Home / New Hampshire / Winchester
Applewood Center
8 Snow Road, Winchester, NH 03470 · Cheshire County · (603) 239-6355
72 certified beds, about 60 residents a day · For profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305065 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2026, inspectors cited 0 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 7 health citations since May 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.53 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
35.8% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
June 26, 2026Standard inspection · 0 citations
May 15, 2025Standard inspection · 4 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to implement a care plan for essential hypertension for 1 resident in a final sample of 17 residents. (Resident identifier is #13.)
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that trauma survivors have interventions identified to eliminate or mitigate triggers that may cause re-traumatization in 1 of 3 residents reviewed for PTSD (Post-Traumatic Stress Disorder) in a final sample of 17 residents (Resident identifier is #60).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to document a rationale in the resident's medical record for no change in the medication for 1 of 1 resident reviewed for Psych/Opioid Medication Side Effects in a final sample of 17 residents. (Resident identifier is #118.)
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to provide Physical Therapy (PT) services according to the physician's order frequency for 1 of 1 resident reviewed for Rehab (Rehabilitation) in a final sample of 17 residents. (Resident identifier is #57.)
May 7, 2024Standard inspection · 3 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, record review, policy review, and manufacturer's instructions review it was determined that the facility failed to follow professional standards when administering insulin for 2 out of 30 medications observed (Resident Identifier #54).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteResident #46 Observation on 5/5/24 at approximately 9:30 a.m. in Resident #46's room revealed a bottle of One A Day Multivitamins on his/her side table. Interview on 5/5/24 at approximately 9:30 a.m. with Staff A confirmed the above finding and that the medication should not have been unlocked. Resident #48 Observation on 5/6/24 at approximately 7:30 a.m. in Resident #48's room revealed a box of Loratidine, Allergy Relief 10 milligrams (mg) pills in a bin. Interview on 5/6/24 at approximately 7:30 a.m. with Staff C (LPN) confirmed the above finding and that the medication should not have been unlocked. Review on 5/5/24 of the facility's policy titled 5.3 Storage and Expiration Dating of Medications, Biologicals revision date of 8/7/23 revealed: [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure residents' records were complete and accurate for 1 out of 5 residents reviewed for unnecessary medications in a final sample of 18 residents (Resident Identifier #58).
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Hampshire | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.53 | 3.90 | 3.86 |
| Registered nurses | 0.71 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.95 | 3.47 | 3.42 |
| Nurse aides | 1.87 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 35.8% | 44.1% | 45.8% |
| Registered nurse turnover | 44.4% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.88 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.76 on weekdays and 2.95 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.13 in April to June 2025 to 3.53 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.53 | 0.71 | 3.76 | 2.95 | 2.9% | 0 of 90 | 60 |
| Oct to Dec 2025 | 3.42 | 0.71 | 3.60 | 2.96 | 3.0% | 0 of 92 | 61 |
| Jul to Sep 2025 | 3.36 | 0.61 | 3.55 | 2.90 | 2.5% | 0 of 92 | 60 |
| Apr to Jun 2025 | 3.13 | 0.50 | 3.28 | 2.75 | 0.3% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Hampshire, Jan to Mar 2026 | 3.85 | 0.74 | 4.01 | 3.45 | 13.1% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for New Hampshire
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New Hampshire, all employers | |||
| CNAs (nursing assistants) | $23.02 | $21.58 to $26.16 | 7,810 |
| LPNs and LVNs | $37.07 | $32.53 to $39.79 | 2,220 |
| Registered nurses | $47.93 | $39.85 to $52.12 | 15,390 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Hampshire | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 31.0 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.8 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.2 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.0 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.9 | 1.8 |
Owners and operators
Legal business name: 8 SNOW ROAD OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Harborside New Hampshire Limited Partnership | 5% or greater direct ownership interest | Organization | 100% | 05/01/2019 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Harborside Healthcare LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Harborside Toledo Business LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Sunbridge Healthcare LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 05/01/2019 | |
| Berg, Michael | Managing control - governing body | Individual | 01/01/2019 | |
| Fishman, Steven | Managing control - governing body | Individual | 01/01/2019 | |
| Whitman, Arnold | Managing control - governing body | Individual | 01/01/2019 | |
| Berg, Michael | Corporate officer | Individual | 05/01/2019 | |
| Bridgeford, Laura | Corporate officer | Individual | 06/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 06/01/2024 | |
| Bilal, Haris | Operational/managerial control | Individual | 01/01/2023 | |
| Cushing, Gail | Operational/managerial control | Individual | 12/01/2012 | |
| Morris, Diane | Operational/managerial control | Individual | 12/27/2023 | |
| Bilal, Haris | Adp of the SNF | Individual | 01/01/2023 | |
| Cushing, Gail | Adp of the SNF | Individual | 12/01/2012 | |
| Morris, Diane | Adp of the SNF | Individual | 12/27/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 15, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 15, 2025: "Provide care or services that was trauma informed and/or culturally competent."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 15, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.95 hours per resident per day, below the New Hampshire average of 3.47.
Other nursing homes nearby
- Vernon Green Nursing Home Vernon, 6.3 mi · 3 of 5 stars · 45 citations
- Pine Heights at Brattleboro Center for Nursing & R Brattleboro, 10.6 mi · 5 of 5 stars · 11 citations
- Thompson House Nursing Home Brattleboro, 10.8 mi · 1 of 5 stars · 7 citations
- Alpine Healthcare Center Keene, 12.5 mi · 1 of 5 stars · 21 citations
- Langdon Place of Keene Keene, 13.1 mi · 5 of 5 stars · 6 citations
- Keene Center, Genesis Healthcare Keene, 13.9 mi · 3 of 5 stars · 10 citations
- Covenant Living of Keene Keene, 14.4 mi · 4 of 5 stars · 6 citations
- Quabbin Valley Healthcare Athol, 14.5 mi · 2 of 5 stars · 42 citations
Common questions
- What is Applewood Center's Medicare star rating?
- CMS rates Applewood Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Applewood Center get at its last inspection?
- 0 health deficiencies at the standard inspection on June 26, 2026. The New Hampshire average is 4.
- Has Applewood Center been fined?
- CMS lists no fines in the last three years.
- Does Applewood Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Applewood Center?
- CMS lists 24 owners and managers, and links the home to Genesis Healthcare. Legal business name: 8 SNOW ROAD OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.