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No fines or payment denials in the published 3-year window.
22 Hunt Street, Nashua, NH 03060 (opens Google Maps) · Hillsborough County · (603) 889-5450· 94 certified beds · avg 75 residents/day · certified since Jun 24, 1980 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.
The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605
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. F-0880
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). F-0628
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 2, 2026 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Jul 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Jul 2, 2026 | B · Potential for minimal harm, pattern | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628 |
| Jul 24, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Jul 24, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| May 14, 2024 | D · Potential for more than minimal harm, isolated | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · F-0676 |
| May 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| May 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849 |
| May 14, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| May 14, 2024 | B · Potential for minimal harm, pattern | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553 |
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 0 | D |
| 2025 | 2 | 0 | F |
| 2026 | 3 | 0 | D |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.67 | 4.11 | 3.95 | bottom 47% in New Hampshire; bottom 45% in the U.S. |
| Registered Nurse hours | 0.53 | 0.82 | 0.69 | bottom 14% in New Hampshire; bottom 42% in the U.S. |
| Weekend total nurse staffing | 3.41 | 3.67 | 3.50 | top 47% in New Hampshire; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.55 | 0.48 | bottom 42% in New Hampshire; top 37% in the U.S. |
| Total nursing staff turnover (%) | 52.6 | 44.1 | 45.8 | bottom 17% in New Hampshire; bottom 30% in the U.S. |
| RN turnover (%) | 64.7 | 40.9 | 42.9 | bottom 9% in New Hampshire; bottom 16% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.76, RN 0.54, weekend 3.49.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.76 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Courville at Nashua. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
| Richard Courville 1999 Revocable Trust, as Amended | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/17/2024 |
| Aujla, Jatinder | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/05/2022 |
| Aujla, Jatinder | Individual | ADP of the SNF | NOT APPLICABLE | 11/05/2022 |
| 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 | Operational/Managerial Control | NOT APPLICABLE | 07/28/2019 |
| 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 |
| Ekberg, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/29/2022 |
| Ekberg, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 05/27/2025 |
| Richard Courville 1999 Revocable Trust, as Amended | Organization | ADP of the SNF | NOT APPLICABLE | 08/17/2024 |
| TCN Realty Limited Partnership | Organization | ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| The Courville Company INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/10/1980 |
| The Courville Company INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/21/2025 |
All 20 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Nashua Post Acute Care | 1.0 mi | Nashua, NH | ★☆☆☆☆ | 1/5 | |
| Fairview Nursing Home | 2.5 mi | Hudson, NH | ★☆☆☆☆ | 1/5 | |
| D'youville Care for Advanced Therapy | 8.7 mi | Lowell, MA | ★★★★★ | 5/5 | |
| Northwood Rehabilitation & Healthcare Center | 8.9 mi | Lowell, MA | ★☆☆☆☆ | 1/5 | |
| D'youville Senior Care | 9.0 mi | Lowell, MA | ★☆☆☆☆ | 1/5 | |
| Fairhaven Healthcare Center | 9.4 mi | Lowell, MA | ★★☆☆☆ | 2/5 | |
| Regalcare at Lowell | 10.4 mi | Lowell, MA | ★☆☆☆☆ | 1/5 | |
| Palm Springs Post Acute | 10.5 mi | Chelmsford, MA | ★★☆☆☆ | 2/5 | |
| Seven Hills Pediatric Center | 10.8 mi | Groton, MA | ★★★☆☆ | 3/5 | |
| Care One at Lowell | 10.9 mi | Lowell, MA | ★★★☆☆ | 3/5 | |
| The Elms Center | 11.3 mi | Milford, NH | ★★☆☆☆ | 3/5 | |
| Warde Health Center | 11.5 mi | Windham, NH | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Hillsborough, NH — 21 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 305037.
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