Courville at Nashua

In the surveyor’s words

From the most serious findings on record at Courville at Nashua, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jul 24, 2025

  Based 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.Findings include:Review on 7/24/25 of the facility's Water Management Program revealed that the facility had identified multiple at-risk areas in the facility, including water heaters, expansion tanks in the maintenance office; pipes, valves and fittings in the bathrooms, shower rooms and kitchen; faucets, aerators, faucet flow restrictors in the bathrooms/kitchen; shower heads and hoses in the first/second floor shower rooms; air washer and humidifiers in the second floor resident rooms; eyewash stations in the laundry, shower,… […]

• No harm, potential for more than minimal, widespreadF835Mar 15, 2022

  Based on observation and interview, it was determined that the facility failed to be administered in a manner permitting all residents to maintain or attain their highest practicable well being. Findings include: Interview on 3/15/22 at approximately 3:00 p.m. with Staff L (Interim Administrator) and Staff G (Director of Nursing) revealed that Staff Z (Administrator) had been working remotely for several months before taking leave 3 weeks ago. Staff L stated that he/she works at the assisted living next door and comes to this facility and checks in on the building since January 2022. […]

• No harm, potential for more than minimal, patternF679Mar 15, 2022

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that facility-sponsored group and individualized activities were provided to support residents based on the resident's preferences, interests, and all needs for each resident for 4 weekend days in February 2022 and 3 days in March 2022. (Resident identifiers are #19, #34, #47, and #62.) Findings include: Interview on 3/13/22 at approximately 9:22 a.m. with Resident #34 revealed they were unaware of any activities that they could do. Resident #34 stated other than doing therapy they just sit in their room. Interview on 3/13/22 at approximately 09:47 a.m. with Resident #47 revealed that other than group therapy sessions and my daughters visits, there is nothing more to do here. […]

• No harm, potential for more than minimal, patternF726Mar 15, 2022

  1. Based on interview and record review it was determined that the facility failed to ensure that licensed nurses have competencies in skills necessary to care for resident's needs for 1 of 1 resident reviewed for choices in a final sample of 25. (Resident identifier is #173.) Findings include: Review on 3/15/22 of Resident #173's nursing progress notes dated 3/10/22 revealed that Resident #173's primary care physician ordered IV fluids and that the IV infiltrated and Resident #173 refused to have another attempt. […]

• No harm, potential for more than minimal, patternF880Mar 15, 2022

  1. Based on observation, interview, and policy review, it was determined that the facility failed to adhere to infection control practices for universal masking and contact precautions recommended by the Centers for Disease Control and Prevention (CDC) during 2 observations of the first floor nursing unit. (Resident identifiers are #34 and #47.) Findings include: Resident #47 Observation on 3/13/22 at approximately 8:45 a.m. of first floor nursing unit revealed Resident #47 to be on contact precautions. Further observation revealed Staff O (agency Licensed Nursing Assistance LNA) enter Resident #47's room without donning a gown or gloves and proceed to assist them to the bathroom with their upper torso exposed. Interview on 3/13/22 at approximately 8:55 a.m. […]