Courville at Manchester

44 West Webster Street, Manchester, NH 03104 · (603) 647-5900 · For profit - Limited Liability company · 76 certified beds

CMS Special Focus Facility candidate2 fines ($22,925)Medicare & MedicaidCertified since 1996Avg 64.7 residents/day

Data as of: CMS nursing home files updated Oct 1, 2026 (CMS processing date Oct 1, 2026), retrieved Nov 11, 2026. Hospitals: CMS file updated Jul 22, 2026. All sources.

CMS lists this home as a Special Focus Facility candidate, meaning its inspection history qualifies it for the program for homes with a history of serious quality problems. About the SFF program (CMS)

CMS star ratings

★
CMS overall star rating. NH homes average 3.0 (72 rated homes).
Health inspections
1/5
Staffing
4/5
Quality measures
4/5
Long-stay quality
5/5
Short-stay quality
2/5

Source: CMS Provider Information. Footnote codes: CMS data dictionary.

Location & turnover

Map © OpenStreetMap contributors. Approximate coordinates from CMS.

40.2%nursing staff turnover
29.4%RN turnover
0administrators who left

NH averages: nursing staff turnover 43.4%, RN turnover 40.5%. Source: CMS Provider Information.

Staffing: hours of care per resident per day

This home reports 4.11 total nurse staff hours per resident per day. The NH average is 3.87.

Reported by the facility to CMS (Payroll-Based Journal) This home NH average of 72 homes
Show staffing by role (RN, LPN, aide, weekend)
Total nurse staff
4.11 hrs (this home)3.87 hrs (NH average)
Registered nurse (RN)
0.87 hrs (this home)0.78 hrs (NH average)
LPN
0.92 hrs (this home)0.76 hrs (NH average)
Nurse aide
2.33 hrs (this home)2.32 hrs (NH average)
Weekend total
3.64 hrs (this home)3.43 hrs (NH average)

CMS also publishes case-mix adjusted total nurse hours: 4.23. Source: CMS Provider Information.

Inspections & penalties

8health deficiencies, most recent rating cycle (standard inspection Feb 19, 2026)
20health citations listed by CMS since Feb 15, 2024
1at immediate-jeopardy level (J–L); 1 at actual-harm level (G–I)
Show all 20 citations, newest first

Inspection May 6, 2026 · 3 citations

Severity JCorrected May 18, 2026
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Tag F0880 · complaint inspection
Severity GCorrected Jun 19, 2026
Pharmacy Service Deficiencies: Ensure that residents are free from significant medication errors.
Tag F0760 · complaint inspection
Severity DCorrected May 12, 2026
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.
Tag F0761 · complaint inspection

Inspection Feb 19, 2026 · 5 citations

Severity ECorrected Mar 11, 2026
Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Tag F0812 · standard inspection
Severity DCorrected Mar 16, 2026
Resident Rights Deficiencies: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Tag F0561 · standard inspection
Severity DCorrected Mar 12, 2026
Freedom from Abuse, Neglect, and Exploitation Deficiencies: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Tag F0604 · standard inspection
Severity DCorrected Mar 12, 2026
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Tag F0658 · standard inspection
Severity DCorrected Mar 13, 2026
Pharmacy Service Deficiencies: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Tag F0757 · standard inspection

Inspection Jan 17, 2025 · 9 citations

Severity DCorrected Feb 10, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Tag F0607 · standard inspection
Severity DCorrected Feb 10, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Tag F0609 · standard inspection
Severity DCorrected Feb 5, 2025
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Tag F0658 · standard inspection
Severity DCorrected Feb 4, 2025
Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable.
Tag F0677 · standard inspection
Severity DCorrected Feb 10, 2025
Nursing and Physician Services Deficiencies: Observe each nurse aide's job performance and give regular training.
Tag F0730 · standard inspection
Severity DCorrected Feb 4, 2025
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.
Tag F0758 · standard inspection
Severity DCorrected Feb 4, 2025
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Tag F0880 · standard inspection
Severity DCorrected Feb 10, 2025
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.
Tag F0947 · standard inspection
Severity BCorrected Feb 7, 2025
Resident Assessment and Care Planning Deficiencies: Ensure each resident receives an accurate assessment.
Tag F0641 · standard inspection

Inspection Feb 15, 2024 · 3 citations

Severity ECorrected Mar 19, 2024
Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Tag F0812 · standard inspection
Severity DCorrected Mar 19, 2024
Quality of Life and Care Deficiencies: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Tag F0686 · standard inspection
Severity DCorrected Mar 19, 2024
Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Tag F0689 · standard inspection
Penalties listed by CMS
DateTypeAmount / length
May 6, 2026Fine$8,492
May 6, 2026Fine$14,433

Severity letters are CMS scope/severity codes A–L. Later letters are more serious or widespread; J–L means immediate jeopardy to resident health or safety. Sources: CMS Health Deficiencies, CMS Penalties. Full reports: Medicare Care Compare (CCN 305057).

Ownership & details

Legal business name: COURVILLE AT MANCHESTER LLC. Ownership type: For profit - Limited Liability company. Resident/family council: Resident. Sprinklers in all required areas: Yes.

Source: CMS Provider Information. CMS Certification Number (CCN): 305057.

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