Before you decide: this page is information, not medical advice or a recommendation. Confirm current availability, services, Medicare/Medicaid acceptance, pricing and licensing directly with the home and the state. Data shown is from CMS files dated Oct 1, 2026; things may have changed since.
CMS lists this home as a Special Focus Facility candidate: its inspection history qualifies it for the program for homes with a history of serious quality issues. About the program (CMS)
At a glance
| Overall | ★★★★★ 1 of 5 |
|---|---|
| Health inspections | ★★★★★ 1 of 5 |
| Staffing | ★★★★★ 4 of 5 |
| Quality measures | ★★★★★ 4 of 5 |
| Long-stay quality | ★★★★★ 5 of 5 |
| Short-stay quality | ★★★★★ 2 of 5 |
Source: CMS Provider Information, Oct 1, 2026. NH homes average 3.0 overall (72 rated). How the ratings work.
Editorial note: a star rating is one signal. CMS itself says ratings can't capture everything, such as specialty care or how easy it is for family to visit.
Staffing
Hours of nursing care per resident per day, as reported by the home to CMS through payroll-based data. Higher is generally better when comparing homes; it is an average, not the number of staff present at any moment.
CMS case-mix adjusted total nurse hours: 4.23. Lower turnover is generally better. Source: CMS Provider Information (Oct 1, 2026). “n/r” = not reported.
Inspections and penalties
Show all 20 citations, newest first
Inspection May 6, 2026 · 3 citations
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Pharmacy Service Deficiencies: Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies: 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.
Inspection Feb 19, 2026 · 5 citations
Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Freedom from Abuse, Neglect, and Exploitation Deficiencies: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspection Jan 17, 2025 · 9 citations
Freedom from Abuse, Neglect, and Exploitation Deficiencies: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services Deficiencies: Observe each nurse aide's job performance and give regular training.
Pharmacy Service Deficiencies: 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.
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Assessment and Care Planning Deficiencies: Ensure each resident receives an accurate assessment.
Inspection Feb 15, 2024 · 3 citations
Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Date | Type | Amount / length |
|---|---|---|
| May 6, 2026 | Fine | $8,492 |
| May 6, 2026 | Fine | $14,433 |
Letters A–L are CMS scope and severity codes; J–L is immediate jeopardy, G–I actual harm. How to read inspection results. Sources: CMS Health Deficiencies, CMS Penalties (Oct 1, 2026). Full reports: Medicare Care Compare.
Quality measures
Selected clinical measures CMS reports from resident assessments, averaged over four quarters (2025Q3-2026Q2). Each is a percentage of residents; the last column says which direction is better.
| Measure | This home | NH average | Better if |
|---|---|---|---|
| Long-stay residents with one or more falls with major injury | 5.0% | 4.5% | Lower |
| Long-stay residents with pressure ulcers | 4.1% | 4.3% | Lower |
| Long-stay residents who received an antipsychotic medication | 8.6% | 17.9% | Lower |
| Long-stay residents who lose too much weight | 6.6% | 5.2% | Lower |
| Long-stay residents with a urinary tract infection | 0.5% | 2.2% | Lower |
| Long-stay residents whose need for help with daily activities increased | 6.3% | 22.3% | Lower |
| Long-stay residents whose ability to walk independently worsened | 6.4% | 15.8% | Lower |
| Long-stay residents with depressive symptoms | 8.2% | 15.8% | Lower |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | Lower |
| Long-stay residents assessed and appropriately given the seasonal flu vaccine | 100.0% | 97.8% | Higher |
| Short-stay residents who newly received an antipsychotic medication | 2.5% | 1.2% | Lower |
| Short-stay residents assessed and appropriately given the seasonal flu vaccine | 100.0% | 85.7% | Higher |
Source: CMS MDS Quality Measures (Oct 1, 2026). “Not reported” is not zero; footnote codes are explained in the CMS data dictionary. Only one snapshot is stored, so no trend is shown.
Ownership
Ownership type: For profit - Limited Liability company. Legal business name: COURVILLE AT MANCHESTER LLC.
CMS does not list this home as part of a chain.
Owners and operators reported to CMS (10)
5% or greater direct ownership interest
- Richard Courville 1999 Revocable Trust, As Amended
Direct ownership interest
- La Quinta Holdings I, Inc.
5% or greater indirect ownership interest
- Courville, Adam
- Courville, Michael
- Courville, Ryan
Operational/managerial control
- La Quinta Holdings I, Inc.
- The Courville Company Inc
- Didomenico, Paulette
- Goldman, Samuel
- Rifkin, Alyssa
Sources: CMS Provider Information, CMS Ownership (Oct 1, 2026). Shows direct/indirect ownership interests and operational control; directors, officers and managing employees are on Care Compare.
Contact and identifiers
Courville at Manchester
44 West Webster Street
Manchester, NH 03104 (Hillsborough County)
(603) 647-5900
- CMS Certification Number (CCN): 305057
- Certified for Medicare and Medicaid since 1996
- Inside a hospital: N
- Continuing care retirement community: N
- Resident and family council: Resident
- Sprinklers in all required areas: Yes
We do not book appointments or check bed availability. Call the home directly. Data refreshed Nov 11, 2026. Something wrong? Request a correction.
Map © OpenStreetMap contributors, using CMS coordinates.
Nearby alternatives
Mount Carmel Rehabilitation and Nursing Center, Manchester · about 0.9 mi · CMS overall: ★★★★★ 3 of 5
Maple Leaf Health Care Center, Manchester · about 0.9 mi · CMS overall: ★★★★★ 5 of 5
Saint Teresa Rehabilitation & Nursing Center, Manchester · about 1.6 mi · CMS overall: ★★★★★ 2 of 5
Hanover Hill Health Care Center, Manchester · about 2.0 mi · CMS overall: ★★★★★ 4 of 5
St Joseph Residence, Manchester · about 2.0 mi · CMS overall: ★★★★★ 4 of 5
Straight-line distance between CMS coordinates. All homes in Manchester · Hillsborough County
Questions to ask this home
- How many nurses and aides work days, nights and weekends, and how many residents does each aide care for?
- CMS reports 4.11 nurse staff hours per resident per day here; how has staffing changed recently?
- What changed after the most recent inspection (Feb 19, 2026)? Ask to see the report and plan of correction.
- Does the home accept Medicare and/or Medicaid for the type of stay you need, and is a bed available?