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
The Courville at Manchester is a Nursing Home in New Hampshire
The Courville at Manchester is a Nursing Home in New Hampshire
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.
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This nursing home maintains occupancy well above most state peers, signaling sustained demand. The property runs a smaller bed inventory than most peers, focusing on a more intimate census. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.
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Home revenue lands near the state median, signaling steady but not standout inflows. Payroll outlays align with state averages, keeping staffing resources on par with peers. Total income mirrors statewide norms, reflecting a balanced margin profile.
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Medicare nights lag behind other facilities, revealing limited Medicare demand. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights lead the state, showing strong demand from market-rate residents.
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About this community
Additional licensing details
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
Types of Care at The Courville at Manchester
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Places of interest near The Courville at Manchester
1.3 miles from city center
44 W Webster St, Manchester, NH 03104
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Comparison Chart
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.For seniors needing help with daily tasks but not full-time nursing.
24/7 care needed
For seniors needing help with daily tasks but not full-time nursing.
For seniors needing help with daily tasks but not full-time nursing.
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
24/7 care needed
Respite Care
For seniors needing help with daily tasks but not full-time nursing.
24/7 care needed
For seniors needing help with daily tasks but not full-time nursing.
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 27 | 7 | Yes |
| Licensed Practical Nurse | 24 | 8.1 | Yes |
| Certified Nursing Assistant | 66 | 7.2 | Yes |
Staff by Category
Contractor Analysis
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Source: CMS Health Citations (Jan 2023 – Jan 2025)
Citation Severity Distribution
Top Deficiency Categories
Citation Sources
State Comparison (NH)
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Jan 17, 2025 | D | Abuse/Neglect | F0607 | Corrected |
| Jan 17, 2025 | D | Abuse/Neglect | F0609 | Corrected |
| Jan 17, 2025 | D | Infection Control | F0880 | Corrected |
| Jan 17, 2025 | D | Nursing Services | F0730 | Corrected |
| Jan 17, 2025 | D | Nursing Services | F0947 | Corrected |
| Jan 17, 2025 | D | Pharmacy | F0758 | Corrected |
| Jan 17, 2025 | D | Quality of Care | F0677 | Corrected |
| Jan 17, 2025 | B | Care Planning | F0641 | Corrected |
| Jan 17, 2025 | D | Care Planning | F0658 | Corrected |
| Feb 15, 2024 | E | Nutrition | F0812 | Corrected |
| Feb 15, 2024 | D | Quality of Care | F0686 | Corrected |
| Feb 15, 2024 | D | Quality of Care | F0689 | Corrected |
| Jan 06, 2023 | D | Administration | F0868 | Corrected |
| Jan 06, 2023 | E | Infection Control | F0880 | Corrected |
| Jan 06, 2023 | E | Infection Control | F0881 | Corrected |
| Jan 06, 2023 | E | Infection Control | F0882 | Corrected |
| Jan 06, 2023 | D | Infection Control | F0883 | Corrected |
| Jan 06, 2023 | D | Infection Control | F0885 | Corrected |
| Jan 06, 2023 | D | Nutrition | F0812 | Corrected |
| Jan 06, 2023 | D | Nutrition | F0813 | Corrected |
| Jan 06, 2023 | E | Pharmacy | F0761 | Corrected |
| Jan 06, 2023 | D | Care Planning | F0658 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Resident Census by Payment Source
Programs & Services
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Penalties & 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)
Penalty History
Showing all 2 penalties (Jan 2023 - Jan 2023)
Guides for Better Senior Living
From costs to care, explore the most important topics to make informed decisions about your future.
Claim What’s Yours: Financial Aid for New Hampshire Seniors
- General: Age 65+ or disabled, 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 Specifics: Small state; rural access emphasis.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home aides.
- General: Age 60+, New Hampshire resident, or caregiver.
- Income Limits: No strict limit; prioritizes low-income.
- Asset Limits: Not applicable.
- NH Specifics: Primarily referral-based; limited direct funding.
- Services: Care coordination, respite (up to 5 days/year), transportation (~5 trips/month).
- General: Age 65+, 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 Specifics: Automatic Medicaid eligibility; estate recovery applies.
- Services: Cash (~$50-$200/month) for living costs (e.g., rent, utilities, care support).
- 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 Specifics: 13 ServiceLink locations; rural/low-income priority.
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
- General: Age 65+ or disabled, 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 Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
- General: Age 60+ prioritized, 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 Specifics: Administered by 5 CAP agencies; covers oil, gas, electric, wood.
- Services: Heating aid ($300-$1,200/season), weatherization, emergency fuel ($450 max).
- General: Age 55+, unemployed, low-income, NH resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- NH Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
- General: Age 65+ or disabled veteran/spouse, 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 Specifics: High veteran demand in rural/urban areas.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
- General: Age 65+ prioritized, 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 Specifics: Refundable relief (~$100-$500/year); annual application.
- Services: Tax relief (~$100-$500/year) to offset housing costs, indirectly aiding care funding.
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