Home / New Hampshire / Nashua
Courville at Nashua
22 Hunt Street, Nashua, NH 03060 · Hillsborough County · (603) 889-5450
94 certified beds, about 75 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305037 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 2, 2026, inspectors cited 3 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 10 health citations since May 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.76 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
52.6% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
July 2, 2026Standard inspection · 3 citations
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review and interview, the facility failed to ensure as needed (PRN) orders for psychotropic drugs were limited to 14 days for 1 of 5 residents reviewed for Unnecessary medications in a final sample of 16 residents. (Resident identifier is #5.)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement their policies for hand hygiene and enhanced barrier precautions (EBP) for 1 of 4 residents observed for medication administration and for 1 of 3 residents reviewed for EBP. (Resident identifiers are #34 and #42.)
- B Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview and record review, the facility failed to provide residents with written bed-hold notice at the time of transfer for 2 of 2 residents reviewed for hospitalizations. (Resident identifiers are #4 and #23.)
July 24, 2025Standard inspection · 2 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to implement and review, at least annually, the facility's water management program, which had the potential to effect the facility census of 69 residents who resided at the facility.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that equipment was clean and sanitary for 1 of 1 kitchen observed and handling of food for 1 of 2 kitchenettes observed.
May 14, 2024Standard inspection · 5 citations
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to provide the necessary care to ensure that a resident's ability to communicate was maintained with a communication device for 1 of 1 resident reviewed for communication in a final sample of 19 residents (Resident Identifier is #40).
- 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.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that residents receive appropriate treatment to maintain mobility for 1 resident reviewed for limited range of motion in a final sample of 19 (Resident Identifier is #28).
- 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.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that an ongoing collaboration and communication process was established between the nursing home and the hospice company for 1 out of 1 hospice residents reviewed in a final sample of 19 residents (Resident Identifier is #6).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to follow facility policy on contact precautions to reduce transmission of communicable diseases in 1 of 1 residents reviewed for Transmission Based Precautions in a final sample of 19 residents.
- B Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to notify the resident and/or residents representative of care plan meetings for 2 residents reviewed for care plans in a sample of 19 residents (Resident Identifiers #16 and #40).
Fire safety inspections
7 fire safety citations on file: 6 on July 24, 2025, 1 on May 14, 2024.
Every fire safety citation7 citations
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- C Install emergency lighting that can last at least 1 1/2 hours.
- C Provide properly protected cooking facilities.
- C Have proper medical gas storage and administration areas.
- D Conduct testing and exercise requirements.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Hampshire | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.76 | 3.90 | 3.86 |
| Registered nurses | 0.54 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.49 | 3.47 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 52.6% | 44.1% | 45.8% |
| Registered nurse turnover | 64.7% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.93 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.87 on weekdays and 3.49 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.97 in April to June 2025 to 3.76 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.76 | 0.54 | 3.87 | 3.49 | 13.9% | 0 of 90 | 75 |
| Oct to Dec 2025 | 3.57 | 0.49 | 3.69 | 3.27 | 8.5% | 0 of 92 | 79 |
| Jul to Sep 2025 | 3.70 | 0.43 | 3.83 | 3.35 | 5.2% | 0 of 92 | 75 |
| Apr to Jun 2025 | 3.97 | 0.64 | 4.14 | 3.57 | 7.9% | 0 of 91 | 68 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Hampshire, Jan to Mar 2026 | 3.85 | 0.74 | 4.01 | 3.45 | 13.1% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Hampshire | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.1 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.5 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.2 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.7 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.1 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.0 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.9 | 1.8 |
Owners and operators
Legal business name: COURVILLE AT NASHUA INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Richard Courville 1999 Revocable Trust, As Amended | 5% or greater direct ownership interest | Organization | 100% | 08/17/2024 |
| Courville, Adam | 5% or greater indirect ownership interest | Individual | 33% | 08/17/2024 |
| Courville, Michael | 5% or greater indirect ownership interest | Individual | 33% | 08/17/2024 |
| Courville, Ryan | 5% or greater indirect ownership interest | Individual | 33% | 08/17/2024 |
| Courville, Ryan | Corporate director | Individual | 08/19/2024 | |
| Courville, Ryan | Corporate officer | Individual | 07/28/2019 | |
| The Courville Company Inc | Operational/managerial control | Organization | 03/10/1980 | |
| Aujla, Jatinder | Operational/managerial control | Individual | 11/05/2022 | |
| Courville, Ryan | Operational/managerial control | Individual | 07/28/2019 | |
| Didomenico, Paulette | Operational/managerial control | Individual | 09/18/2013 | |
| Ekberg, Jeffrey | Operational/managerial control | Individual | 08/29/2022 | |
| Richard Courville 1999 Revocable Trust, As Amended | Adp of the SNF | Organization | 08/17/2024 | |
| Tcn Realty Limited Partnership | Adp of the SNF | Organization | 07/29/2025 | |
| The Courville Company Inc | Adp of the SNF | Organization | 07/21/2025 | |
| Aujla, Jatinder | Adp of the SNF | Individual | 11/05/2022 | |
| Courville, Adam | Adp of the SNF | Individual | 08/17/2024 | |
| Courville, Michael | Adp of the SNF | Individual | 08/17/2024 | |
| Courville, Ryan | Adp of the SNF | Individual | 07/28/2019 | |
| Didomenico, Paulette | Adp of the SNF | Individual | 09/18/2013 | |
| Ekberg, Jeffrey | Adp of the SNF | Individual | 05/27/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on July 2, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 2, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 14, 2024: "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on July 2, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
Other nursing homes nearby
- Nashua Post Acute Care Nashua, 1 mi · 1 of 5 stars · 29 citations
- Fairview Nursing Home Hudson, 2.6 mi · 1 of 5 stars · 16 citations
- D'youville Care for Advanced Therapy Lowell, 8.7 mi · 5 of 5 stars · 5 citations
- Northwood Rehabilitation & Health Care Center Lowell, 8.9 mi · 1 of 5 stars · 55 citations
- D'youville Senior Care Lowell, 9 mi · 1 of 5 stars · 41 citations
- Fairhaven Healthcare Center Lowell, 9.4 mi · 2 of 5 stars · 44 citations
- Regalcare at Lowell Lowell, 10.4 mi · 1 of 5 stars · 29 citations
- Palm Springs Post Acute Chelmsford, 10.5 mi · 2 of 5 stars · 25 citations
Common questions
- What is Courville at Nashua's Medicare star rating?
- CMS rates Courville at Nashua 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Courville at Nashua get at its last inspection?
- 3 health deficiencies at the standard inspection on July 2, 2026. The New Hampshire average is 4.
- Has Courville at Nashua been fined?
- CMS lists no fines in the last three years.
- Does Courville at Nashua accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Courville at Nashua?
- CMS lists 20 owners and managers. Legal business name: COURVILLE AT NASHUA INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.