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Nursing homeFAID #7805

Courville At Manchester

44 WEST WEBSTER STREET, MANCHESTER, NH, 03104
(603) 647-5900
76 licensed beds
★★★★★2/5CMS Five-Star overall1/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
76
CMS facility ID
305057
Care type
Nursing home
County
Hillsborough
Facility name
Courville At Manchester
Street address
44 WEST WEBSTER STREET
City / state / ZIP
Manchester, NH 03104
Phone
(603) 647-5900

Courville At Manchester is a Medicare/Medicaid-certified skilled nursing facility in Manchester, New Hampshire. It is licensed for 76 beds — below the median for skilled nursing facilities in New Hampshire (94 beds).

It is one of 13 senior care facilities in Manchester and 73 skilled nursing facilities across New Hampshire. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Courville At Manchester 35 times across 7 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $35,270 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Registered owners & officers

Richard Courville 1999 Revocable Trust, as Amended
Direct owner · Additional disclosable party — 99% stake — since 2024
Courville, Adam
Indirect owner · Additional disclosable party — 33% stake — since 2024
Courville, Michael
Indirect owner · Additional disclosable party — 33% stake — since 2024
Courville, Ryan
Indirect owner · Director · Officer · Trustee · Additional disclosable party — 33% stake — since 2019
Didomenico, Paulette
Operational control · Additional disclosable party — since 2013
Goldman, Samuel
Operational control · Additional disclosable party — since 2023
La Quinta Holdings I, Inc.
Direct owner · Operational control — since 2024
Rifkin, Alyssa
Operational control · Additional disclosable party — since 2023
The Courville Company Inc
Operational control · Additional disclosable party — since 1991

Regulatory standing

Federal court records
1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1996-01-01
CMS overall rating
2 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
$35,270 total
Last standard inspection
2026-02-19
Nurse staffing
4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$501 per day (≈ $15,230/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
37% Medicaid · 18% Medicare · 45% private/other
Occupancy
90% (fiscal year 2023)
Vs. state median
11% above the NH median of $451/day — full state cost breakdown

Services & coverage

Licensed beds
76
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-06Health inspectionComplaint-triggered3 citations
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-06-19
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2026-05-12
F-0880
J · Immediate jeopardyFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-05-18
2026-02-19Health inspection5 citations
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-03-16
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2026-03-12
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-03-12
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-03-13
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-03-11
5 earlier / fire-safety inspections (27 citations)
2025-01-17Health inspection9 citations
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-02-10
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-10
F-0641
B · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-02-07
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-05
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-04
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2025-02-10
F-0758
D · No harm found
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 2025-02-04
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-02-04
F-0947
D · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-02-10
2024-02-15Health inspection3 citations
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-19
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-19
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-19
2026-02-19Fire-safety inspection4 citations
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-03-11
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-03-11
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-03-11
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2026-03-11
2025-01-17Fire-safety inspection4 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-07
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-02-07
K-0712
C · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-02-07
K-0918
C · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-07
2024-02-15Fire-safety inspection7 citations
K-0300
C · No harm found
Meet other general requirements that are deficient.
Corrected 2024-05-07
K-0345
C · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-07
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-05-07
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-07
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-05-07
K-0911
D · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-05-07
K-0918
C · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-07

Federal penalties

2026-05-06Fine$13,065
2026-05-06Fine$22,205
Total fines$35,270
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 305057.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 35 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered