Cycle 1
Health 2025-05-15 · Fire 2025-05-15
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Winchester, NH
Applewood Center
4-star overall rating with 3-star inspections with 4 recent health deficiencies
8 Snow Road, Winchester, NH
(603) 239-6355
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
60
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Genesis Healthcare
Operator or chain grouping
Approved since
1996-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
193 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.61
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
1.76
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
3.36
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.60
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
2.90
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.40
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,192
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9939
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.11
Baseline 18.29% · Performance 19.99% · Measure score 3.11 · Achievement 3.11 · Improvement 0
Healthcare-associated infections
3.28
Baseline 7.24% · Performance 6.85% · Measure score 3.28 · Achievement 3.28 · Improvement 1.23
Total nurse turnover
10
Baseline 33.90% · Performance 17.65% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0
Baseline 3.38 hours · Performance 3.17 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.46% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 95 · Observed rate 6.32% · Lower 95% interval 6.28% |
| Discharge to community | 58.63% |
50.57%
8.1 pts better
|
No Different than the National Rate · Eligible stays 91 · Observed rate 57.14% · Lower 95% interval 47.6% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 85 · Denominator 85 |
| Falls with major injury | 2.35% |
0.77%
1.6 pts worse
|
Numerator 2 · Denominator 85 |
| Discharge self-care score | 35.59% |
53.69%
18.1 pts worse
|
Numerator 21 · Denominator 59 |
| Discharge mobility score | 37.29% |
50.94%
13.6 pts worse
|
Numerator 22 · Denominator 59 |
| Pressure ulcers or injuries, new or worsened | 8.24% |
2.29%
6 pts worse
|
Numerator 7 · Denominator 85 · Adjusted rate 10.06% |
| Healthcare-associated infections requiring hospitalization | 6.85% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 5.36% · Lower 95% interval 3.59% |
| Staff COVID-19 vaccination coverage | 11.84% |
8.2%
3.6 pts better
|
Numerator 9 · Denominator 76 |
| Staff flu vaccination coverage | 75.47% |
42%
33.5 pts better
|
Numerator 80 · Denominator 106 |
| Discharge function score | 49.15% |
56.45%
7.3 pts worse
|
Numerator 29 · Denominator 59 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 45 · Denominator 45 |
| Transfer of health information to patient | 91.67% |
96.28%
4.6 pts worse
|
Numerator 22 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 32.65% |
25.2%
7.4 pts better
|
Numerator 16 · Denominator 49 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.6
0.7 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.9
1.5 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
96.4%
1.3 pts better
|
93.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 96.4% · Q3 100.0% · Q4 97.9% · 4Q avg 97.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.0% |
98.0%
8 pts worse
|
95.5%
5.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
4.5%
3.1 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 2.1% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.6% |
9.7%
3.1 pts better
|
11.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 10.6% · Q3 2.3% · Q4 2.4% · 4Q avg 6.6% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
5.5%
0.4 pts worse
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 9.8% · Q3 2.1% · Q4 2.5% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.0% |
18.9%
0.1 pts worse
|
19.6%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 25.0% · Q3 15.7% · Q4 14.3% · 4Q avg 19.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.7% |
18.7%
4 pts better
|
16.7%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 12.5% · Q3 15.6% · Q4 16.7% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.7% |
19.2%
2.5 pts better
|
16.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.2% |
21.9%
6.3 pts worse
|
14.9%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 45.8% · Q3 26.7% · Q4 15.8% · 4Q avg 28.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.3%
1.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.4%
1 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
26.7%
2.3 pts better
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 24.6% · Q3 23.0% · Q4 25.4% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
4.4%
2 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 3.2% · Q4 2.7% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
85.6%
9.3 pts better
|
81.7%
13.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.8% · Q2 94.3% · Q3 96.0% · Q4 95.2% · 4Q avg 94.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.5% |
14.1%
8.6 pts better
|
12.0%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 5.3% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.7%
0.4 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.6% · Q4 1.7% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.8% |
83.0%
3.8 pts better
|
79.7%
7.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.4% |
22.1%
1.3 pts worse
|
23.9%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 21.1% · Expected 21.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-07 · Fire 2024-05-07
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-04-05 · Fire 2023-04-05
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-15
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-05
D · Potential for more than minimal harm
2025-05-15
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-06-18
D · Potential for more than minimal harm
2025-05-15
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-06-10
D · Potential for more than minimal harm
2025-05-15
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-06-19
D · Potential for more than minimal harm
2024-05-07
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-07
D · Potential for more than minimal harm
2024-05-07
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-06-05
D · Potential for more than minimal harm
2024-05-07
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-21
D · Potential for more than minimal harm
2023-04-05
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-02
D · Potential for more than minimal harm
2023-04-05
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-24
D · Potential for more than minimal harm
2023-04-05
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-04-24
Penalties and ownership
What sits behind the stars
Ownership
Harborside New Hampshire Limited Partnership
5% Or Greater Direct Ownership Interest · Organization
Berg, Michael
Operational/Managerial Control · Individual
Berg, Michael
Corporate Officer · Individual
Bilal, Haris
W-2 Managing Employee · Individual
Bridgeford, Laura
Corporate Officer · Individual
Cushing, Gail
W-2 Managing Employee · Individual
Fc-Gen Operations Investment LLC
5% Or Greater Indirect Ownership Interest · Organization
Fishman, Steven
5% Or Greater Indirect Ownership Interest · Individual
Gen Operations I LLC
5% Or Greater Indirect Ownership Interest · Organization
Gen Operations Ii LLC
5% Or Greater Indirect Ownership Interest · Organization
Genesis Healthcare Inc
5% Or Greater Indirect Ownership Interest · Organization
Genesis Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Genesis Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Harborside Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Harborside Toledo Business LLC
5% Or Greater Indirect Ownership Interest · Organization
Hccf Management Group Xi LLC
5% Or Greater Indirect Ownership Interest · Organization
Mendelson, Avi
Corporate Officer · Individual
Morris, Diane
Operational/Managerial Control · Individual
Sun Healthcare Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Sunbridge Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Sundance Rehabilitation Holdco Inc
5% Or Greater Indirect Ownership Interest · Organization
Welltower Op LLC
5% Or Greater Indirect Ownership Interest · Organization
Whitman, Arnold
5% Or Greater Indirect Ownership Interest · Individual
Zac Properties Xi LLC
5% Or Greater Indirect Ownership Interest · Organization
Zurn, Jamie
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Vernon Green Nursing Home
Vernon, VT
3-star overall rating with 2-star inspections with abuse icon flag with $87,896 in total fines with 7 recent health deficiencies
#2
Pine Heights at Brattleboro Center for Nursing & R
Brattleboro, VT
5-star overall rating with 4-star inspections with 6 recent health deficiencies
#3
Thompson House Nursing Home
Brattleboro, VT
2-star overall rating with 2-star inspections with $161,475 in total fines with 4 recent health deficiencies
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