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Nursing home report

COURVILLE AT MANCHESTER

MANCHESTER, NH · Medicare-certified · 76 beds

Needs attention
Special Focus candidateFor-profit
Data as of July 1, 2026
2 of 5 overall

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.

Facility ratings

Health inspections

Staffing

4.1821 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. PENALTY

    A federal fine of $22,205 was recorded.

  3. PENALTY

    A federal fine of $13,065 was recorded.

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  8. 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.