The Courville at Manchester

Q: What neighborhood is The Courville at Manchester in?

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

Q: 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.

Q: 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.

Q: When does The Courville at Manchester's license expire?

According to NH state health department records, The Courville at Manchester's license expires on March 31, 2026.

Q: What is the occupancy rate at The Courville at Manchester?

The Courville at Manchester's occupancy is 88%.

Q: Who is the administrator of The Courville at Manchester?

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

Q: How many beds does The Courville at Manchester have?

The Courville at Manchester has 76 beds.

Nursing Home, Assisted Living & Memory Care · Manchester, NH

CMS overall rating

44 W Webster St, Manchester, NH 03104 View map

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The Courville at Manchester accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

The Courville at Manchester accepts Medicaid, Medicare, and private pay.

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 hello@thecourvilles.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to New Hampshire state averages

Total nursing care / resident

4h 15m per day

This facility New Hampshire avg (4h 17m per day)

vs New Hampshire avg

-1%

1 of 6 metrics below state avg

Standout metric Physical Therapist is +87% above state avg

Staff type	Hours / Day / Resident	vs state avg
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.	51m per day	▲ 13% State avg: 45m per day · National avg: 41m per day
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.	53m per day	▲ 16% State avg: 46m per day · National avg: 52m per day
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.	2h 13m per day	▼ 7% State avg: 2h 23m per day · National avg: 2h 21m per day
Weekend Total Nursing 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 35m per day	▲ 4% State avg: 3h 26m per day · National avg: 3h 26m per day
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.	7m per day	▲ 87% State avg: 4m per day · National avg: 4m per day
Weekend RN 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.	48m per day	▲ 54% State avg: 31m per day · National avg: 29m per day

Capacity and availability

81 days

76-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 71 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

88%

Higher than the New Hampshire average: 81.1%

Occupied beds

67 / 76

Average occupied beds in New Hampshire homes 80 beds

Facility TypeNursing Home

IssuanceJanuary 4, 2025

ExpirationMarch 31, 2026 Expired

CountyHillsborough

License Number2263

CMS Certification Number305057

The Courville at Manchester is administered by Alyssa F Rifkin.

Staffing

Key information about the people who lead and staff this community.

ContactBrian Newman, Operations Director

Accept Medicaid

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Home Care

Restaurant

Branded ProgramsHumanKindness & Wellness for Life

Wellness ProgramYes

Religious ServicesYes

Volunteer ProgramsYes

Food DescriptionThe dining program features imaginative chefs who emphasize fresh, farm-grown foods and offer a variety of meals including breakfast, lunch, dinner, and 'anytime dining.'

Since 2023 · 3 years of data 25 deficiencies

Inspection Scorecard 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.

Since 2023 vs. New Hampshire state average

Overall vs. NH average

Latest Inspection January 17, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NH Average	vs. NH Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	25	17	This facility has 47% more total deficiencies than a typical New Hampshire nursing home (25 vs. NH avg 17).↑ 47% worse
Deficiencies per year Average deficiencies per year since 2023.	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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

January 17, 2025 complaint investigation found 9 deficiencies including failure to implement abuse prevention policies, untimely reporting of neglect, inaccurate assessments, and infection control failures.
February 15, 2024 routine inspection cited 5 deficiencies related to pressure ulcer treatment, chemical hazard access, dishwasher sanitization, food service sanitation, and staff hygiene lapses.
January 6, 2023 annual inspection identified 11 deficiencies but no immediate jeopardy or harm-level citations were reported.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

New Hampshire average 3.5

Last Health inspection on Jan 2025

Total health citations

New Hampshire average 14.4

Citations per inspection

7.33

New Hampshire average 3.99

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 22 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)

Critical health citations

100% better than New Hampshire average

New Hampshire average: 0.2

Serious health citations

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

Total staff 197

Employees 87

Contractors 110

Staff to resident ratio 2.81 : 1

52% more staff per resident than New Hampshire average

Avg staff/day 48

Average shift 7.3 hours

6% worse than New Hampshire average

Total staff hours (quarter) 32,388

Nursing staff breakdown

7.3 hours

8.1 hours

7.4 hours

Contractor staffing

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


Certified Nursing Assistant	42	50	92	13,716	92	100%	7.4
Licensed Practical Nurse	14	14	28	5,854	92	100%	8.1
Registered Nurse	15	15	30	4,652	92	100%	7.3
Other Dietary Services Staff	3	0	3	1,152	85	92%	7.2
Medication Aide/Technician	5	0	5	882	72	78%	7.3
Respiratory Therapy Technician	0	4	4	818	69	75%	6.9
Physical Therapy Assistant	0	10	10	776	72	78%	6.2
Occupational Therapy Aide	2	0	2	660	64	70%	7.5
Feeding Assistant	0	1	1	597	69	75%	8.7
Speech Language Pathologist	0	3	3	542	80	87%	6.5
Clinical Nurse Specialist	1	0	1	486	63	68%	7.7
Nurse Practitioner	1	0	1	450	60	65%	7.5
Mental Health Service Worker	1	0	1	450	60	65%	7.5
Administrator	1	0	1	405	54	59%	7.5
Qualified Social Worker	0	5	5	342	66	72%	4.8
Dental Services Staff	2	0	2	173	38	41%	4.4
Diagnostic X-ray Services Staff	0	1	1	145	35	38%	4.1
Medical Director	0	2	2	126	16	17%	7.9
Other Physician	0	3	3	110	35	38%	2.8
Physical Therapy Aide	0	2	2	52	15	16%	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%

5 Medication Aide/Technician

% of Days 78%

4 Respiratory Therapy Technician

% of Days 75%

10 Physical Therapy Assistant

% of Days 78%

2 Occupational Therapy Aide

% of Days 70%

1 Feeding Assistant

% of Days 75%

3 Speech Language Pathologist

% of Days 87%

1 Clinical Nurse Specialist

% of Days 68%

1 Nurse Practitioner

% of Days 65%

1 Mental Health Service Worker

% of Days 65%

1 Administrator

% of Days 59%

5 Qualified Social Worker

% of Days 72%

2 Dental Services Staff

% of Days 41%

1 Diagnostic X-ray Services Staff

% of Days 38%

2 Medical Director

% of Days 17%

3 Other Physician

% of Days 38%

2 Physical Therapy Aide

% of Days 16%

View All Staffing Data in Manchester

Total fines amount $5K

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 1

633% more payment denials than New Hampshire average

New Hampshire average: 0.1

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.

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

Significantly above average New Hampshire avg: 2.7

Need for Help with Daily Activities Increased 13.4%

39% better than New Hampshire average

New Hampshire average: 21.9%

Walking Ability Worsened 18.3%

10% better than New Hampshire average

New Hampshire average: 20.3%

Low Risk Residents with Bowel/Bladder Incontinence 31.0%

14% worse than New Hampshire average

New Hampshire average: 27.1%

Falls with Major Injury 2.7%

41% better than New Hampshire average

New Hampshire average: 4.6%

High Risk Residents with Pressure Ulcers 6.2%

38% worse than New Hampshire average

New Hampshire average: 4.5%

Urinary Tract Infection 4.2%

66% worse than New Hampshire average

New Hampshire average: 2.5%

Lost Too Much Weight 8.4%

49% worse than New Hampshire average

New Hampshire average: 5.6%

Depressive Symptoms 15.7%

90% worse than New Hampshire average

New Hampshire average: 8.3%

Antipsychotic Use 13.2%

24% better than New Hampshire average

New Hampshire average: 17.4%

Pneumococcal Vaccine 100.0%

In line with New Hampshire average

New Hampshire average: 96.0%

Influenza Vaccine 100.0%

In line with New Hampshire average

New Hampshire average: 98.0%

Hospitalizations per 1,000 days 1.46

12% better than New Hampshire average

New Hampshire average: 1.65

ED visits per 1,000 days 1.41

26% better than New Hampshire average

New Hampshire average: 1.90

Short-stay resident measures

Average New Hampshire avg: 2.9

Pneumococcal Vaccine 98.2%

17% better than New Hampshire average

New Hampshire average: 83.8%

Antipsychotic medication increase 2.4%

51% worse than New Hampshire average

New Hampshire average: 1.6%

Influenza Vaccine 96.0%

16% better than New Hampshire average

New Hampshire average: 83.0%

Re-hospitalized after SNF stay 27.5%

24% worse than New Hampshire average

New Hampshire average: 22.1%

Emergency department visits 13.2%

6% better than New Hampshire average

New Hampshire average: 14.1%

Falls with major injury 2.3%

203% worse than New Hampshire average

New Hampshire average: 0.8%

Ability to care for self at discharge 52.0%

In line with New Hampshire average

New Hampshire average: 53.7%

Successful return to home or community 60.3%

19% better than New Hampshire average

New Hampshire average: 50.6%

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

Total residents 70

Medicare

22.9% of residents

Medicaid

31.4% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for The Courville at Manchester from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 89.8% ↑ 3.0pp vs 2022

Net Patient Income -$1.3M ↑ ~$252.3K vs 2022

Payroll Costs $5.7M ↑ ~$419.3K vs 2022

Operating Margin -12.3% ↑ 2.8pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	89.2%	85.1%	93.2%	94.3%	89.5%	88.2%	85.5%	84.5%	87.8%	76.1%	79.7%	86.8%	89.8%
Beds	82	82	82	82	82	82	82	82	82	82	76	76	76
Net Income	$206,842	$30,288	$639,382	$776,615	$462,892	-$30,853	-$108,842	-$88,304	$100,096	-$758,747	$5,962	-$279,041	-$546,149
Gross Revenue	$9,924,095	$10,626,560	$11,504,047	$11,730,029	$11,935,595	$11,336,826	$11,494,364	$11,588,134	$12,255,431	$10,723,648	$10,891,726	$12,320,885	$12,465,011
Operating Expenses	$7,728,396	$7,964,325	$7,869,959	$8,161,845	$9,511,236	$9,733,077	$10,206,326	$10,013,101	$10,320,561	$11,028,406	$10,378,909	$11,478,151	$11,443,617
Net Patient Income	$193,065	$20,184	$601,779	$749,203	-$281,830	-$763,354	-$842,890	-$789,056	-$587,731	-$2,137,039	-$1,604,836	-$1,508,281	-$1,255,997
Net Patient Revenue	$7,921,461	$7,984,509	$8,471,738	$8,911,048	$9,229,406	$8,969,723	$9,363,436	$9,224,045	$9,732,830	$8,891,367	$8,774,073	$9,969,870	$10,187,620
Payroll Costs	$3,602,669	$3,651,876	$3,684,204	$4,024,097	$4,053,246	$4,222,707	$4,216,049	$4,222,819	$4,387,145	$4,837,950	$4,929,264	$5,297,794	$5,717,065
Operating Margin %	2.4%	0.3%	7.1%	8.4%	-3.1%	-8.5%	-9.0%	-8.6%	-6.0%	-24.0%	-18.3%	-15.1%	-12.3%
Medicare %	16.8%	22.7%	19.5%	18.1%	24.8%	21.1%	23.8%	20.9%	16.8%	15.2%	19.5%	27.6%	17.7%
Medicaid %	42.0%	39.6%	44.3%	39.0%	31.3%	30.3%	35.1%	35.4%	41.3%	46.1%	46.3%	36.3%	37.4%
Private %	41.2%	37.7%	36.2%	42.8%	43.9%	48.5%	41.0%	43.8%	41.9%	38.7%	34.2%	36.1%	44.9%
Net Patient Revenue/Day	$297	$312	$304	$316	$344	$339	$366	$365	$370	$389	$405	$414	$409
Cost/Day	$289	$312	$282	$289	$355	$368	$399	$396	$393	$483	$479	$477	$460
Avg Length of Stay	82.9 days	71.8 days	80.5 days	98.5 days	82.2 days	78.0 days	71.8 days	95.3 days	111.8 days	152.0 days	170.6 days	83.3 days	80.8 days

Finances and operations

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

Net patient revenue

$10.2M

Net patient income

-$1.3M

Privately-owned community Operated by a single business entity.

Net patient revenue

$10.2M

Net patient income

-$1.3M

Other income

$709.8K

Payroll costs

$5.7M 56.1% of net patient revenue

Other operating costs

$5.7M

Total costs

$11.4M

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.

Coverage residents most often arrive under.

Medicare 63%

Private pay 36%

Medicaid 2%

Coverage residents most often leave under.

Medicare 41%

Private pay 51%

Medicaid 8%

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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Compare Nursing Homes around Manchester

The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.

5 facilities compared · CMS & NH Dept. of Health data


Villa Crest Nursing and Retirement Center	NH AL MC RC	Manchester	126 Facility 126 NH AVG 71 Rank #20 / 169	89.6% Facility 89.6% NH AVG 81.1% Rank #16 / 65	+10%	4.24 Facility 4.24 NH AVG 4.28 Rank #26 / 65	-34%	-1%	$0 Facility $0 NH AVG $36.9k Rank #1 / 66	9 Facility 9 NH AVG 14.4 Rank #19 / 66	3.0 Facility 3.0 NH AVG 4.0 Rank #19 / 66	-	119	-	39 Facility 39 NH AVG 31 Rank #85 / 229	Nathan Obara	$18.5M Facility $18.5M NH AVG $14.7M Rank #17 / 65	$7.6M Facility $7.6M NH AVG $5.7M Rank #18 / 65	41.2% Facility 41.2% NH AVG 39.8% Rank #38 / 65	305079
St. Teresa Rehabilitation and Nursing Center	NH IL PC RC	Manchester (Hanover Hill)	51 Facility 51 NH AVG 71 Rank #99 / 169	70.6% Facility 70.6% NH AVG 81.1% Rank #54 / 65	-13%	4.71 Facility 4.71 NH AVG 4.28 Rank #18 / 65	-32%	+10%	$0 Facility $0 NH AVG $36.9k Rank #1 / 66	14 Facility 14 NH AVG 14.4 Rank #34 / 66	4.7 Facility 4.7 NH AVG 4.0 Rank #42 / 66	-	36	-	56 Facility 56 NH AVG 31 Rank #48 / 229	Luanne Rogers	$5.5M Facility $5.5M NH AVG $14.7M Rank #57 / 65	$3.0M Facility $3.0M NH AVG $5.7M Rank #56 / 65	54.2% Facility 54.2% NH AVG 39.8% Rank #23 / 65	305071
Mt. Carmel Rehabilitation and Nursing Center	NH MC PC RC	Manchester (Myrtle Street)	120 Facility 120 NH AVG 71 Rank #22 / 169	85.5% Facility 85.5% NH AVG 81.1% Rank #23 / 65	+5%	4.71 Facility 4.71 NH AVG 4.28 Rank #18 / 65	-8%	+10%	$0 Facility $0 NH AVG $36.9k Rank #1 / 66	10 Facility 10 NH AVG 14.4 Rank #22 / 66	3.3 Facility 3.3 NH AVG 4.0 Rank #25 / 66	-	110	A+	81 Facility 81 NH AVG 31 Rank #17 / 229	Joseph Bohunicky	$16.2M Facility $16.2M NH AVG $14.7M Rank #18 / 65	$7.3M Facility $7.3M NH AVG $5.7M Rank #17 / 65	45.2% Facility 45.2% NH AVG 39.8% Rank #31 / 65	305067
Hanover Hill Health Care Center	NH MC NC PC RC	Manchester (Hanover Hill)	124 Facility 124 NH AVG 71 Rank #21 / 169	93.5% Facility 93.5% NH AVG 81.1% Rank #8 / 65	+15%	3.46 Facility 3.46 NH AVG 4.28 Rank #43 / 65	+23%	-19%	$8.5k Facility $8.5k NH AVG $36.9k Rank #51 / 66	10 Facility 10 NH AVG 14.4 Rank #22 / 66	3.3 Facility 3.3 NH AVG 4.0 Rank #25 / 66	1	110	A+	59 Facility 59 NH AVG 31 Rank #42 / 229	Theodore Lee	$15.4M Facility $15.4M NH AVG $14.7M Rank #14 / 65	$9.3M Facility $9.3M NH AVG $5.7M Rank #16 / 65	60.2% Facility 60.2% NH AVG 39.8% Rank #43 / 65	305009
The Courville at Manchester	NH AL MC	Manchester (North End)	76 Facility 76 NH AVG 71 Rank #69 / 169	88.2% Facility 88.2% NH AVG 81.1% Rank #19 / 65	+9%	4.24 Facility 4.24 NH AVG 4.28 Rank #26 / 65	+19%	-1%	$0 Facility $0 NH AVG $36.9k Rank #1 / 66	22 Facility 22 NH AVG 14.4 Rank #54 / 66	7.3 Facility 7.3 NH AVG 4.0 Rank #64 / 66	-	72	A+	71 Facility 71 NH AVG 31 Rank #30 / 229	Richard Leboeuf	$10.2M Facility $10.2M NH AVG $14.7M Rank #39 / 65	$5.7M Facility $5.7M NH AVG $5.7M Rank #36 / 65	56.1% Facility 56.1% NH AVG 39.8% Rank #26 / 65	305057

Nursing Home Explorer

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).

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.

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).

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.

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).

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.

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

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.

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

Benefits

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

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.

When does The Courville at Manchester's license expire?

According to NH state health department records, The Courville at Manchester's license expires on March 31, 2026.

What is the occupancy rate at The Courville at Manchester?

The Courville at Manchester's occupancy is 88%.

Who is the administrator of The Courville at Manchester?

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

How many beds does The Courville at Manchester have?

The Courville at Manchester has 76 beds.

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The Courville at Manchester

Overview of The Courville at Manchester

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Amenities & Lifestyle

Dining & Nutrition

Contact The Courville at Manchester

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

92 Certified Nursing Assistant

28 Licensed Practical Nurse

30 Registered Nurse

3 Other Dietary Services Staff

5 Medication Aide/Technician

4 Respiratory Therapy Technician

10 Physical Therapy Assistant

2 Occupational Therapy Aide

1 Feeding Assistant

3 Speech Language Pathologist

1 Clinical Nurse Specialist

1 Nurse Practitioner

1 Mental Health Service Worker

1 Administrator

5 Qualified Social Worker

2 Dental Services Staff

1 Diagnostic X-ray Services Staff

2 Medical Director

3 Other Physician

2 Physical Therapy Aide

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near The Courville at Manchester

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Financial Assistance for
Nursing Home in New Hampshire