Nursing home
Courville at Manchester
44 West Webster Street, Manchester, NH 03104 · Map
For profit - Limited Liability company · 76 certified beds
Courville at Manchester is a Medicare-certified nursing home in Manchester, New Hampshire. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.15 hours per resident per day, above the New Hampshire average of 3.88. Its most recent inspection on Jan 17, 2025 cited 9 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Courville at Manchester compares
This facility vs. the New Hampshire and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Hampshire avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.15 | 3.88 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.90 | 0.74 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.37 | 2.39 | 2.34 | below avg |
| Nursing staff turnover | 50.0% | 48.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 9.0 | 4.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Courville at Manchester
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Feb 19, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Jan 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
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 · Jan 17, 2025 · Full report (PDF) - Potential for harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 17, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 44 West Webster Street
Manchester, NH 03104 - CMS certification #
- 305057
- Ownership
- For profit - Limited Liability company
- Certified beds
- 76
- Avg residents/day
- 65.6
- Provider type
- Medicare and Medicaid
- First certified
- 1996-01-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Courville at Manchester using Google Maps.
Other public records
- Staff pay 2 federal wage cases with violations found, since 2004
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jul 9, 2011 to Aug 1, 2011. Violations found: Family and medical leave. Employer as DOL recorded it: Courville at Manchester (Courville Communities, Inc.). Case 1626297.
- Findings for May 3, 2004 to May 2, 2006. Violations found: Child labor. Employer as DOL recorded it: Courville at Manchester (The Courville at Manchester, LLC). Case 1440957.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Catholic Medical Center, Manchester. 1.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Mount Carmel Rehabilitation and Nursing Center, Manchester. 0.9 miles away, straight line.
- Nearest home health agency office
- Maxim Healthcare Services, Manchester. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 03104 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Manchester Kidney Center, Manchester, 0.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Davita Manchester Dialysis, Manchester, 2.4 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Medical Care Londonderry, Londonderry, 10.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 03104.
Brookhaven Hospice Of New Hampshire LLC, office in Bedford, 3.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Compassus - Greater Manchester, office in Bedford, 3.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Vna Home Health And Hospice Services, Inc, office in Manchester, 4.4 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Elliot Physicians Network, Manchester. 0.1 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane relatively low, inland flooding relatively low, tornado relatively low, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Courville at Manchester a good nursing home?
CMS gives Courville at Manchester an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Courville at Manchester staffed?
Courville at Manchester reports 4.15 total nurse hours per resident per day, compared with the New Hampshire average of 3.88.
Has Courville at Manchester had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does Courville at Manchester have?
Courville at Manchester is certified for 76 beds.