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The Courville at Manchester
Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Manchester, NH
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of The Courville at Manchester Residents enjoying the outdoors with children and balloons. Exterior view of the facility at dusk Elegant dining room setup with decorated tables Cozy common area with a fireplace and bookshelves Two residents enjoying ice cream in a van.

The Courville at Manchester

Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Manchester, NH
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
44 W Webster St, Manchester, NH 03104 View map Calculator: See prices in your area
The Courville at Manchester accepts Medicaid, Medicare, and private pay.
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The Courville at Manchester accepts Medicaid, Medicare, and private pay.

Overview of The Courville at Manchester

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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.

Facility Direct Line (603) 647-5900
Facility Direct Line (603) 647-5900 hello@thecourvilles.com
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 33.6% Below NH avg. ▼ 33.6% Below NH avg.NH average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 65.1% Below NH avg. ▼ 65.1% Below NH avg.NH average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 56.0% Above NH avg. ▲ 56.0% Above NH avg.NH average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 26.4% Above NH avg. ▲ 26.4% Above NH avg.NH average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs New Hampshire averages

Rank #23 / 64Nurse hours — State benchmarkedThis home is ranked 23rd out of 64 homes we track in New Hampshire for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the New Hampshire average, with a ranking across 64 New Hampshire facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 23rd out of 64 homes we track in New Hampshire for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 17m

At state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
57m
+26% State avg: 45m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
57m
+23% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 23m
Avg State avg: 2h 23m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 49m
+11% State avg: 3h 26m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
5m
+12% State avg: 4m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
52m
+68% State avg: 31m per day · National avg: 29m per day

0 of 6 metrics below state avg

Standout metric: Weekend RN is +68% above New Hampshire average

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 76 Rank #67 / 164Bed count — State benchmarkedThis home is ranked 67th out of 164 homes we track in New Hampshire for bed count. Shows this facility's certified or reported bed count compared to other New Hampshire facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #30 / 190Walk Score — State benchmarkedThis home is ranked 30th out of 190 homes we track in New Hampshire for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across New Hampshire facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
71 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #20 / 51Occupancy rate — State benchmarkedThis home is ranked 20th out of 51 homes we track in New Hampshire for occupancy. Shows this facility's occupancy rate versus the New Hampshire average, with its Statewide rank out of 51. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
88% This home usually has limited availability
Higher than the New Hampshire average: 81.1%
Occupied beds
67 / 76
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
81 days
BBB Rating Info An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+ Not Accredited
How BBB ratings work

About this community

License Details

Facility TypeNursing Home
IssuanceJanuary 4, 2025
CountyHillsborough
License Number2263
CMS Certification Number305057

Ownership & Operating Entity

The Courville at Manchester is administered by Alyssa F Rifkin.

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

1 service
Home Care

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Dining
Wellness Program
Branded ProgramsHumanKindness & Wellness for Life
Religious Services
Volunteer Program

Contact The Courville at Manchester

CMS Health Inspection History

Inspections Since 2023 · 3 years of data
Total health inspections 3

New Hampshire average 3.5

Last Health inspection on Jan 2025

Total health citations
22 Rank #53 / 65Health citations — State benchmarkedThis home is ranked 53rd out of 65 homes we track in New Hampshire for health citations. Shows this facility's total health deficiency citations benchmarked to the New Hampshire State average, with a ranking across all 65 NH facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New Hampshire average 14.4

Citations per inspection
7.33 Rank #63 / 65Citations per inspection — State benchmarkedThis home is ranked 63rd out of 65 homes we track in New Hampshire for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New Hampshire mean across 65 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
100% better than New Hampshire average

New Hampshire average: 0.2

Serious health citations
0
100% better than New Hampshire average

New Hampshire average: 0.1

0 critical citations New Hampshire average: 0.2
0 serious citations New Hampshire average: 0.1
21 moderate citations New Hampshire average: 12
1 minor citation New Hampshire average: 2
Citations history (last 3 years)
Abuse/Neglect moderate citation Jan 17, 2025
Corrected
Abuse/Neglect moderate citation Jan 17, 2025
Corrected
Infection Control moderate citation Jan 17, 2025
Corrected
Nursing Services moderate citation Jan 17, 2025
Corrected
Show Inspection Reports

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 197
Employees 87
Contractors 110
Staff to resident ratio 2.81 : 1
52% more staff per resident than New Hampshire average
New Hampshire average ratio: 1.85 : 1 New Hampshire average ratio: 1.85 : 1See full New Hampshire ranking
Avg staff/day 48
Average shift 7.3 hours
6% worse than New Hampshire average
New Hampshire average: 7.8 hours New Hampshire average shift: 7.8 hoursSee full New Hampshire ranking
Total staff hours (quarter) 32,388

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 30 total: 15 full-time employees and 15 contractors. 30
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 28 total: 14 full-time employees and 14 contractors. 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 92 total: 42 full-time employees and 50 contractors. 92
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

17.1%

5,540 contractor hours this quarter

Certified Nursing Assistant: 50 Registered Nurse: 15 Licensed Practical Nurse: 14 Physical Therapy Assistant: 10 Qualified Social Worker: 5 Respiratory Therapy Technician: 4 Other Physician: 3 Speech Language Pathologist: 3 Physical Therapy Aide: 2 Medical Director: 2 Feeding Assistant: 1 Diagnostic X-ray Services Staff: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant42509213,71692100%7.4
Licensed Practical Nurse1414285,85492100%8.1
Registered Nurse1515304,65292100%7.3
Other Dietary Services Staff3031,1528592%7.2
Medication Aide/Technician5058827278%7.3
Respiratory Therapy Technician0448186975%6.9
Physical Therapy Assistant010107767278%6.2
Occupational Therapy Aide2026606470%7.5
Feeding Assistant0115976975%8.7
Speech Language Pathologist0335428087%6.5
Clinical Nurse Specialist1014866368%7.7
Nurse Practitioner1014506065%7.5
Mental Health Service Worker1014506065%7.5
Administrator1014055459%7.5
Qualified Social Worker0553426672%4.8
Dental Services Staff2021733841%4.4
Diagnostic X-ray Services Staff0111453538%4.1
Medical Director0221261617%7.9
Other Physician0331103538%2.8
Physical Therapy Aide022521516%3.5
92 Certified Nursing Assistant
% of Days 100%
28 Licensed Practical Nurse
% of Days 100%
30 Registered Nurse
% of Days 100%
3 Other Dietary Services Staff
% of Days 92%
View All Staffing Data in Manchester

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 Rank #1 / 65Federal fines — State benchmarkedThis home is ranked 1st out of 65 homes we track in New Hampshire for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the New Hampshire average among facilities with fines, and where it ranks among 65 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
85% lower than New Hampshire average

New Hampshire average: $33K

Number of fines 1
48% fewer fines than New Hampshire average

New Hampshire average: 1.9

Payment Denials Info 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 average

New Hampshire average: 0.1

Fines amount comparison
Fines amount comparison
This facility $5K
New Hampshire average $33K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

New Hampshire average: 11.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.9
10% better than New Hampshire average

New Hampshire average: 23.2

Long-stay resident measures
Significantly above average New Hampshire avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 13.4%
39% better than New Hampshire average

New Hampshire average: 21.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.3%
10% better than New Hampshire average

New Hampshire average: 20.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 31.0%
14% worse than New Hampshire average

New Hampshire average: 27.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.7%
41% better than New Hampshire average

New Hampshire average: 4.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.2%
38% worse than New Hampshire average

New Hampshire average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.2%
66% worse than New Hampshire average

New Hampshire average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.4%
49% worse than New Hampshire average

New Hampshire average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 15.7%
90% worse than New Hampshire average

New Hampshire average: 8.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.2%
24% better than New Hampshire average

New Hampshire average: 17.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with New Hampshire average

New Hampshire average: 96.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with New Hampshire average

New Hampshire average: 98.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.46
12% better than New Hampshire average

New Hampshire average: 1.65

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.41
26% better than New Hampshire average

New Hampshire average: 1.90

Short-stay resident measures
Average New Hampshire avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
17% better than New Hampshire average

New Hampshire average: 83.8%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.4%
51% worse than New Hampshire average

New Hampshire average: 1.6%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.0%
16% better than New Hampshire average

New Hampshire average: 83.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 27.5%
24% worse than New Hampshire average

New Hampshire average: 22.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.2%
6% better than New Hampshire average

New Hampshire average: 14.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.3%
203% worse than New Hampshire average

New Hampshire average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 52.0%
In line with New Hampshire average

New Hampshire average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.3%
19% better than New Hampshire average

New Hampshire average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 70
Medicare
16
22.9% of residents
Medicaid
22
31.4% of residents
Private pay or other
32
45.7% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.3M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.2M Rank #35 / 59Net patient revenue — State benchmarkedThis home is ranked 35th out of 59 homes we track in New Hampshire. Shows this facility's net patient revenue compared to the New Hampshire average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.3M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$709.8K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #29 / 59Payroll costs — State benchmarkedThis home is ranked 29th out of 59 homes we track in New Hampshire. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New Hampshire average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$5.7M 56.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #17 / 59Payroll % of net patient revenue — State benchmarkedThis home is ranked 17th out of 59 homes we track in New Hampshire. Shows payroll as a percentage of net patient revenue versus the New Hampshire average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.4M
How we calculate these figures

This home is administered by Alyssa F Rifkin.

This home is owned by Richard Leboeuf

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 305057

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (63% of admissions), and a typical Medicare stay runs around 17 days.

Admissions
408 total

Coverage residents most often arrive under.

Medicare 63%
Private pay 36%
Medicaid 2%
Discharges
308 total

Coverage residents most often leave under.

Medicare 41%
Private pay 51%
Medicaid 8%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near The Courville at Manchester

Address 1.3 miles from city center Info Estimated distance in miles from Manchester's city center to The Courville at Manchester's address, calculated via Google Maps. — 1.08 miles to nearest hospital (Fresenius Medical Care at Catholic Medical)

Calculate Travel Distance to The Courville at Manchester

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Address

Compare Nursing Homes around Manchester

Info below is compiled from CMS reports & the NH Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New Hampshire average is: 52.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Maple Leaf Healthcare Center ★ ★ ★ ★ ★
NH
MC
SNF
Manchester
114
Facility 114
NH AVG 69
Rank #23 / 164
93.7%
Facility 93.7%
NH AVG 82.2%
Rank #8 / 51
+14%
2.81
Facility 2.81
NH AVG 4.28
Rank #59 / 64
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -30%-34%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 65
6
Facility 6
NH AVG 14.4
Rank #6 / 65
2.0
Facility 2.0
NH AVG 4.0
Rank #1 / 65
-107-
49
Facility 49
NH AVG 37
Rank #58 / 190
Nh3 Opco Holdco LLC$10.8M*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$7.1M*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.65.9%*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.305030
Mt. Carmel Rehabilitation and Nursing Center ★ ★ ★ ★ ☆
NH
MC
PC
RC
SNF
Manchester
120
Facility 120
NH AVG 69
Rank #20 / 164
89.9%
Facility 89.9%
NH AVG 82.2%
Rank #13 / 51
+9%
4.56
Facility 4.56
NH AVG 4.28
Rank #18 / 64
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ -8%+7%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 65
10
Facility 10
NH AVG 14.4
Rank #21 / 65
3.3
Facility 3.3
NH AVG 4.0
Rank #24 / 65
-110A+
81
Facility 81
NH AVG 37
Rank #17 / 190
Joseph Bohunicky
$16.2MFiscal year ending 03/2024
Facility $16.2MFiscal year ending 03/2024
NH AVG $13.2M
Rank #17 / 59
$7.3MFiscal year ending 03/2024
Facility $7.3MFiscal year ending 03/2024
NH AVG $6.9M
Rank #18 / 59
45.2%Fiscal year ending 03/2024
Facility 45.2%Fiscal year ending 03/2024
NH AVG 52.5%
Rank #47 / 59
305067
Villa Crest Nursing and Retirement Center ★ ★ ★ ★ ☆
NH
AL
MC
RC
SNF
Manchester
126
Facility 126
NH AVG 69
Rank #18 / 164
95.8%
Facility 95.8%
NH AVG 82.2%
Rank #4 / 51
+17%
3.41
Facility 3.41
NH AVG 4.28
Rank #36 / 64
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -34%-20%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 65
9
Facility 9
NH AVG 14.4
Rank #18 / 65
3.0
Facility 3.0
NH AVG 4.0
Rank #18 / 65
-121-
39
Facility 39
NH AVG 37
Rank #83 / 190
Nathan Obara
$18.5MFiscal year ending 12/2023
Facility $18.5MFiscal year ending 12/2023
NH AVG $13.2M
Rank #11 / 59
$7.6MFiscal year ending 12/2023
Facility $7.6MFiscal year ending 12/2023
NH AVG $6.9M
Rank #15 / 59
41.2%Fiscal year ending 12/2023
Facility 41.2%Fiscal year ending 12/2023
NH AVG 52.5%
Rank #50 / 59
305079
St Joseph Residence Inc ★ ★ ★ ★ ☆
NH
Manchester
22
Facility 22
NH AVG 69
Rank #125 / 164
100.0%
Facility 100.0%
NH AVG 82.2%
Rank #1 / 51
+22%
6.18
Facility 6.18
NH AVG 4.28
Rank #2 / 64
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ +13%+44%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 65
10
Facility 10
NH AVG 14.4
Rank #21 / 65
3.3
Facility 3.3
NH AVG 4.0
Rank #24 / 65
-22-
40
Facility 40
NH AVG 37
Rank #82 / 190
Jacqueline Lambert
$3.7MFiscal year ending 06/2024
Facility $3.7MFiscal year ending 06/2024
NH AVG $13.2M
Rank #58 / 59
$3.0MFiscal year ending 06/2024
Facility $3.0MFiscal year ending 06/2024
NH AVG $6.9M
Rank #54 / 59
83.1%Fiscal year ending 06/2024
Facility 83.1%Fiscal year ending 06/2024
NH AVG 52.5%
Rank #2 / 59
305088
The Courville at Manchester ★ ★ ☆ ☆ ☆
NH
AL
MC
SNF
Manchester (North End)
76
Facility 76
NH AVG 69
Rank #67 / 164
88.2%
Facility 88.2%
NH AVG 82.2%
Rank #20 / 51
+7%
4.28
Facility 4.28
NH AVG 4.28
Rank #23 / 64
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +19%0%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 65
22
Facility 22
NH AVG 14.4
Rank #53 / 65
7.3
Facility 7.3
NH AVG 4.0
Rank #63 / 65
-67A+
71
Facility 71
NH AVG 37
Rank #30 / 190
Richard Leboeuf
$10.2MFiscal year ending 12/2023
Facility $10.2MFiscal year ending 12/2023
NH AVG $13.2M
Rank #35 / 59
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
NH AVG $6.9M
Rank #29 / 59
56.1%Fiscal year ending 12/2023
Facility 56.1%Fiscal year ending 12/2023
NH AVG 52.5%
Rank #17 / 59
305057
Nursing Home Explorer

Financial Assistance for
Nursing Home in New Hampshire

The Courville at Manchester is located in Manchester, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.

Get Financial aid guidance

Choices for Independence

NH Medicaid CFI Waiver

Age 65+ or disabled
General New Hampshire resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NH

Small state; rural access emphasis.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home aides

NH ServiceLink Aging and Disability Resource Center

NH ServiceLink

Age 60+
General New Hampshire resident, or caregiver.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NH

Primarily referral-based; limited direct funding.

Benefits
Care coordination Respite (up to 5 days/year) Transportation (~5 trips/month)

Old Age Assistance (OAA)

New Hampshire Old Age Assistance

Age 65+
General NH resident, US citizen/eligible alien, not in public institution.
Income Limits (2025) ~$1,063/month (individual, net after deductions); varies by living arrangement.
Asset Limits $1,500 (individual), $2,000 (couple).
NH

Automatic Medicaid eligibility; estate recovery applies.

Benefits
Cash (~$50-$200/month) for living costs (e.g., rent, utilities, care support)

New Hampshire Family Caregiver Program (via NFCSP)

New Hampshire Family Caregiver Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; NH resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
NH

13 ServiceLink locations; rural/low-income priority.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Medicare Savings Program (MSP)

New Hampshire Medicare Savings Program

Age 65+ or disabled
General NH resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NH

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

New Hampshire Fuel Assistance Program (FAP)

New Hampshire Fuel Assistance Program

Age 60+ prioritized
General NH resident, low-income household.
Income Limits (2025) ~$33,614/year (1-person), ~$43,958/year (2-person) (150% FPL).
Asset Limits Not assessed; income-focused.
NH

Administered by 5 CAP agencies; covers oil, gas, electric, wood.

Benefits
Heating aid ($300-$1,200/season) Weatherization Emergency fuel ($450 max)

VA Aid and Attendance (A&A) and Housebound Benefits

New Hampshire VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NH resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NH

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

NH Low and Moderate Income Homeowners Property Tax Relief

New Hampshire Property Tax Relief

Age 65+ prioritized
General NH resident, homeowner, paid property taxes.
Income Limits (2025) ~$47,000/year (individual), ~$60,000/year (couple).
Asset Limits Not assessed; home value cap at $750,000.
NH

Refundable relief (~$100-$500/year); annual application.

Benefits
Tax relief (~$100-$500/year) to offset housing costs Indirectly aiding care funding

Frequently Asked Questions about The Courville at Manchester

What neighborhood is The Courville at Manchester in?

The Courville at Manchester is in the North End neighborhood of Manchester.

Is The Courville at Manchester in a walkable area?

The Courville at Manchester has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of The Courville at Manchester?

According to NH state health department records, The Courville at Manchester's license number is 2263.

What is the occupancy rate at The Courville at Manchester?

The Courville at Manchester's occupancy is 88%.

Are pets allowed at The Courville at Manchester?

No, The Courville at Manchester has a no-pet policy.

Does The Courville at Manchester operate as a for-profit or non-profit?

The Courville at Manchester is registered as a for-profit in NH.

Who is the administrator of The Courville at Manchester?

Alyssa F Rifkin is the administrator of The Courville at Manchester.

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