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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 35 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. The latest standard survey recorded 5 findings, above the NH average of 4.0. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
The Courville at Manchester is widely praised for its compassionate nursing staff, effective rehabilitation services, and clean, well-maintained facilities. While many families report high satisfaction with the care provided to their loved ones, some reviewers have raised concerns regarding high staff turnover, occasional administrative issues, and potential understaffing. Families should be aware that experiences can vary, and it is recommended to conduct a thorough tour and ask specific questions about staffing ratios and personal property security.
Quality Themes
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Concerns
Rating Trends
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Distribution · 35 analyzed
This facility rarely responds to reviews.
Personalized based on this facility's data
Key Review Excerpts
“The activities coordinator (Patty) is the very best. The variety of food was unbelievable! The chef (can't think of his name) very accommodating for my moms needs. Dining room was gorgeous/clean/bright.”
“The building is beautiful, everyone has a private room, and it always smells nice. It feels like a very pretty apartment building. My father had the best rehab care with PT and OT.”
“Courville took excellent care of my aunt during her stay in August. They provided her with excellent PT and OT services that were challenging and effective. What was most appreciated was the case management services ensuring my aunt left the facility with her in-home services scheduled and taken care of.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
5
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents whose walking got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Courville at Manchester shows a concerning pattern of recurring deficiencies across fire safety, infection control, and staff training issues that persist across multiple surveys from 2023 to 2025. The most recent January 2025 inspection revealed problems with abuse prevention policies, medication management, nursing aide supervision, and fire safety systems. While the facility reports correcting all violations, the repeated nature of fire safety and infection control deficiencies suggests ongoing operational challenges that families should carefully consider.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Smoke Deficiencies
Provide properly protected cooking facilities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Egress Deficiencies
Meet other general requirements that are deficient.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Courville at Manchester
for profit
Owners
Richard Courville 1999 Revocable Trust, as Amended
Owner · Organization
La Quinta Holdings I, INC.
Owner · Organization
Courville, Adam
Owner (parent company)
Courville, Michael
Owner (parent company)
Courville, Ryan
Owner (parent company)
Key personnel
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