Courville at Manchester

Name: Courville at Manchester
Address: 44 WEST WEBSTER STREET, Manchester, NH, 03104, US
Telephone: 6036475900

44 West Webster Street, Manchester, NH 03104 · Hillsborough County · 76 certified beds · avg 67 residents/day · certified since Jan 1, 1996

SFF Candidate

1/5

Health inspection rating (on-site)

Serious findings on record

$35,270

Fines, last 3 years

4.28

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · May 6, 2026 · F-0880 · triggered by a complaint

The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: May 18, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · May 6, 2026 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jun 19, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 6, 2026	▲ J · Immediate jeopardy, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
May 6, 2026	▲ G · Actual harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
May 6, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Feb 19, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Feb 19, 2026	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Feb 19, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 17, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jan 17, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jan 17, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 17, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 17, 2025	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Jan 17, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 17, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 17, 2025	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Jan 17, 2025	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 15, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2024	3	0	E
2025	9	0	D
2026	8	2	J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $35,270.

Date	Type	Amount / length
May 6, 2026	Fine	$13,065
May 6, 2026	Fine	$22,205

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New Hampshire avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.28	4.11	3.95	top 40% in New Hampshire; top 30% in the U.S.
Registered Nurse hours	0.94	0.82	0.69	top 28% in New Hampshire; top 18% in the U.S.
Weekend total nurse staffing	3.81	3.67	3.50	top 38% in New Hampshire; top 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.87	0.55	0.48	top 7% in New Hampshire; top 9% in the U.S.
Total nursing staff turnover (%)	43.6	44.1	45.8	top 49% in New Hampshire; top 46% in the U.S.
RN turnover (%)	25.0	40.9	42.9	top 19% in New Hampshire; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.18, RN 0.92, weekend 3.73. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Courville, Adam	Individual	5% or Greater Indirect Ownership Interest	33%	08/17/2024
Courville, Michael	Individual	5% or Greater Indirect Ownership Interest	33%	08/17/2024
Courville, Ryan	Individual	5% or Greater Indirect Ownership Interest	33%	08/17/2024
La Quinta Holdings I, INC.	Organization	Direct Ownership Interest	NOT APPLICABLE	08/17/2024
Richard Courville 1999 Revocable Trust, as Amended	Organization	5% or Greater Direct Ownership Interest	99%	08/17/2024
Courville, Adam	Individual	ADP of the SNF	NOT APPLICABLE	08/17/2024
Courville, Michael	Individual	ADP of the SNF	NOT APPLICABLE	08/17/2024
Courville, Ryan	Individual	Corporate Director	NOT APPLICABLE	08/19/2024
Courville, Ryan	Individual	Corporate Officer	NOT APPLICABLE	07/28/2019
Courville, Ryan	Individual	Trustee of the SNF	NOT APPLICABLE	08/19/2024
Courville, Ryan	Individual	ADP of the SNF	NOT APPLICABLE	07/28/2019
Didomenico, Paulette	Individual	Operational/Managerial Control	NOT APPLICABLE	09/18/2013
Didomenico, Paulette	Individual	ADP of the SNF	NOT APPLICABLE	09/18/2013
Goldman, Samuel	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Goldman, Samuel	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
La Quinta Holdings I, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	08/17/2024
Richard Courville 1999 Revocable Trust, as Amended	Organization	ADP of the SNF	NOT APPLICABLE	08/17/2024
Rifkin, Alyssa	Individual	Operational/Managerial Control	NOT APPLICABLE	03/31/2023
Rifkin, Alyssa	Individual	ADP of the SNF	NOT APPLICABLE	06/08/2025
The Courville Company INC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/29/1991

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Mount Carmel Rehabilitation and Nursing Center	0.9 mi	Manchester, NH	★★★★☆	4/5
Maple Leaf Health Care Center	0.9 mi	Manchester, NH	★★★★★	5/5
Saint Teresa Rehabilitation & Nursing Center	1.6 mi	Manchester, NH	★★☆☆☆	2/5
Hanover Hill Health Care Center	2.0 mi	Manchester, NH	★★★☆☆	3/5
St Joseph Residence	2.0 mi	Manchester, NH	★★★★☆	3/5
Hackett Hill Healthcare Center	2.4 mi	Manchester, NH	★★☆☆☆	1/5
Bedford Nursing & Rehabilitation Center	3.1 mi	Bedford, NH	★☆☆☆☆	1/5	SFF
Bedford Hills Center	3.1 mi	Bedford, NH	★★★★☆	4/5
Villa Crest Nursing and Retirement Center	3.1 mi	Manchester, NH	★★★★☆	4/5
Ridgewood Center, Genesis Healthcare	3.3 mi	Bedford, NH	★★☆☆☆	2/5
Holy Cross Health Center	3.4 mi	Manchester, NH	★★★★★	4/5
Hillsborough County Nursing Home	3.6 mi	Goffstown, NH	★★★★★	3/5

Compare this facility with the 3 closest →

All facilities in Manchester →

Facility data as of CMS processing date 2026-08-01. CCN 305057.

The Care File

Visit checklist — Courville at Manchester

44 West Webster Street, Manchester, NH 03104 · 6036475900

Health inspection rating 1/5 · CMS overall 2/5 · SFF Candidate· Fines (3y): $35,270

Most serious findings on record:

▲ May 6, 2026 (F-0880, Immediate jeopardy, one-off): The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
▲ May 6, 2026 (F-0760, Actual harm, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 305057 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)