Federal inspection record · CMS data as of October 1, 2026
Courville at Nashua
22 Hunt Street, Nashua, NH · (603) 889-5450
- CMS high-performer trophy
- Certified beds
- 94
- Residents per day
- 71
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 24, 1980
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Hampshire.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Courville at Nashua carries 11 inspection points. That is fewer than 79% of New Hampshire's 72 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Hampshire: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–15 pts
- 3★ 15–23 pts
- 2★ 23–40 pts
- 1★ over 40 pts
Bars show every rated home in New Hampshire by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
10 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights2B
- B
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- B
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Quality of Life and Care2D
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspection history
2026-07-02
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-07-24
2 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-05-14
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 46 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 46 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 67% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.9 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 100.0% | 97.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 100.0% | 97.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts better | 0.5% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 11.6% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.8 pts better | 2.4% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.2 pts better | 15.9% | 19.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.1 pts better | 9.8% | 17.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.7 pts better | 5.1% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased14.7 pts better | 7.6% | 22.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.5% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 0.6% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.2 pts worse | 35.6% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.1% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.6 pts better | 99.7% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.9 pts better | 7.1% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.1% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13 pts better | 98.7% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts worse | 24.1% | 21.8% | 23.4% |
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Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Richard Courville 1999 Revocable Trust, As Amended | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Courville, Adam | 5% Or Greater Indirect Ownership Interest · Individual | 33% | 2 facilities |
| Courville, Michael | 5% Or Greater Indirect Ownership Interest · Individual | 33% | 2 facilities |
| Courville, Ryan | 5% Or Greater Indirect Ownership Interest · Individual | 33% | 2 facilities |
| Aujla, Jatinder | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Aujla, Jatinder | Adp Of The SNF · Individual | 0% | 2 facilities |
| Courville, Adam | Adp Of The SNF · Individual | 0% | 2 facilities |
| Courville, Michael | Adp Of The SNF · Individual | 0% | 2 facilities |
| Courville, Ryan | Corporate Director · Individual | 0% | 2 facilities |
| Courville, Ryan | Corporate Officer · Individual | 0% | 2 facilities |
| Courville, Ryan | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Courville, Ryan | Adp Of The SNF · Individual | 0% | 2 facilities |
| Didomenico, Paulette | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Didomenico, Paulette | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ekberg, Jeffrey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ekberg, Jeffrey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Richard Courville 1999 Revocable Trust, As Amended | Adp Of The SNF · Organization | 0% | 2 facilities |
| Tcn Realty Limited Partnership | Adp Of The SNF · Organization | 0% | 1 facilities |
| The Courville Company Inc | Operational/Managerial Control · Organization | 0% | 2 facilities |
| The Courville Company Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3E
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- C
Have proper medical gas storage and administration areas.
Smoke2D
- D
Inspect, test, and maintain automatic sprinkler systems.
- C
Provide properly protected cooking facilities.
Egress1C
- C
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness1D
- D
Conduct testing and exercise requirements.
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Other homes nearby
-
Nashua Post Acute Care
Nashua, NH · Marquis Health Services
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 4 min
- Fines
- $0
-
Fairview Nursing Home
Hudson, NH
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 51 min
- Fines
- $0
-
D'youville Care For Advanced Therapy
Lowell, MA · Carmelite Sisters For The Aged And Infirmed
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 31 min
- Fines
- $0