The Courville at Manchester

The Courville at Manchester is a Nursing Home in New Hampshire

The Courville at Manchester is a Nursing Home in New Hampshire

The Courville at Manchester

44 W Webster St, Manchester, NH 03104 View Map

The Courville at Manchester is a Nursing Home in New Hampshire

The Courville at Manchester is a Nursing Home in New Hampshire

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Overview of 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.

603-647-5900

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.24/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5

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.

Similar demand to the New Hampshire average
Occupancy rate 89.8%
Residents per day (avg) 67
Occupancy rate
89.8%
Residents per day (avg)
67

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.

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

Proprietary home
Corporation
Home revenue
$13.2M
Operating loss
-$546.1K
Proprietary home Corporation
Home revenue
$13,174,859.00
Operating loss
$-546,149.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.8M
36.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.9M
Total costs $13.7M
Bed community size
76-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 71 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
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

About this community

License Status
Active
Facility Type
Nursing Home
License Date
January 4, 2025
License Expiration
March 31, 2026

Additional licensing details

License number: 2263
CMS Certification Number: 305057
County: HILLSBOROUGH

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
Contact The Courville at Manchester

Compare Nursing Homes around Manchester

The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
Villa Crest Nursing and Retirement Center
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

RC

Respite Care

Manchester
165
No
-
39
OBARA, NATHAN
89.6%
$19,940,613.00
$6,733,103.00
33.8%
120.70
5/5
4.2436
4/5
4/5
5/5
-
St. Teresa Rehabilitation and Nursing Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Manchester
51
No
-
56
ROGERS, LUANNE
75.7%
$6,692,338.00
$2,433,645.00
36.4%
43.10
4/5
4.7087
4/5
4/5
3/5
-
Mt. Carmel Rehabilitation and Nursing Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Manchester
120
No
A+
81
BOHUNICKY, JOSEPH
85.5%
$18,675,879.00
$5,762,680.00
30.9%
112.30
4/5
4.7076
4/5
4/5
3/5
-
The Courville at Manchester
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SNF

Nursing Homes 24/7 care needed

Manchester
76
No
A+
71
LEBOEUF, RICHARD
89.8%
$12,465,011.00
$4,790,295.00
38.4%
67.10
2/5
4.2426
2/5
4/5
4/5
1
Hanover Hill Health Care Center
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SNF

Nursing Homes 24/7 care needed

Manchester
124
No
A+
59
LEE, THEODORE
86.5%
$20,855,289.00
$8,012,085.00
38.4%
113.30
1/5
3.4644
1/5
2/5
4/5
1

Places of interest near The Courville at Manchester

Address 1.3 miles from city center

Address 44 W Webster St, Manchester, NH 03104

Calculate Travel Distance to The Courville at Manchester

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

160
Total Staff
95
Employees
65
Contractors
32,176
Total Hours (Quarter)
48
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse277 Yes
Licensed Practical Nurse248.1 Yes
Certified Nursing Assistant667.2 Yes
Staff by Category
Administration
3 staff
8.1hs shift avg
Nursing Staff
124 staff
7.5hs shift avg
Physicians & Practitioners
7 staff
6.9hs shift avg
Therapy Services
17 staff
6.6hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
3 staff
6.1hs shift avg
Dietary Services
3 staff
7.4hs shift avg
Other Services
3 staff
6.1hs shift avg
Contractor Analysis
15.3%
of total hours from contractors
4,931 contractor hours this quarter
Licensed Practical Nurse: 9 Certified Nursing Assistant: 18 Respiratory Therapy Technician: 5 Registered Nurse: 13 Qualified Social Worker: 3 Other Physician: 3 Physical Therapy Assistant: 5 Feeding Assistant: 2 Speech Language Pathologist: 3 Physical Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant48186613,47091100%7.2
Licensed Practical Nurse159245,95291100%8.1
Registered Nurse1413273,16891100%7
Medication Aide/Technician5051,7218998%8.2
Other Dietary Services Staff3031,3309099%7.4
Respiratory Therapy Technician0558887279%6.9
Physical Therapy Assistant0558667684%6.5
Clinical Nurse Specialist3037496470%7.7
Occupational Therapy Aide2026386167%7.5
Feeding Assistant0225885358%8.8
Speech Language Pathologist0334747178%5.7
Mental Health Service Worker1014506066%7.5
Administrator1014435965%7.5
Nurse Practitioner1014435965%7.5
Qualified Social Worker0334096167%6.1
Medical Director0222472527%9.5
Dental Services Staff2021744347%4
Other Physician033812730%3
Occupational Therapy Assistant0115133%17
Physical Therapy Aide011381516%2.5

Health Inspection History

Total Health inspections 3
14% below New Hampshire average
New Hampshire average: 3.5

Last Health inspection on Jan 2025

Total Health citations 22
53% above New Hampshire average
New Hampshire average: 14.4

7.33 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 22 citations
Complaint investigations 0 citations
Breakdown of citations
Critical Health citations 0
100% below New Hampshire average
New Hampshire average: 0.2
Serious Health citations 0
100% below New Hampshire average
New Hampshire average: 0.1
Moderate Health citations 21

Minor Health citations 1
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

Facility Characteristics

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

Ownership: For-Profit LLC
Resident Census by Payment Source
70 Total Residents
Medicare 16 (22.9%)
Medicaid 22 (31.4%)
Private Pay/Other 32 (45.7%)
Programs & Services
Residents' Group
Family Member Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 9.8
14% better than New Hampshire average
New Hampshire average: 11.4
Functional decline score 20.9
10% better than New Hampshire average
New Hampshire average: 23.2
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 13.4%
39% below New Hampshire average.

Walking Ability Worsened 18.3%
10% below New Hampshire average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 31.0%
14% above New Hampshire average.
Safety & clinical stability

Falls with Major Injury 2.7%
41% below New Hampshire average.

High Risk Residents with Pressure Ulcers 6.2%
38% above New Hampshire average.

Urinary Tract Infection 4.2%
66% above New Hampshire average.
Emotional & behavioral wellbeing

Depressive Symptoms 15.7%
90% above New Hampshire average.

Antipsychotic Use 13.2%
24% below New Hampshire average.
Preventive care

Pneumococcal Vaccine 100.0%
4% above New Hampshire average.

Influenza Vaccine 100.0%
2% above New Hampshire average.
Nutrition & physical health

Lost Too Much Weight 8.4%
49% above New Hampshire average.
Short-stay resident measures
Pneumococcal Vaccine 98.2%

17% better than New Hampshire average
Antipsychotic medication increase 2.4%

51% worse than New Hampshire average
Influenza Vaccine 96.0%

16% better than New Hampshire average

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
This home paid 85% less in fines than the state average.
New Hampshire average: $33K
Number of Fines 1
This home received 48% fewer fines than the state average.
New Hampshire average: 1.9
Payment Denials 1
This home had 633% more payment denials than the state average.
New Hampshire average: 0.1
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Jan 6, 2023
$5K
Payment Denial Jan 6, 2023
7 days

Last updated: Jan 2026

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for New Hampshire Seniors

Get financial aid guidance

Choices for Independence

NH Medicaid CFI Waiver

Age 65+ or disabled, New Hampshire resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Small state; rural access emphasis.

NH ServiceLink Aging and Disability Resource Center

NH ServiceLink

Age 60+, New Hampshire resident, or caregiver.

No strict limit; prioritizes low-income.

Not applicable.

Primarily referral-based; limited direct funding.

Old Age Assistance (OAA)

New Hampshire Old Age Assistance

Age 65+, NH resident, US citizen/eligible alien, not in public institution.

~$1,063/month (individual, net after deductions); varies by living arrangement.

$1,500 (individual), $2,000 (couple).

Automatic Medicaid eligibility; estate recovery applies.

New Hampshire Family Caregiver Program (via NFCSP)

New Hampshire Family Caregiver Program

Caregivers of 60+ needing care or 55+ caregivers of others; NH resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

13 ServiceLink locations; rural/low-income priority.

Medicare Savings Program (MSP)

New Hampshire Medicare Savings Program

Age 65+ or disabled, NH resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

New Hampshire Fuel Assistance Program (FAP)

New Hampshire Fuel Assistance Program

Age 60+ prioritized, NH resident, low-income household.

~$33,614/year (1-person), ~$43,958/year (2-person) (150% FPL).

Not assessed; income-focused.

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

Senior Community Service Employment Program (SCSEP)

New Hampshire SCSEP

Age 55+, unemployed, low-income, NH resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

New Hampshire VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, NH resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

NH Low and Moderate Income Homeowners Property Tax Relief

New Hampshire Property Tax Relief

Age 65+ prioritized, NH resident, homeowner, paid property taxes.

~$47,000/year (individual), ~$60,000/year (couple).

Not assessed; home value cap at $750,000.

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

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