Courville at Manchester — nursing home in Manchester, NH

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 76 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 64.7 CMS, MDS-derived
CMS Certification Number: 305057
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1996
Ownership type: For profit - Limited Liability company
Operator (legal business name): Courville at Manchester LLC
CMS chain: Not part of a CMS-reported chain
Phone: (603) 647-5900
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest May 6, 2026

Citations

35

20 health · 15 fire

Harm or worse

2

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D19	E6	F2
Minimal	A·	B1	C5

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$22,925

Payment denials

0

Latest

May 6, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 305057
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 76
First approved: Jan 1, 1996
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for New Hampshire.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 6, 2026	Health	Health Complaint	3	Immediate jeopardy	—	Open →
Feb 19, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Feb 19, 2026	Health	Health Standard	5	Potential harm	—	Open →
Jan 17, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jan 17, 2025	Health	Health Standard	9	Potential harm	—	Open →
Feb 15, 2024	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Feb 15, 2024	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
May 6, 2026	Civil money penalty (fine)	$14,433	—	305057\|Fine\|139344
May 6, 2026	Civil money penalty (fine)	$8,492	—	305057\|Fine\|139345

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D19	E6	F2
Minimal	A·	B1	C5

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 6, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	J · Immediate jeopardy Isolated	Corrected May 18, 2026	Complaint
May 6, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	G · Actual harm Isolated	Corrected Jun 19, 2026	Complaint
May 6, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 12, 2026	Complaint
Feb 19, 2026	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 11, 2026
Feb 19, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 11, 2026
Feb 19, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 11, 2026
Feb 19, 2026	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 11, 2026
Feb 19, 2026	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 16, 2026
Feb 19, 2026	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 12, 2026
Feb 19, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 12, 2026
Feb 19, 2026	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 13, 2026
Feb 19, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 11, 2026
Jan 17, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 7, 2025
Jan 17, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 7, 2025
Jan 17, 2025	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 10, 2025
Jan 17, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 10, 2025
Jan 17, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 5, 2025
Jan 17, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 4, 2025
Jan 17, 2025	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Feb 10, 2025
Jan 17, 2025	F-0758	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 Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 4, 2025
Jan 17, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 4, 2025
Jan 17, 2025	F-0947	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 Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Feb 10, 2025
Jan 17, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Feb 7, 2025
Jan 17, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Feb 7, 2025
Jan 17, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Corrected Feb 7, 2025
Feb 15, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 7, 2024
Feb 15, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 7, 2024
Feb 15, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 7, 2024
Feb 15, 2024	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 7, 2024
Feb 15, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 19, 2024
Feb 15, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 19, 2024
Feb 15, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 19, 2024
Feb 15, 2024	K-0300	Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected May 7, 2024
Feb 15, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected May 7, 2024
Feb 15, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected May 7, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.4

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.11

State avg 3.87US avg 3.90

Registered nurse (RN)0.87

State avg 0.78US avg 0.69

Licensed practical nurse0.92

State avg 0.76US avg 0.86

Nurse aide2.33

State avg 2.32US avg 2.35

Weekend total nurse3.64

State avg 3.43US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.23 (case-mix index 1.36).

Staff turnover

Total nursing staff turnover40.2%

State avg 43.4%US avg 45.3%

Registered nurse turnover29.4%

State avg 40.5%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Feb 19, 2026
Cycle 1 health score: 98
Total weighted score: 81.5

Operating entity

Courville at Manchester LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

21

Organizations

3

Individuals

15

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Richard Courville 1999 Revocable Trust, As Amended	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	99%	Aug 17, 2024
La Quinta Holdings I, Inc	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 17, 2024
Adam Courville	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33%	Aug 17, 2024
Michael Courville	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33%	Aug 17, 2024
Ryan Courville	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33%	Aug 17, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Richard Courville 1999 Revocable Trust, As Amended	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	99%	Aug 17, 2024
La Quinta Holdings I, Inc	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 17, 2024
Adam Courville	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33%	Aug 17, 2024
Michael Courville	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33%	Aug 17, 2024
Ryan Courville	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33%	Aug 17, 2024
La Quinta Holdings I, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 17, 2024
The Courville Company Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 29, 1991
Paulette Didomenico	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 18, 2013
Samuel Goldman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2023
Alyssa Rifkin	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 31, 2023
Ryan Courville	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 19, 2024
Ryan Courville	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 28, 2019
Ryan Courville	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Aug 19, 2024
Richard Courville 1999 Revocable Trust, As Amended	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 17, 2024
The Courville Company Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 29, 1991
Adam Courville	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 17, 2024
Michael Courville	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 17, 2024
Ryan Courville	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 28, 2019
Paulette Didomenico	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 18, 2013
Samuel Goldman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2023
Alyssa Rifkin	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 8, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 44 West Webster Street, Manchester, NH 03104
ZIP: 03104
County: Hillsborough County FIPS 33011
State: New Hampshire
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Mount Carmel Rehabilitation and Nursing Center 235 Myrtle Street, Manchester, NH 03104 CCN 305067	1.4 km	122	Jul 24, 2026	30	—
Maple Leaf Health Care Center 198 Pearl Street, Manchester, NH 03104 CCN 305030	1.4 km	114	Mar 4, 2026	11	—
Saint Teresa Rehabilitation & Nursing Center 519 Bridge Street, Manchester, NH 03104 CCN 305071	2.6 km	51	Apr 29, 2026	27	—
Hanover Hill Health Care Center 700 Hanover Street, Manchester, NH 03104 CCN 305009	3.2 km	124	Mar 10, 2026	131 harm	$8,512
St Joseph Residence 495 Mammoth Rd, Manchester, NH 03104 CCN 305088	3.2 km	22	Dec 23, 2025	25	—
Hackett Hill Healthcare Center 191 Hackett Hill Road, Manchester, NH 03102 CCN 305038	3.9 km	70	Apr 24, 2026	161 harm	$8,278
Bedford Nursing & Rehabilitation Center 480 Donald Street, Bedford, NH 03110 CCN 305086SFF Candidate	5 km	102	Dec 17, 2025	211 IJ	$16k
Bedford Hills Center 30 Colby Court, Bedford, NH 03110 CCN 305060	5 km	147	Aug 21, 2025	141 IJ	$16k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	305057	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	305057	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 305057

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction