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C
Below Standard

Courville at Nashua

22 HUNT STREET · NASHUA, NH 03060

6038895450 · For profit - Corporation

94 beds75.1 residents144 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Courville at Nashua receives an overall staffing grade of C (Below Standard). With 3.7047 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4318 HPRD, below the recommended 0.75. It is 0.19 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.73% compared to weekdays. The facility has low agency staff usage (5.15% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4318 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.7047hrs/resident/day▼ 0.19
CMS benchmark: 3.48
RN HPRD
0.4318hrs/resident/day▼ 0.25
Recommended: 0.75
Weekend Drop-off
12.73%
3.843 weekday → 3.3538 weekend
Agency Staff
5.15%
25.11% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1176hrs/resident/day
Direct care aides
LPN HPRD
1.1553hrs/resident/day
Licensed practical nurses
Consistency
0.3293std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Hillsborough County Average-0.03 HPRD
3.74
03.70 HPRD
vs. New Hampshire State Average-0.26 HPRD
3.96
03.70 HPRD
vs. National Average-0.19 HPRD
3.90
03.70 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Courville at Nashua ★
NASHUA · This facility
—
C
3.70470.4318★★★★☆
Southern New Hampshire Rehabilitation & Healthcare
NASHUA
1 mi
D
2.98870.709★☆☆☆☆
FAIRVIEW NURSING HOME
HUDSON
2.6 mi
C
3.46050.6422★★★★☆
THE ELMS CENTER
MILFORD
11.3 mi
D
2.99880.6443★☆☆☆☆
WARDE HEALTH CENTER
WINDHAM
11.5 mi
C
4.20810.5154★★★★★
CRESTWOOD CENTER
MILFORD
11.5 mi
C
3.15790.8218★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
8
Total Deficiencies
$0
Fines Assessed
Jul 24, 2025Health
2 deficiencies cited
▼
May 14, 2024Health
5 deficiencies cited
▼
Mar 30, 2023Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.