Courville at Manchester in Manchester, NH has a 2-star overall rating, with very poor health inspection results (1 star) but strong staffing (5 stars) and quality measures (4 stars). It is listed as a Special Focus Facility candidate/attention flag, had $35,270 in fines in the last 24 months, and its reported nurse staffing of 4.18 hours per resident per day is slightly above the federal benchmark of 4.1.
Last inspection: May 6, 2026Penalties, last 24 months: $35,270special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1821.
Staffing detail
Registered nurses
0.92
Licensed practical nurses
0.92
Nurse aides
2.34
Weekend nursing
3.73
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
11.4%9.5%Improving
Residents with a fall causing major injury
1.8%6.8%Worsening
Residents with pressure ulcers (bedsores)
3.9%3.6%No change
Residents with a urinary tract infection
1.8%0%Improving
Residents who lost too much weight
4.3%8.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.8%10.6%Improving
Residents whose ability to walk got worse
13.5%11.6%Improving
Long-stay residents on antianxiety or sleep medication
20.8%16.3%Improving
Short-stay residents newly given an antipsychotic
0%1.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
32.6%33.8%Worsening
Residents with depressive symptoms
8.2%7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96%—
Short-stay residents given the pneumonia vaccine
98.9%100%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited May 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited May 2026 — isolated incident, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The home failed to support and respect residents’ choices and self-determination. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 561 — 42 CFR §483.10 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal fine of $22,205 was recorded.
PENALTY
A federal fine of $13,065 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $35,270 in total fines.
Federal fine
May 6, 2026
$22,205
Federal fine
May 6, 2026
$13,065
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
66.6 residents on an average day (88% of 76 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.