Below average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Courville At Manchester during CMS and state inspections, most recent first.
A resident received insulin from another resident’s used Lispro pen, and the hospital discharge summary documented accidental receipt of Lispro and Trulicity. The DON confirmed no bloodborne pathogen labs were done for either resident and the resident’s DPOA was not notified of the exposure risk. Facility policy and CDC guidance both state insulin pens are for one patient only.
A resident received multiple medications intended for another resident during the morning med pass, including insulin lispro and several other scheduled meds. The resident reported receiving someone else’s insulin and was hospitalized with an accidental medication overdose, nausea and vomiting, and hypoglycemia requiring telemetry, antiemetics, frequent blood glucose checks, and overnight IV dextrose-containing fluids.
A facility failed to keep meds properly labeled, remove expired meds, and secure meds on carts. An LPN found a resident’s open insulin pens without proper open/use-by dating, including one pen past its discard date, and an RN left another resident’s scheduled meds unattended on top of a med cart while residents, LNAs, and visitors were nearby. Facility policy required meds to be locked, labeled, dated, and expired meds removed.
Food Storage and Sanitation Deficiencies: Surveyors observed expired and unlabeled food items in kitchen refrigerators, thawing meats stored above ready-to-eat foods, warm yogurts near the food line, and food debris on equipment and surfaces in the kitchen. Two kitchenette microwaves also had dried food buildup on the interior surfaces. Staff B confirmed the findings, and facility policies required dating items, discarding out-of-date food, and storing raw meat below ready-to-eat foods.
Failure to Assess Self-Administration of Medications: A resident was observed with a medicine cup containing two large white pills on the meal tray with no staff present, and the resident stated he/she self-administers meds with breakfast. Record review showed no self-administration assessment, while the MAR listed breakfast meds including a probiotic, Vitamin D3, and a turmeric supplement. The UM confirmed the resident did not have a self-administration assessment, despite facility policy requiring an interdisciplinary determination and documentation when self-administration is clinically appropriate and safe.
Seat Belt Used Without Required Assessment or Order: A resident was observed in a wheelchair wearing a seat belt that was being used for fall prevention after prior falls from the chair. The care plan included the seat belt per family request, but there was no restraint assessment or physician order, and staff confirmed the resident could not self-release the belt. The facility’s policy stated restraints are not to be used for fall prevention and require a pre-restraint assessment and written MD order.
Failure to follow medication hold parameters for two residents. A resident received Norvasc despite SBP readings below the ordered hold limit, and another resident received Insulin Glargine despite CBG readings below the ordered hold limit. The DON confirmed the Norvasc issue, and the NP stated the insulin should not be given outside the ordered parameters.
Failure to monitor two residents receiving apixaban for AFib. The MARs showed physician orders for anticoagulant therapy, but there was no documented monitoring for signs or symptoms of bleeding or bruising, and the care plans did not include specific interventions to monitor or manage that risk. The DON confirmed the findings.
A resident was potentially left on a bedpan since the morning shift, resulting in a red bottom. A LPN reported this to the Nursing Supervisor, who failed to notify the Administrator or DON as required by the facility's abuse policy.
A resident was potentially left on a bedpan for an extended period, resulting in a red bottom. An LPN reported the situation to the Nursing Supervisor, but it was not escalated to the Administrator or DON, leading to a failure in addressing the potential neglect.
A resident did not receive prescribed prune juice or M.O.M. for constipation despite not having a bowel movement for three consecutive days on multiple occasions. The facility's bowel management policy, which requires intervention by the second and third day without a bowel movement, was not followed, leading to a deficiency.
A resident requiring aspiration precautions was left unsupervised during meals, despite clear instructions for one-on-one assistance. Observations showed the resident eating alone, contrary to their Nutritional Care Plan and physician's orders. An LPN was unaware of the need for supervision, even after a previous choking incident.
The facility did not conduct a required annual performance review for an LNA, as revealed by a review of employee records and confirmed by the Administrator. The facility's assessment indicated that in-service training should address weaknesses identified in performance reviews, but no evaluations were completed for 2023 and 2024.
A resident received PRN orders for Lorazepam and Haloperidol without a specified duration, exceeding the 14-day limit without documented justification from the physician. Despite recommendations to add a stop date, the provider declined, citing the resident's stable hospice-respite status. This led to multiple doses being administered beyond the allowed period, violating facility policy.
A facility failed to implement contact precautions for a resident with VRE. Despite a posted sign indicating the need for PPE, an LPN entered the resident's room without donning the required gown and gloves. The LPN was unaware of the contact precautions, indicating a lapse in communication and adherence to infection control policies.
The facility failed to provide the required 12 hours of annual in-service training for LNAs, with Staff M completing only 8 hours in 2024. Additionally, the facility did not conduct annual performance reviews for LNAs, preventing the identification and addressing of areas of weakness. This was confirmed by the Administrator.
The facility failed to ensure accurate MDS assessments for four residents, leading to discrepancies in discharge coding and resident identification. A resident's MDS was incorrectly coded as a discharge with return not anticipated, while another's was marked as an unplanned discharge despite being planned. Additionally, a resident's name was misspelled, creating a separate record in the iQIES System.
The facility failed to ensure proper dishwasher sanitization, maintain a sanitary dining environment, and enforce the use of beard restraints during food service. Observations revealed missing PPM test results, uncleanable surfaces in the dining area, and a dietary aide handling food without a beard restraint.
A resident with a Stage II pressure ulcer and a deep tissue injury did not receive the ordered physical therapy evaluation for a modified chair cushion. Instead, the resident was observed using bed pillows, which were not pressure-relieving devices, and spent most of the time in a reclining chair, leading to soreness. The DON confirmed these findings.
The facility failed to ensure a safe environment by leaving hazardous cleaning chemicals in an unlocked cabinet accessible to residents, including two at risk for wandering. This was confirmed by staff and violated the facility's policy on storing poisonous materials.
Insulin Pen Shared Between Residents
Penalty
Summary
The facility failed to ensure residents were free from exposure to bloodborne pathogen transmission when staff used one resident’s insulin pen to administer insulin to another resident. Resident #1 reported receiving someone else’s insulin about a week or two before being admitted to the hospital. The hospital discharge summary documented that Resident #1 accidentally received Lispro 19 units and Trulicity 1.5 mg, and the record contained no lab results for bloodborne pathogens and no orders for bloodborne pathogen lab work before or after hospitalization. Staff F, an LPN, confirmed that on 4/20/26 insulin from another resident’s open Lispro pen was administered to Resident #1. Staff C, the DON, confirmed that Resident #1 received Resident #2’s used Lispro insulin via multidose pen and that no bloodwork for bloodborne pathogens had been performed on either resident. Staff C also confirmed that Resident #1’s Durable Power of Attorney for Health Care had not been notified of the risk for transmission of bloodborne pathogens. The facility policy stated that needles, cannulas, and syringes are to be used for only one resident and that multidose insulin pens are to be clearly labeled for the resident and used only for the resident ordered. The CDC guidance reviewed stated that insulin pens are designed for just one patient and must never be used for more than one patient.
Significant Medication Error During Morning Pass
Penalty
Summary
The facility failed to ensure residents were free from significant medication errors when a resident received medications intended for another resident during the morning medication pass. Interview with the resident revealed that he or she had received someone else’s insulin and was later admitted to the hospital. The hospital history and physical documented an accidental medication overdose with nausea and vomiting, and the discharge summary noted hypoglycemia with blood sugars in the low 60s, along with monitoring on telemetry overnight, antiemetics, blood glucose checks every 2 hours overnight, D5WNS overnight, and aspiration and seizure precautions. Interview with the Unit Manager confirmed that on 4/20/26 the resident received multiple medications intended for another resident in error. Review of the other resident’s MAR showed the morning medications involved included atenolol, insulin lispro 19 units, Trulicity, allergy relief nasal suspension, omeprazole, Jardiance, furosemide, donepezil, Namenda, buspirone, metformin, gabapentin, Norco, Biofreeze gel, Visine Dry Eye solution, vitamin C, Lactaid, calcium carbonate-vitamin D, and aspirin. The DON confirmed that these medications intended for the other resident were given to the resident in error and resulted in the resident being admitted to the hospital.
Medication Labeling, Expired Insulin, and Unsecured Medications
Penalty
Summary
The facility failed to ensure that resident medications were labeled in accordance with accepted professional principles and that expired medications were removed from use. During observation with an LPN on the first-floor medication cart, Resident #3’s open Lantus insulin pen was found with no open date or open use-by date, and the resident’s Lispro insulin KwikPen had an open date of 4/1/26 with a discard date of 4/29/26. Both insulin pens had pharmacy stickers stating they should be discarded 28 days after opening. Manufacturer instructions reviewed for both products stated that an open Lantus pen should be thrown away after 28 days and that Lispro should not be used past the expiration date printed on the label or for more than 28 days after first use. The LPN confirmed these findings during interview. The facility also failed to keep medications securely stored on a second-floor medication cart. At approximately 8:15 a.m., a clear plastic medicine cup containing pills for Resident #6 was observed sitting on top of the cart with no nurse in view, while LNAs were pushing residents by the cart and visitors were walking down the hall. An RN confirmed that the medications had been left unattended on the cart and identified the medications as furosemide 40 mg, lisinopril 20 mg, metoprolol succinate ER 100 mg and 25 mg, Pepcid 20 mg, Risperdal 0.25 mg, sertraline 150 mg, Eliquis 5 mg, and senna plus 8.6-50 mg. Facility policy stated that medications are to be locked in a clean cart, medication room, or refrigerator, and that medications must be labeled, dated, and expired medications removed.
Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to remove expired food, label thawed items, properly store thawing meats, and maintain clean cooking equipment and microwaves in the kitchen and kitchenettes. During observation with the Food Service Director, surveyors found expired and unlabeled items in the small refrigerator, including thirteen quarts of half and half with an expiration date of 2/10/26, six half gallons of whole milk with an expiration date of 2/4/26, one half gallon of whole milk with an expiration date of 2/14/26, and three thawed Mighty Shakes without a thaw or use-by date. In the walk-in refrigerator, surveyors observed a defrosted frozen orange juice concentrate dated 2/2/26 and thawing meats stored above ready-to-eat foods, including Salisbury steak above spanakopita and hamburger above coleslaw. Additional observations in the kitchen found an opened grape jelly container with no date and multiple white substances inside, ten yogurts near the food line that were warm to the touch, food debris adhered to the inside of the pallet warmer used for clean plates, and a package of swiss cheese with an open date of 1/7 in the refrigerator under the food preparation area. Surveyors also observed two flat-top cooking griddles with dried food remnants stored on a rack in contact with a trash barrel, a knife holder with a thick layer of dust and dirt, and burnt blackened food debris on the bottom interior surface of the stove. In two kitchenettes, the inside surfaces of the microwaves on the second and third floors had dried food adhered to the side walls, top, and bottom. Staff B confirmed the findings, and facility policies reviewed required items to be dated, out-of-date items to be disposed of, thawed product to be used within 14 days, and raw meat to be stored below ready-to-eat foods.
Failure to Assess Self-Administration of Medications
Penalty
Summary
The facility failed to assess Resident #6’s ability to self-administer medications. During observation, Resident #6 had a medicine cup containing two large white pills on the meal tray with no staff present. In interview, Resident #6 stated that he/she self-administers medications with breakfast. Record review showed no assessment for self-administration of medications in the resident’s assessments. The Medication Administration Record showed that Resident #6 received prescribed medications with breakfast, including Saccharmyces Boulardii +MOS 250 mg/200 mg, Vitamin D3 5000 IU with coconut oil, and Turmeric Forte Herbal Supplement Tablet. The Unit Manager confirmed that Resident #6 did not have a self-administration assessment. The facility policy stated that residents have the right to self-administer medications if the interdisciplinary team determines it is clinically appropriate and safe, and that this determination is documented in the medical record and care plan.
Seat Belt Used Without Restraint Assessment or Physician Order
Penalty
Summary
The facility failed to keep one resident free from a physical restraint when Resident #17 was observed sitting in a wheelchair wearing a seat belt. The resident stated that the seat belt was used because he/she had fallen out of the wheelchair in the past. The resident’s fall care plan included an intervention to apply the seat belt while in the motorized wheelchair for fall prevention per family request, but it did not include any interventions to release the seat belt and reposition the resident periodically while the seat belt was in use. Review of the resident’s record showed a late social service note documenting that, during a care planning meeting, the family was informed that the seat belt would be considered a restraint. The medical record contained no restraint assessment or physician’s order for the seat belt. Staff F confirmed that there was no restraint assessment or physician’s order, and also stated that the resident was unable to self-release the seat belt. The facility’s restraint policy stated that restraints are to be used only after other alternatives have been tried unsuccessfully, only to treat medical symptoms, never for fall prevention, and only with a pre-restraint assessment and written physician order.
Failure to Follow Medication Hold Parameters
Penalty
Summary
The facility failed to follow physician orders for medication administration for two residents. For Resident #2, the MAR for January and February 2026 showed an order for Norvasc 5 mg by mouth daily for hypertension, with instructions to hold the medication for systolic blood pressure less than 130. The MAR also showed Norvasc was administered on multiple dates when the resident’s systolic blood pressure was below the ordered parameter, including readings of 92, 116, 113, and 90. The DON confirmed these findings during interview. For Resident #8, the MAR for January and February 2026 showed an order for Insulin Glargine 10 units subcutaneously daily for type 2 diabetes mellitus, with instructions to hold for capillary blood glucose less than 110. The MAR showed the insulin was administered on multiple dates when the resident’s capillary blood glucose was below the ordered parameter, including readings of 109, 82, 86, 86, and 95. The Nurse Practitioner stated that the medications should not be given outside the ordered parameters, and the facility policy required medications to be administered in accordance with prescriber orders.
Failure to Monitor Residents Receiving Anticoagulant Therapy
Penalty
Summary
The facility failed to adequately monitor for adverse consequences related to anticoagulant therapy for two residents receiving apixaban for atrial fibrillation. For Resident #7, the MAR showed a physician order dated 11/3/25 for apixaban, but there were no indications on the MAR of monitoring for signs and symptoms of bleeding and bruising, and the comprehensive care plan did not include specific interventions to monitor or manage the risk of bleeding and bruises. For Resident #5, the MAR showed a physician order dated 10/24/23 for apixaban, but there was no evidence on the MAR of monitoring for signs and symptoms of bleeding and bruises associated with the medication, and the comprehensive care plan also lacked specific interventions to monitor or manage the risk of bleeding and bruises. The DON confirmed these findings during interview.
Failure to Implement Abuse Policy for Resident
Penalty
Summary
The facility failed to implement its abuse policy for a resident who was reviewed for abuse. On December 6, 2024, a progress note indicated that the resident had requested to use the bathroom around 4:40 p.m. and appeared to have been left on a bedpan since the morning shift, as noted by a Licensed Nursing Assistant. The resident was found with a red bottom, suggesting prolonged exposure to the bedpan. A Licensed Practical Nurse reported this situation to the Nursing Supervisor for the 3-11 shift. However, the Nursing Supervisor did not notify the Administrator or the Director of Nursing about the potential neglect, as required by the facility's Resident Abuse Prevention and Investigation Policy. This policy mandates immediate notification of the Administrator or DON by the supervisor in cases of alleged abuse, mistreatment, or neglect.
Failure to Report Alleged Neglect of Resident
Penalty
Summary
The facility failed to report an allegation of neglect involving a resident who was potentially left on a bedpan for an extended period. On 12/6/24, a progress note indicated that the resident requested to use the bathroom around 4:40 p.m., and it appeared that the bedpan had been underneath them since the morning shift. The resident's bottom was noted to be red. A Licensed Practical Nurse (LPN) reported this observation to the Nursing Supervisor on the 3-11 shift. However, the Nursing Supervisor did not report the incident to the Administrator or the Director of Nursing, resulting in a failure to address the potential neglect in a timely manner.
Failure to Follow Physician's Orders for Bowel Management
Penalty
Summary
The facility failed to adhere to physician's orders for a resident experiencing bowel/bladder incontinence. The physician's orders specified that the resident should be offered 120 ml of prune juice by mouth on the 7-3 shift if there was no bowel movement for three days, and 30 ml of Milk of Magnesia (M.O.M.) on the 3-11 shift if constipation persisted. However, a review of the resident's Bowel Continence Record for December 2024 and January 2025 revealed multiple instances where the resident did not have a bowel movement for three consecutive days, specifically on December 15-17, December 20-22, January 5-7, and January 9-11. Despite these occurrences, the Medication Administration Record (MAR) indicated that the resident did not receive the prescribed prune juice or M.O.M. during these periods. An interview with the Unit Manager confirmed these findings. Additionally, the facility's bowel management policy, effective since June 2005, requires that if there is no bowel movement by the second night, the ordered laxative or prune juice should be administered, and if there is no bowel movement by the third day, a rectal suppository or enema should be given with a doctor's orders. This policy was not followed, leading to the deficiency.
Failure to Supervise Resident During Meals
Penalty
Summary
The facility failed to provide necessary supervision during meals for a resident who required assistance due to aspiration precautions. The resident, identified as needing one-on-one assistance with feeding, was observed eating lunch alone on two separate occasions. A sign above the resident's bed clearly indicated the need for aspiration precautions and one-on-one assistance with feeding. Despite this, the resident was left unsupervised during meals. The resident's Nutritional Care Plan and a physician's order both specified that meals should be consumed in a supervised area, with encouragement for small bites and frequent sips of fluid. An interview with a Licensed Practical Nurse revealed a lack of awareness regarding the resident's need for supervised meals, despite a previous incident where the resident was found choking at lunch, leading to the implementation of aspiration precautions.
Failure to Conduct Annual Performance Reviews for LNA
Penalty
Summary
The facility failed to conduct a performance review for a Licensed Nurse Assistant (LNA) at least once every 12 months, as required. The facility's assessment from August 2024 indicated that staff training and education, including in-service training for nurse aides, must be sufficient to ensure their continuing competence, with a minimum of 12 hours per year. This training should address areas of weakness identified in performance reviews and facility assessments. However, a review of Staff M's employee records revealed that no performance evaluation was completed for the years 2023 and 2024, despite their employment starting in November 2022. An interview with the facility's Administrator confirmed the lack of annual performance reviews for LNAs.
Non-compliance with PRN Psychotropic Medication Duration
Penalty
Summary
The facility failed to ensure compliance with regulations regarding PRN orders for psychotropic medications, specifically for a resident identified as #71. The resident had PRN orders for Lorazepam and Haloperidol, both of which were prescribed without a specified duration. These orders were initiated on December 26, 2024, and continued beyond the 14-day limit without documented justification or a specified duration from the prescribing physician. The facility's policy requires that PRN orders for psychotropic medications be limited to 14 days unless the physician provides a documented rationale for extending the duration, which was not done in this case. The resident's medical record and pharmacy consultation reports indicated that recommendations to add a stop date to these PRN orders were declined by the provider, who noted that the patient was hospice-respite and stable on the current regimen. Despite this, the facility's policy was not adhered to, as the required documentation and indication of duration for the PRN orders were absent. This oversight led to the administration of multiple doses of Lorazepam and Haloperidol beyond the 14-day period without proper documentation or justification, resulting in a deficiency finding during the survey.
Failure to Implement Contact Precautions for Resident with VRE
Penalty
Summary
The facility failed to implement its policies and procedures for Transmission Based Precautions (TBP) to prevent the potential spread of infection for a resident on contact precautions. Resident #31 had a urinalysis culture that identified Vancomycin-Resistant Enterococci (VRE) on January 11, 2025, and a sign was posted in their room indicating the need for contact precautions, including the use of personal protective equipment (PPE) such as gowns and gloves by staff and visitors. However, on January 15, 2025, a Licensed Practical Nurse (Staff F) entered Resident #31's room without donning the required PPE. Upon interview, Staff F revealed they were unaware that Resident #31 was on contact precautions, indicating a lapse in communication and adherence to the facility's infection control policies. The facility's policy, revised in September 2022, clearly states that staff and visitors must wear gloves and a disposable gown upon entering the room of a resident on contact precautions. This incident highlights a failure in the implementation of these policies, as evidenced by the observation of Staff F's actions and their subsequent admission of not being informed about the resident's precautionary status.
Deficiency in LNA In-Service Training and Performance Reviews
Penalty
Summary
The facility failed to ensure that the required in-service training for nurse aides was conducted and maintained, specifically the annual minimum of 12 hours. This deficiency was identified through a review of the facility's assessment and Staff M's personnel and in-service training records. Staff M, a Licensed Nursing Assistant (LNA) who started at the facility in 2022, had only completed approximately 8 hours of in-service training for the year 2024, which included training on dementia, abuse, and facility policies on infection control practices. This was below the required 12 hours per year, as stipulated in the facility's policy and state regulations. Additionally, the facility did not conduct performance reviews for LNAs every 12 months, which is necessary to identify and address areas of weakness in their performance. This lapse was confirmed during an interview with Staff C, the Administrator, who acknowledged the failure to perform these reviews. The absence of regular performance reviews meant that the facility could not adequately address the special needs of residents or the areas of weakness in nurse aides' performance, as required by the facility's policy and state regulations.
Inaccurate MDS Assessments and Resident Identification Errors
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessments accurately reflected the residents' status for four residents. Resident #18's MDS was incorrectly coded as a discharge with return not anticipated, despite documentation indicating an unplanned hospital transfer with an anticipated return. Similarly, Resident #72's MDS was coded as an unplanned discharge, while records showed a planned discharge to home. Resident #73's MDS inaccurately indicated a discharge to a hospital, although the resident was discharged to home. These discrepancies were confirmed through interviews with staff members. Additionally, Resident #68's MDS contained an incorrect spelling of the resident's name, leading to the creation of a separate record in the iQIES System. This error was identified in the final validation report, which issued a warning message to verify the new information. The incorrect entry was confirmed by staff, highlighting a failure in maintaining accurate resident identification information.
Sanitation and Food Safety Deficiencies
Penalty
Summary
The facility failed to ensure the dishwasher in the main kitchen was reaching proper temperatures and chemical sanitization levels. Observations and record reviews revealed missing parts per million (PPM) test results for several days in December 2023, January 2024, and February 2024. Staff interviews confirmed that the PPM readings were not consistently recorded as required by the facility's policy. Additionally, the facility's policy outlined specific steps to ensure the dishwasher's chemical agent was at the correct mixing level, which were not followed, leading to potential sanitation issues with dishware used in the facility. In the first floor main dining room, the facility failed to maintain a sanitary environment for food service. Observations noted missing laminate on countertops, peeling wallpaper with food stains, and chipped wooden countertops, all of which created uncleanable surfaces. Furthermore, a dietary aide was observed handling uncovered plates of food without wearing a beard restraint, despite having a full beard over an inch long. Interviews with staff confirmed that beard restraints were required but not consistently used. These deficiencies indicate lapses in maintaining sanitary conditions and adherence to food safety protocols in the facility.
Failure to Provide Ordered Pressure Ulcer Treatments
Penalty
Summary
The facility failed to ensure that a resident received the ordered treatments for pressure ulcers. Resident #41 had a Stage II pressure ulcer on the left buttock and a deep tissue injury on the right buttock, with orders for a physical therapy evaluation for a modified chair cushion. Despite these orders, the resident was observed sitting in a reclining chair with two bed pillows under the buttocks, which were not pressure-relieving devices. Interviews with the resident and staff confirmed that the resident had not used a chair cushion since admission and spent most of the time in the reclining chair, leading to soreness in the buttocks. The Director of Nursing confirmed these findings during the surveyor's visit.
Failure to Secure Hazardous Chemicals
Penalty
Summary
The facility failed to ensure that the residents' environment remained as free of accident hazards as possible regarding the storage of chemical cleaning solutions on the First Floor Unit. During an observation in the main dining serving area, an unlocked cabinet below the sink was found to contain several hazardous cleaning chemicals, including Clean Force Stainless Steel Cleaner and Polish, Comet Cleaner With Bleach, ECOLAB Foam Hand Sanitizer, and Surface Cleaner Sanitizer. This observation was confirmed by the Cook and the Administrator, who acknowledged that residents could access the dining room at any time. An interview with the Director of Nursing revealed that there were two residents identified at risk for wandering or elopement. The facility's policy on the storage of poisonous and toxic materials mandates that such materials be kept out of direct reach of residents and stored according to manufacturer recommendations. However, the observed storage practices did not comply with this policy. The Safety Data Sheets for the chemicals indicated various health risks, including eye irritation and potential harm from inhalation, underscoring the hazard posed by the unlocked cabinet in an accessible area.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
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Nursing homes near Manchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mount Carmel Rehabilitation And Nursing Center | 0.9 mi | ★★★★★ | 0 | 0 |
| Maple Leaf Health Care Center | 0.9 mi | ★★★★★ | 2 | 0 |
| Saint Teresa Rehabilitation & Nursing Center | 1.6 mi | ★★★★★ | 7 | 0 |
| Hanover Hill Health Care Center | 2 mi | ★★★★★ | 2 | 0 |
| St Joseph Residence | 2 mi | ★★★★★ | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.