Courville at Manchester was under the ownership of Ryan Courville as of the first quarter of 2026, the Centers for Medicare and Medicaid Services (CMS) reported. Located in Hillsborough County, this nursing home has been operated by Ryan Courville since Aug. 17, 2024.
The facility operates as a for-profit organization.
During the same quarter, Courville at Manchester held an overall CMS rating of two, falling below New Hampshire’s state nursing home average of 2.9. CMS ratings take into account essential aspects like results of health inspections, staffing adequacy, and the level of care provided to residents.
Data shows the nursing home served an average of 71.5 residents daily during the first quarter of 2026, out of a total capacity of 76 beds. It is not affiliated with a hospital.
Courville at Manchester had no reported fines or penalties in the first quarter of 2026.
Hillsborough County, New Hampshire, had a total of 16 for-profit nursing homes.
Estimates from the U.S. Census Bureau indicate the country’s older adult segment continues to expand as the population of younger age brackets declines. Between 2020 and 2024, Americans age 65 and older grew by 13%, while those under 18 decreased by 1.7%. Over the last century, the older adult demographic surged from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 analysis estimates that about half—roughly 28 million—within this age group may require some type of long-term services or support. The analysis also projects that more than a third could ultimately need nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Bedford Hills Center | Black Mountain Peak Healthcare, LLC | For profit – Limited Liability company | 4 | 132.9 |
| Bedford Nursing & Rehabilitation Center | Woh, LLC | For profit – Limited Liability company | 2 | 93.9 |
| Courville at Manchester | Ryan Courville | For profit – Limited Liability company | 2 | 71.5 |
| Courville at Nashua | Ryan Courville | For profit – Corporation | 4 | 78.9 |
| Crestwood Center | Harborside New Hampshire Limited Partnership | For profit – Limited Liability company | 4 | 62.9 |
| Fairview Nursing Home | FG Healthcare Properties, LLC, Timothy Beaulieu, Fred Lester, and Aubrey Preston | For profit – Limited Liability company | 1 | 93.9 |
| Goffstown Nursing and Rehab Center | Nachum Soroka | For profit – Limited Liability company | 1 | 33.7 |
| Hackett Hill Healthcare Center | 191 Hackett Hill Road Operations, LLC | For profit – Corporation | 2 | 59.4 |
| Hillsboro House Nursing Home | Andrew Irwin | For profit – Corporation | 4 | 26.7 |
| Hillsborough County Nursing Home | County of Hillsborough | Government – County | 5 | 239.7 |
| Holy Cross Health Center | Sisters of Holy Cross/U. S. Region, Inc. | Non profit – Church related | 5 | 23.1 |
| Maple Leaf Health Care Center | NH3 Opco Holdco, LLC, Yehuda Pepper, and Elliot Schwarcz | For profit – Limited Liability company | 4 | 106.9 |
| Mount Carmel Rehabilitation and Nursing Center | NH Catholic Charities, Inc. | Non profit – Church related | 4 | 109.8 |
| Pheasant Wood Center | Harborside New Hampshire Limited Partnership | For profit – Corporation | 2 | 78.6 |
| Ridgewood Center, Genesis Healthcare | Genesis NH Holdings, LLC | For profit – Corporation | 2 | 113 |
| Saint Teresa Rehabilitation & Nursing Center | NH Catholic Charities, Inc. | Non profit – Church related | 4 | 46.2 |
| The ELMS Center | PR NH Holdings, LLC, RR NH Holdings, LLC, and Sean Stevenson | For profit – Limited Liability company | 1 | 45.8 |
| Villa Crest Nursing and Retirement Center | NH3 Opco Holdco, LLC | For profit – Limited Liability company | 5 | 119.4 |
The data used in this article comes from the Centers for Medicare and Medicaid Services. View the source data here.
