Courville at Manchester

44 West Webster Street · Manchester, NH · 03104 · 6036475900

76 certified beds For profit - Limited Liability company

  • No federal fines or payment denials in CMS’s 3-year window.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 69
Serious harm & abuse 20% 100
Staffing 20% 77
Federal penalties 15% 100
Trend 10% 68
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.963.48 min · 4.1 strong
RN hours / resident-day0.850.55–0.75
Weekend hours / resident-day3.58≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Potential for harm · D February 19, 2026

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected March 16, 2026 · Resident Rights

  • Potential for harm · D February 19, 2026

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected March 12, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 19, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 12, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 19, 2026

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected March 13, 2026 · Pharmacy Service

  • Potential for harm · E February 19, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 11, 2026 · Nutrition and Dietary

  • Potential for harm · D January 17, 2025

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected February 10, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 17, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 10, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 17, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 17, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 4, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected February 10, 2025 · Nursing and Physician Services

  • Potential for harm · D January 17, 2025

    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.

    Corrected February 4, 2025 · Pharmacy Service

  • Potential for harm · D January 17, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 4, 2025 · Infection Control

  • Potential for harm · D January 17, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected February 10, 2025 · Nursing and Physician Services

  • No harm found · B January 17, 2025

    Ensure each resident receives an accurate assessment.

    Corrected February 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 15, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 19, 2024 · Quality of Life and Care

  • Potential for harm · D February 15, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 19, 2024 · Quality of Life and Care

  • Potential for harm · E February 15, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 19, 2024 · Nutrition and Dietary

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305057 · certified since January 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.