Courville at Manchester

Nursing home in Manchester, NH

Medicare & Medicaid certified2★ overall (CMS)SFF candidate (CMS)

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Public-record details

Address: 44 West Webster Street, Manchester, NH 03104
Phone: (603) 647-5900
Listed under: For-profit
Medicare CCN: 305057
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 5 of 5
Quality measures rating: 4 of 5
Certified beds: 76
Average residents per day: 67
Ownership: For-profit, limited Liability company
Legal business name: Courville at Manchester LLC
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jan 1, 1996
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 305057. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 19, 2026. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 15, 2024 to May 6, 2026): 3 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

Inspection	Citation	Severity
May 6, 2026	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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
May 6, 2026	Ensure that residents are free from significant medication errors. Pharmacy Service · complaint inspection	G Actual harm, isolated
May 6, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	J Immediate jeopardy, isolated
Feb 19, 2026	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights	D Potential for more than minimal harm, isolated
Feb 19, 2026	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation	D Potential for more than minimal harm, isolated
Feb 19, 2026	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Feb 19, 2026	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service	D Potential for more than minimal harm, isolated
Feb 19, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Jan 17, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	B Potential for minimal harm, pattern
Jan 17, 2025	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation	D Potential for more than minimal harm, isolated
Jan 17, 2025	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation	D Potential for more than minimal harm, isolated
Jan 17, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $35,270 in the last three years.

May 6, 2026	Fine: $13,065
May 6, 2026	Fine: $22,205

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 4.18 hours
Registered nurse (RN) time per resident per day: 0.92 hours
Nurse aide time per resident per day: 2.34 hours
Total nurse staffing on weekends: 3.73 hours
Nursing staff turnover (yearly): 44%
RN turnover (yearly): 25%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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