Occupancy rate
88%
In line with New Hampshire averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
The Courville at Manchester
Nestled in a stunning locale, The Courville at Manchester boasts an intimate 76-bed community for those seeking quality short-term rehab and long-term care. With a steadfast commitment to elevating the standard of living, this picturesque residence ensures that each and every resident receives unparalleled care and attention.
The home is certified by Medicare and Medicaid, and has a professional interdisciplinary team of healthcare providers, including licensed practical nurses and registered nurses. Moreover, this magnificent community accepts private insurance, making top-quality care and personalized attention accessible to all. The Courville at Manchester offers round-the-clock care, with a medical doctor on call to ensure residents receive the care they need, when they need it.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
76
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88.2%
Residents per day (avg)
67
Occupancy rate
88.2%
Residents per day (avg)
67
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
63% of new residents, usually for short-term rehab.
Typical stay
17 days
Private pay
36% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$13.2M
Operating loss
-$546.1K
Privately-owned community
Operated by a business corporation.
Home revenue
$13,174,859.00
Operating loss
$-546,149.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.7M
76-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 71 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with New Hampshire averageOccupied beds
67 / 76
Average residents
80 per day
License details
Facility type
Nursing Home
Status
Active
Issuance
January 4, 2025
Expiration
March 31, 2026
County:
HILLSBOROUGH
Additional licensing details
License number:
2263
CMS Certification Number:
305057
Ownership & operating entity
The Courville at Manchester is administrated by ALYSSA F RIFKIN.
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Brian Newman, Operations Director
Types of Care at The Courville at Manchester
Assisted Living
Nursing Home
Inspection History
In New Hampshire, the Department of Health and Human Services, Health Facilities Administration is responsible for the unannounced inspection and licensing of all residential care and nursing facilities.
3 visits/inspections
1 visits/inspections triggered by complaints
1 routine inspections
Results
3 with issues
0 without issues
Show Inspection Reports
Latest inspection
Date:January 17, 2025
Type:Complaint Investigation
25 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Jan 2025
Total health citations
22
New Hampshire average 14.4
Citations per inspection
7.33
New Hampshire average 3.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 22 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.2
Serious Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.1
0 critical citations
0 serious citations
21 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 17, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 17, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 17, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 17, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 17, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 17, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 17, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Manchester The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
St. Teresa Rehabilitation and Nursing Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Manchester (Hanover Hill)
51
75.7%
-7%
4.71
+10%
0
14
0
43
-
56
Rogers, Luanne
$6,7M
$2,4M
36.4%
305071
Mt. Carmel Rehabilitation and Nursing Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Manchester
120
85.5%
+5%
4.71
+10%
0
10
0
112
A+
81
Bohunicky, Joseph
$18,7M
$5,8M
30.9%
305067
The Courville at Manchester
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Manchester (North End)
76
89.8%
+11%
4.24
-1%
1
22
0
67
A+
71
Leboeuf, Richard
$12,5M
$4,8M
38.4%
305057
Hanover Hill Health Care Center
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Manchester (Hanover Hill)
124
86.5%
+7%
3.46
-19%
1
10
1
113
A+
59
Lee, Theodore
$20,9M
$8,0M
38.4%
305009
Maple Leaf Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Manchester
114
-
-
-
-
0
0
0
-
-
-
-
-
-
-
-
Places of interest near The Courville at Manchester
1.3 miles from city center — 1.08 miles to nearest hospital (Fresenius Medical Care at Catholic Medical)
44 W Webster St, Manchester, NH 03104
Calculate Travel Distance to The Courville at Manchester
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
160
Employees
95
Contractors
65
Staff to resident ratio
2.29:1
22% better than New Hampshire averageNew Hampshire average ratio: 1.87:1
Avg staff/day
48
Average shift
7.4 hours
5% worse than New Hampshire averageNew Hampshire average: 7.8 hours
Total staff hours (quarter)
32,176
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
66
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
15.3%
4,931 contractor hours this quarter
Certified Nursing Assistant: 18
Registered Nurse: 13
Licensed Practical Nurse: 9
Respiratory Therapy Technician: 5
Physical Therapy Assistant: 5
Qualified Social Worker: 3
Other Physician: 3
Speech Language Pathologist: 3
Feeding Assistant: 2
Medical Director: 2
Physical Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 48 | 18 | 66 | 13,470 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 15 | 9 | 24 | 5,952 | 91 | 100% | 8.1 |
| Registered Nurse | 14 | 13 | 27 | 3,168 | 91 | 100% | 7 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,721 | 89 | 98% | 8.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,330 | 90 | 99% | 7.4 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 888 | 72 | 79% | 6.9 |
| Physical Therapy Assistant | 0 | 5 | 5 | 866 | 76 | 84% | 6.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 749 | 64 | 70% | 7.7 |
| Occupational Therapy Aide | 2 | 0 | 2 | 638 | 61 | 67% | 7.5 |
| Feeding Assistant | 0 | 2 | 2 | 588 | 53 | 58% | 8.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 474 | 71 | 78% | 5.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 450 | 60 | 66% | 7.5 |
| Administrator | 1 | 0 | 1 | 443 | 59 | 65% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 443 | 59 | 65% | 7.5 |
| Qualified Social Worker | 0 | 3 | 3 | 409 | 61 | 67% | 6.1 |
| Medical Director | 0 | 2 | 2 | 247 | 25 | 27% | 9.5 |
| Dental Services Staff | 2 | 0 | 2 | 174 | 43 | 47% | 4 |
| Other Physician | 0 | 3 | 3 | 81 | 27 | 30% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 51 | 3 | 3% | 17 |
| Physical Therapy Aide | 0 | 1 | 1 | 38 | 15 | 16% | 2.5 |
66 Certified Nursing Assistant
% of Days
100%
24 Licensed Practical Nurse
% of Days
100%
27 Registered Nurse
% of Days
100%
5 Medication Aide/Technician
% of Days
98%
3 Other Dietary Services Staff
% of Days
99%
5 Respiratory Therapy Technician
% of Days
79%
5 Physical Therapy Assistant
% of Days
84%
3 Clinical Nurse Specialist
% of Days
70%
2 Occupational Therapy Aide
% of Days
67%
2 Feeding Assistant
% of Days
58%
3 Speech Language Pathologist
% of Days
78%
1 Mental Health Service Worker
% of Days
66%
1 Administrator
% of Days
65%
1 Nurse Practitioner
% of Days
65%
3 Qualified Social Worker
% of Days
67%
2 Medical Director
% of Days
27%
2 Dental Services Staff
% of Days
47%
3 Other Physician
% of Days
30%
1 Occupational Therapy Assistant
% of Days
3%
1 Physical Therapy Aide
% of Days
16%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
70 residents
Residents by payment source
Medicare
16 residents (22.9%)
Medicaid
22 residents (31.4%)
Private pay or other
32 residents (45.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.8
14% better than New Hampshire averageNew Hampshire average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.9
10% better than New Hampshire averageNew Hampshire average: 23.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.4%
Percent of long-stay residents whose need for help with daily activities has increased
13.4%
39% better than New Hampshire averageNew Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.3%
Percent of long-stay residents whose ability to move independently worsened
18.3%
10% better than New Hampshire averageNew Hampshire average: 20.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.0%
14% worse than New Hampshire averageNew Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
41% better than New Hampshire averageNew Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.2%
Percent of long-stay high risk residents with pressure ulcers
6.2%
38% worse than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.2%
Percent of long-stay residents with a urinary tract infection
4.2%
66% worse than New Hampshire averageNew Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.4%
Percent of long-stay residents who lose too much weight
8.4%
49% worse than New Hampshire averageNew Hampshire average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
15.7%
Percent of long-stay residents who have depressive symptoms
15.7%
90% worse than New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.2%
Percent of long-stay residents who received an antipsychotic medication
13.2%
24% better than New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with New Hampshire averageNew Hampshire average: 96.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with New Hampshire averageNew Hampshire average: 98.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
17% better than New Hampshire averageNew Hampshire average: 83.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
51% worse than New Hampshire averageNew Hampshire average: 1.6%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
16% better than New Hampshire averageNew Hampshire average: 83.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$5K
85% lower than New Hampshire averageNew Hampshire average: $33K
Number of fines
1
48% fewer fines than New Hampshire averageNew Hampshire average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
633% more payment denials than New Hampshire averageNew Hampshire average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$5K
New Hampshire average
$33K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 6, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 6, 2023
$5K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 6, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 6, 2023
7 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Courville at Manchester based on CMS SNF Cost Reports.
Occupancy Rate
89.8%
↑ 3.0pp vs 2022
Net Income
-$546,149
↓ ~$267K vs 2022
Total Payroll
$7,347,228
↓ ~$83K vs 2022
Profit Margin
-4.4%
↓ 2.1pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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