Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
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 Nashua during CMS and state inspections, most recent first.
The facility did not implement or annually review its water management program, failing to specify or document control measures for multiple at-risk areas such as water heaters, pipes, faucets, and medical equipment. Key staff could not identify the standards used to develop the program, and the Legionella Policy had not been updated since 2018, potentially affecting all residents.
Surveyors observed a greenish brown film inside the main kitchen ice machine, confirmed by the Food Service Director, indicating a lack of proper cleaning and sanitization as required by the manufacturer's instructions. In a satellite kitchenette, five supplemental shakes were found with handwritten use by dates, and the Food Service Director confirmed these dates corresponded to the 14-day use period from thawing, as specified by product instructions.
A resident with advanced Parkinson's Disease was admitted with a communication board to aid in communication, but the device was not accessible, leading to communication difficulties. The resident's DPOA reported the board missing, and staff interviews revealed a lack of awareness and initial inability to locate the device, which was eventually found in a drawer in the resident's room.
A facility failed to provide appropriate treatment to maintain mobility for a resident with limited range of motion. The care plan required a rolled face cloth in the resident's right hand to prevent pressure injury, but observations showed the resident's hand was clenched without the cloth. A staff member was unaware of this requirement, and the resident's physical therapy goal of tolerating the cloth for at least eight hours was not being met.
A facility failed to coordinate effectively with a hospice company for a resident's care. The hospice care plan required three weekly visits, but documentation showed only one visit per week initially. Interviews confirmed the absence of a visit schedule, leading to inconsistent documentation and visit frequency.
The facility did not follow its contact precautions policy for a resident with CDiff. An LPN entered the resident's room without wearing a gown and gloves while administering medications, contrary to the facility's policy. The Unit Manager/Infection Preventionist confirmed the requirement for PPE use, as outlined in the Infection Prevention and Control Program.
The facility failed to notify two residents' DPOAs about care plan meetings, preventing their participation in care planning. Both DPOAs expressed a desire to attend meetings but were not informed or invited, and no documentation was found in the residents' medical records. Staff confirmed the lack of notification, contrary to the facility's policy encouraging representative involvement.
Failure to Implement and Review Water Management Program for Infection Control
Penalty
Summary
The facility failed to implement and annually review its water management program, which is required for infection prevention and control. A review of the facility's Water Management Program revealed that multiple at-risk areas were identified, including water heaters, expansion tanks, pipes, valves, fittings, faucets, shower heads, air washers, humidifiers, eyewash stations, ice machines, CPAP machines, oxygen bubblers, nebulizers, hydrotherapy equipment, heater-cooler units, and water filters. However, the program did not specify what control measures would be applied or monitored for these at-risk areas. Interviews with the Maintenance Director and Infection Preventionist confirmed that there was no documentation of control measures for the identified areas, and neither staff member could identify the nationally-recognized standard used to develop the water management program. Further review showed that the facility's Legionella Policy had not been reviewed or updated since 2018, and there was no documentation that the Water Management Plan had been discussed at a committee meeting. The Administrator confirmed the absence of documentation regarding the application and monitoring of control measures and acknowledged that the policy had not been reviewed since 2018. The deficiency had the potential to affect all 69 residents residing in the facility.
Unsanitary Kitchen Equipment and Improper Food Handling
Penalty
Summary
The facility failed to ensure that kitchen equipment was clean and sanitary and that food was handled according to professional standards. During an observation of the main kitchen, a greenish brown film was found inside the ice machine below the ice cube metal grid, and this was confirmed by the Food Service Director. Review of the manufacturer's instructions indicated that the ice machine should be cleaned and sanitized every six months. Additionally, in a first floor satellite kitchenette, five supplemental shakes were found in the refrigerator with a handwritten use by date, which was confirmed by the Food Service Director to be the 14th day from the thaw date. The product instructions required that thawed product be used within 14 days and kept refrigerated.
Failure to Maintain Resident's Communication Ability
Penalty
Summary
The facility failed to maintain a resident's ability to communicate by not ensuring the availability of a communication device. A resident with advanced Parkinson's Disease, who was admitted with a communication board to aid in communication, was unable to use the device as it was not accessible. The resident's Durable Power of Attorney (DPOA) reported that the communication board had not been seen since shortly after admission. Staff interviews revealed that some staff members were unaware of the communication board, while others confirmed its existence but could not locate it initially. Eventually, the communication board was found in a drawer in the resident's room. The resident expressed difficulty in communicating with staff without the board.
Failure to Maintain Mobility Treatment for Resident
Penalty
Summary
The facility failed to ensure that a resident received appropriate treatment to maintain mobility, specifically for a resident with limited range of motion. The care plan for the resident included an intervention to prevent pressure injury by placing a rolled face cloth in the resident's right hand, which was to be changed with care and reapplied if removed. However, observations on multiple occasions revealed that the resident's right hand was clenched without the rolled face cloth in place. An interview with a Licensed Nursing Assistant indicated a lack of awareness regarding the requirement for the resident to have a rolled face cloth in their right hand. The Physical Therapy Discharge Summary had previously set a goal for the resident to tolerate a folded/rolled wash cloth in the right hand for at least eight hours without skin integrity issues or pain, which was not being met.
Lack of Coordination with Hospice Services
Penalty
Summary
The facility failed to ensure effective collaboration and communication with a hospice company for a resident receiving hospice care. The resident was admitted to hospice services, and the care plan specified that a hospice aide should visit three times a week for nine weeks. However, documentation revealed that during the first week, only one visit was recorded, and during the second week, only one visit was documented despite the aide claiming to have visited three times. Interviews with the unit manager and the hospice aide confirmed the lack of a schedule for hospice visits, contributing to the inconsistency in visit documentation and frequency.
Failure to Follow Contact Precautions for CDiff
Penalty
Summary
The facility failed to adhere to its policy on contact precautions, specifically for a resident on transmission-based precautions due to Clostridium Difficile (CDiff) infection. During an observation, a Licensed Practical Nurse (LPN) was seen entering the resident's room without wearing the required personal protective equipment (PPE), such as a gown and gloves, while administering medications. The LPN admitted to not using PPE when not providing direct care, despite the resident being on contact precautions. The Unit Manager/Infection Preventionist confirmed that the facility's policy mandates the use of a gown and gloves before entering rooms with transmission-based precautions for CDiff. A review of the facility's Infection Prevention and Control Program corroborated this requirement.
Failure to Notify Residents' Representatives of Care Plan Meetings
Penalty
Summary
The facility failed to notify residents and/or their representatives about care plan meetings, as evidenced by the cases of two residents. For Resident #16, the activated Durable Power of Attorney (DPOA) reported not being invited to any care plan meetings for over six months, despite expressing a desire to attend and contribute to the resident's care. A review of Resident #16's medical records confirmed the absence of documentation regarding care plan meeting notifications to the DPOA. Staff J, a social worker, corroborated the lack of documentation for the period from December 2023 through May 2024. Similarly, Resident #40's DPOA was unaware of care plan meetings and had not received any invitations, despite being present at the facility almost daily. The DPOA expressed a willingness to participate in the meetings to discuss the resident's care. A review of Resident #40's medical records also showed no documentation of care plan meeting notifications. Staff J confirmed the absence of such documentation. The facility's policy, revised in March 2022, encourages resident and representative participation in care plan development and requires documentation if participation is deemed impracticable, which was not adhered to in these cases.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 672 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Nashua
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nashua Post Acute Care | 1 mi | ★★★★★ | 13 | 0 |
| Fairview Nursing Home | 2.6 mi | ★★★★★ | 16 | 0 |
| D'youville Care For Advanced Therapy | 8.7 mi | ★★★★★ | 0 | 0 |
| Northwood Rehabilitation & Healthcare Center | 8.9 mi | ★★★★★ | 50 | 0 |
| D'youville Senior Care | 9 mi | ★★★★★ | 6 | 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.