and control program.
Complaint inspection · Infection Control · Deficient, Provider has date of correction (May 18, 2026)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (Jun 19, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (May 12, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 11, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Mar 16, 2026)
Show 15 more
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 12, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 12, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Mar 13, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 10, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 10, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 5, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 4, 2025)
-
DPotential for more than minimal harm, isolated
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 10, 2025)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Feb 4, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 4, 2025)
-
DPotential for more than minimal harm, isolated
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 10, 2025)
-
BPotential for minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 7, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 19, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 19, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 19, 2024)
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 6, 2026 | Fine | $13,065 |
| May 6, 2026 | Fine | $22,205 |
New Hampshire homes averaged 0.6 fines and $8,016 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Hampshire
- Size50 of 73 by certified beds
- New Hampshire average residents per day81.3
- ChainNone listed
- Resident or family councilResident
- Homes in Hillsborough County21
Common questions
What is the CMS star rating for Courville at Manchester?
Courville at Manchester has an overall rating of 2 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 4.
How many beds does Courville at Manchester have?
Courville at Manchester has 76 certified beds. It averages 66.6 residents per day, about 87.6% of its certified beds.
How much nursing care do residents get at Courville at Manchester?
The home reports 4.18 hours of nurse staffing per resident per day, including 0.92 hours from registered nurses. The New Hampshire average is 3.90 hours and 0.78 hours from registered nurses.
Has Courville at Manchester been fined?
Yes. CMS lists 2 fines totaling $35,270 in the past three years.
Does Courville at Manchester accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 4 of 5 Mount Carmel Rehabilitation and Nursing Center 122beds 89.9%in use 4.08nurse hours a day
- 5 of 5 Maple Leaf Health Care Center 114beds 93.7%in use 2.91nurse hours a day
- 2 of 5 Saint Teresa Rehabilitation & Nursing Center 51beds 90.8%in use 4.01nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Hillsborough County
Who to call in New Hampshire
These offices serve residents of every nursing home in New Hampshire.
- Long-term care ombudsman Office of the Long-Term Care Ombudsman 1-800-442-5640 A free advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Administration, Health Facility Certification Unit 603-271-9049 The state agency that inspects nursing homes.
New Hampshire staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 305057. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.