Courville At Manchester
Manchester, Hillsborough County, New Hampshire · CCN 305057 · For-profit (LLC) · not part of a chain
CMS rates Courville At Manchester 2 of 5 overall as of August 2026. 76 certified beds, 67 residents a day on average. 20 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $35,270.
On record
- Special Focus Facility candidate. On CMS’s list of facilities that qualify for the program but are not yet in it.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 4.18209 hours per resident per day |
|---|---|
| Registered nurses | 0.92336 hours per resident per day |
| Weekend total | 3.72555 hours per resident per day |
| Nursing staff turnover | 43.6% (registered nurses 25%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-06 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-05-18 |
| 2026-05-06 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-06-19 |
| 2026-05-06 complaint survey |
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 · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-12 |
| 2026-02-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-11 |
| 2026-02-19 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-16 |
| 2026-02-19 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-12 |
| 2026-02-19 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-12 |
| 2026-02-19 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-13 |
| 2025-01-17 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-10 |
| 2025-01-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-10 |
| 2025-01-17 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-05 |
| 2025-01-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-04 |
| 2025-01-17 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-10 |
| 2025-01-17 | 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 · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-04 |
| 2025-01-17 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-04 |
| 2025-01-17 | 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 · tag F0947 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-10 |
| 2025-01-17 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2025-02-07 |
| 2024-02-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-19 |
| 2024-02-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-19 |
| 2024-02-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-19 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-06 | Fine | $22,205 |
| 2026-05-06 | Fine | $13,065 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Richard Courville 1999 Revocable Trust, As Amended Organization | 5% or greater direct ownership interest | 99% | 2024-08-17 |
| Richard Courville 1999 Revocable Trust, As Amended Organization | adp of the snf | — | 2024-08-17 |
| The Courville Company Inc. Organization | adp of the snf | — | 1991-05-29 |
| La Quinta Holdings I, Inc. Organization | direct ownership interest | — | 2024-08-17 |
| La Quinta Holdings I, Inc. Organization | operational/managerial control | — | 2024-08-17 |
| The Courville Company Inc. Organization | operational/managerial control | — | 1991-05-29 |
| Courville, Adam Individual | 5% or greater indirect ownership interest | 33% | 2024-08-17 |
| Courville, Michael Individual | 5% or greater indirect ownership interest | 33% | 2024-08-17 |
| Courville, Ryan Individual | 5% or greater indirect ownership interest | 33% | 2024-08-17 |
| Courville, Adam Individual | adp of the snf | — | 2024-08-17 |
| Courville, Michael Individual | adp of the snf | — | 2024-08-17 |
| Courville, Ryan Individual | adp of the snf | — | 2019-07-28 |
| Didomenico, Paulette Individual | adp of the snf | — | 2013-09-18 |
| Goldman, Samuel Individual | adp of the snf | — | 2023-12-01 |
| Rifkin, Alyssa Individual | adp of the snf | — | 2025-06-08 |
| Courville, Ryan Individual | corporate director | — | 2024-08-19 |
| Courville, Ryan Individual | corporate officer | — | 2019-07-28 |
| Didomenico, Paulette Individual | operational/managerial control | — | 2013-09-18 |
| Goldman, Samuel Individual | operational/managerial control | — | 2023-12-01 |
| Rifkin, Alyssa Individual | operational/managerial control | — | 2023-03-31 |
| Courville, Ryan Individual | trustee of the snf | — | 2024-08-19 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Courville At Manchester.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Hillsborough County.