Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
34% better than New Hampshire average
New Hampshire average: 4.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Census: 69
Deficiencies: 2
Date: Jul 24, 2025
Visit Reason
The inspection was conducted to assess compliance with food safety and infection prevention standards, including evaluation of equipment sanitation and the facility's water management program.
Findings
The facility was found to have unsanitary conditions in the kitchen ice machine and improper handling of supplemental shakes. Additionally, the facility failed to implement and annually review a water management program with adequate control measures, potentially affecting 69 residents.
Deficiencies (2)
Failed to ensure that equipment was clean and sanitary for 1 kitchen and handling of food for 1 of 2 kitchenettes observed, including a greenish brown film inside the ice machine and supplemental shakes past use-by date.
Failed to implement and review at least annually the facility's water management program, lacking documentation of control measures and policy review since 2018.
Report Facts
Residents affected: 69
Supplemental shakes: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Food Service Director | Interviewed regarding ice machine sanitation and supplemental shakes handling |
| Staff D | Maintenance Director | Interviewed regarding water management program and identified at-risk areas |
| Staff F | Infection Preventionist | Interviewed regarding management and documentation of water management program |
| Staff E | Administrator | Confirmed lack of documentation and policy review for water management program |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: May 14, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, communication, mobility, hospice services, infection control, and care planning at Courville at Nashua nursing home.
Findings
The facility was found deficient in multiple areas including failure to notify residents or their representatives of care plan meetings, failure to maintain communication devices for a resident, inadequate care to maintain mobility for a resident, lack of ongoing collaboration with hospice services, and failure to follow infection prevention policies related to contact precautions for C. difficile.
Deficiencies (5)
Failed to notify residents and/or their representatives of care plan meetings for 2 residents (#16 and #40).
Failed to provide necessary care to ensure a resident's ability to communicate was maintained with a communication device (#40).
Failed to ensure residents receive appropriate treatment to maintain mobility for 1 resident (#28).
Failed to ensure ongoing collaboration and communication between nursing home and hospice company for 1 hospice resident (#6).
Failed to follow facility policy on contact precautions to reduce transmission of communicable diseases for 1 resident with C. difficile.
Report Facts
Residents reviewed: 19
Hospice aide visits documented: 1
Hospice aide visits documented: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff J | Social Worker | Confirmed no documentation of care plan meeting invitations for Residents #16 and #40 |
| Staff M | Registered Nurse | Recalled Resident #40 admitted with communication device; confirmed device was located in drawer |
| Staff K | Licensed Nursing Assistant | Unaware of Resident #40 using communication board |
| Staff F | Licensed Nursing Assistant | Unaware of Resident #40 using communication board |
| Staff I | Licensed Nursing Assistant | Unaware that Resident #28 should have a rolled face cloth in right hand |
| Staff N | Unit Manager | Confirmed no schedule for hospice aide visits for Resident #6 |
| Staff O | Hospice Aide | Confirmed only documented one visit per week for Resident #6 despite more visits |
| Staff H | Licensed Practical Nurse | Observed entering C. difficile precaution room without gown or gloves and administering medications |
| Staff G | Unit Manager/Infection Preventionist | Confirmed facility policy requires gown and gloves before entering C. difficile precaution room |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Mar 30, 2023
Visit Reason
The inspection was conducted as a final survey of a sample of 19 residents to assess compliance with medication self-administration policies.
Findings
The facility failed to assess Resident #60's ability to self-administer medications and improperly left medications at the bedside without documented assessment, posing minimal harm or potential for actual harm to a few residents.
Deficiencies (1)
Facility failed to assess a resident's ability to self-administer medications and left medications at the bedside without assessment.
Report Facts
Number of medications left at bedside: 7
Number of residents reviewed: 19
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Registered Nurse | Confirmed Resident #60 was not assessed to self-administer medications |
| Staff C | Licensed Practical Nurse | Left medications on bedside table for Resident #60 |
| Staff A | Director of Nursing | Confirmed Resident #60 was not assessed to self-administer medications |
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