01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-19 | 8 | 2026-02-19 | 4 |
| Cycle 2 | 2025-01-17 | 9 | 2025-01-17 | 4 |
| Cycle 3 | 2024-02-15 | 3 | 2024-02-15 | 7 |
CMS CCN 3050572026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Courville At Manchester
44 West Webster Street · Manchester, NH 03104 · Hillsborough County
Certified beds76CMS provider file
Recent citation rows35current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
35 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-06 · HEALTHF0760Severity G · isolated actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-06-19 · complaint2026-05-06 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-05-12 · complaint2026-05-06 · HEALTHF0880Severity J · isolated immediate jeopardy
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-18 · complaint2026-02-19 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2026-03-162026-02-19 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2026-03-122026-02-19 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-03-122026-02-19 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-19 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-02-19 · FIREK0223Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-02-19 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-02-19 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-02-19 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-03-112025-01-17 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-17 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-17 · HEALTHF0641Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-02-072025-01-17 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-02-052025-01-17 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-02-042025-01-17 · HEALTHF0730Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-17 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-042025-01-17 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-02-042025-01-17 · HEALTHF0947Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2025-02-102025-01-17 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-02-072025-01-17 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-02-072025-01-17 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-02-0703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-05-06 | Fine | $13,065 | 0 |
| 2026-05-06 | Fine | $22,205 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- RICHARD COURVILLE 1999 REVOCABLE TRUST, AS AMENDEDOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST99% · since 08/17/2024
- LA QUINTA HOLDINGS I, INC.Organization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/17/2024
- COURVILLE, ADAMIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST33% · since 08/17/2024
- COURVILLE, MICHAELIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST33% · since 08/17/2024
- COURVILLE, RYANIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST33% · since 08/17/2024
- COURVILLE, RYANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/19/2024
- COURVILLE, RYANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/28/2019
- LA QUINTA HOLDINGS I, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/17/2024
- THE COURVILLE COMPANY INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/29/1991
- DIDOMENICO, PAULETTEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/18/2013
- GOLDMAN, SAMUELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2023
- RIFKIN, ALYSSAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/31/2023
- COURVILLE, RYANIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 08/19/2024
- RICHARD COURVILLE 1999 REVOCABLE TRUST, AS AMENDEDOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/17/2024
- THE COURVILLE COMPANY INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/29/1991
- COURVILLE, ADAMIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/17/2024
- COURVILLE, MICHAELIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/17/2024
- COURVILLE, RYANIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/28/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.18per resident day
RN hours0.92per resident day
Weekend nurse hours3.73per resident day
Staff turnover43.6%CMS reported field
06 / LOCAL RECORDS
Open the Manchester ledger →Other published facilities nearby
Hackett Hill Healthcare Center70 beds · CMS overall 2/516 citation rowsHanover Hill Health Care Center124 beds · CMS overall 3/514 citation rowsHoly Cross Health Center40 beds · CMS overall 5/513 citation rowsMaple Leaf Health Care Center114 beds · CMS overall 5/511 citation rowsMount Carmel Rehabilitation And Nursing Center122 beds · CMS overall 4/516 citation rowsSaint Teresa Rehabilitation & Nursing Center51 beds · CMS overall 2/527 citation rowsSt Joseph Residence22 beds · CMS overall 4/525 citation rowsVilla Crest Nursing And Retirement Center126 beds · CMS overall 4/515 citation rows