Courville At Manchester
44 West Webster Street, Manchester, NH 031046036475900Ownership: For profit - Limited Liability companyCertified beds: 76Avg. daily residents: 67County: Hillsborough
Special Focus Facility candidate — CMS has identified this facility as one of the most poorly performing in the state and it is eligible for the Special Focus program, which brings inspections twice as often as normal.
The complete public record on Courville At Manchester, a Medicare & Medicaid–certified nursing home in Manchester, New Hampshire, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.
CMS Star Ratings
Overall rating
★★☆☆☆
CMS’s composite of the three ratings below. New Hampshire average: 3.1 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★★
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Courville At Manchester holds a 2-star overall rating, in the bottom two tiers CMS assigns. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Federal regulators have fined this facility $35,270 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.
Staffing
4.18 total nurse staff hours per resident per day
above the state average (3.90)
0.92 RN hours per resident per day
above the state average (0.78)
3.73 weekend nurse staff hours per resident per day
43.6% total nursing staff turnover
about the state average (44.1)
25.0% RN turnover
0 administrators left in the reporting period
Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.
Inspections & Penalties
February 19, 2026 most recent standard health inspection
8 health deficiencies cited in the most recent inspection cycle
above the state average (3.9)
9 health deficiencies in the two prior cycles combined
$35,270 in federal fines across 2 penalties (last 3 years)
above the state average ($8,016)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed
Recent Inspection Citations
20 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.
| Inspection | Tag | What was cited | Severity |
|---|
| May 6, 2026 | 0880 | Provide and implement an infection prevention and control program. Complaint | J · Immediate jeopardy |
| May 6, 2026 | 0760 | Ensure that residents are free from significant medication errors. Complaint | G · Actual harm |
| May 6, 2026 | 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all… Complaint | D · Potential for more than minimal harm |
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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.