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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
This home is ranked 23rd out of 62 homes in New Hampshire.| Staff type | Hours / day | vs state avg |
|---|---|---|
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Registered Nurse (RN)
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.
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54m per day | ▲ 20% State avg: 45m per day · National avg: 41m per day |
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LPN / LVN
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.
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53m per day | ▲ 15% State avg: 46m per day · National avg: 52m per day |
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Nurse Aide
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.
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2h 22m per day | ■ Avg State avg: 2h 23m per day · National avg: 2h 21m per day |
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Total Nursing (Weekend)
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.
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3h 53m per day | ▲ 13% State avg: 3h 26m per day · National avg: 3h 26m per day |
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Physical Therapist
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.
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4m per day | ■ Avg State avg: 4m per day · National avg: 4m per day |
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RN (Weekend)
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.
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53m per day | ▲ 71% State avg: 31m per day · National avg: 29m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
63% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #32 / 60Payroll — state benchmarkedThis home is ranked 32nd out of 60 homes in New Hampshire.Shows total annual staff payroll benchmarked to the New Hampshire average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the New Hampshire average: 81.1%
The Courville at Manchester is administrated by Alyssa F Rifkin.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NH Average | vs. NH Avg |
|---|---|---|---|
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Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
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25 | 17 | This facility has 47% more total deficiencies than a typical New Hampshire nursing home (25 vs. NH avg 17).↑ 47% worse |
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Deficiencies per year
Average deficiencies per year since 2023.
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8.3 | 5.7 | This facility has 46% more deficiencies per year than a typical New Hampshire nursing home (8.3 vs. NH avg 5.7).↑ 46% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 17, 2025, identified multiple deficiencies related to abuse prevention, timely reporting, resident assessments, supervision, staff training, medication orders, and infection control. Earlier inspections showed deficiencies in areas such as pressure ulcer care, food safety, medication management, infection control, and quality assurance practices. Complaint investigations substantiated issues with abuse policy implementation and neglect reporting, along with other care and safety concerns. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with compliance in resident care and infection control, with no clear pattern of improvement over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew Hampshire average 3.5
Last Health inspection on Jan 2025
New Hampshire average 14.4
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.
100% better than New Hampshire average
New Hampshire average: 0.2
0
100% better than New Hampshire average
New Hampshire average: 0.1
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 17, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 17, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 17, 2025
Corrected
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.
The Courville at Manchester is located in Manchester, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
1.3 miles from city center
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)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
22% better than New Hampshire average
New Hampshire average ratio: 1.87:1
5% worse than New Hampshire average
New Hampshire average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This role is partially covered by contractors.
Total hours from contractors
4,931 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
70
Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
18.3%
10% better than New Hampshire average
New Hampshire average: 20.3%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
6.2%
38% worse than New Hampshire average
New Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
4.2%
66% worse than New Hampshire average
New Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
8.4%
49% worse than New Hampshire average
New Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
15.7%
90% worse than New Hampshire average
New Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
13.2%
24% better than New Hampshire average
New Hampshire average: 17.4%
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%
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%
Number of hospitalizations per 1,000 long-stay resident days.
1.46
12% better than New Hampshire average
New Hampshire average: 1.65
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
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
51% worse than New Hampshire average
New Hampshire average: 1.6%
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%
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%
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%
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%
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%
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.
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)
85% lower than New Hampshire average
New Hampshire average: $33K
48% fewer fines than New Hampshire average
New Hampshire average: 1.9
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
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| 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 (Myrtle Street) | 120 | 85.5% | +5% | 4.71 | 0% | +10% | 0 | 10 | 3.3 | - | 112 | A+ | 81 | Joseph Bohunicky | $19.8M | $5.8M | 29.1% | 305067 | ||||
| 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 | 95.6% | +18% | 3.25 | -7% | -24% | 0 | 6 | 2.0 | - | 107 | - | 49 | Nh3 Opco Holdco LLC | $10.3M | $3.7M | 36% | 305030 | ||||
| The Courville at Manchester |
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 (North End) | 76 | 89.8% | +11% | 4.24 | +34% | -1% | 1 | 22 | 7.3 | - | 67 | A+ | 71 | Richard Leboeuf | $13.2M | $4.8M | 36.4% | 305057 | ||||
| Ridgewood 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).
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. |
Bedford | 148 | 64.5% | -21% | 3.40 | +42% | -20% | 1 | 11 | 2.8 | 1 | 115 | - | 55 | Chantal Djakonan | $15.9M | $5.4M | 34% | 305052 | ||||
| Hanover Hill Health Care 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) | 124 | 86.5% | +7% | 3.46 | +29% | -19% | 1 | 10 | 3.3 | 1 | 113 | A+ | 59 | Theodore Lee | $21.1M | $8.0M | 38% | 305009 |
Historical financial and operational data for The Courville at Manchester based on CMS SNF Cost Reports.
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The Courville at Manchester is in the North End neighborhood of Manchester.
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.
According to NH state health department records, The Courville at Manchester's license number is 2263.
According to NH state health department records, The Courville at Manchester's license expires on March 31, 2026.
The Courville at Manchester's occupancy is 88%.
Alyssa F Rifkin is the administrator of The Courville at Manchester.
The Courville at Manchester has 76 beds.
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