Home›New Hampshire›Cheshire County›APPLEWOOD CENTER
C
Below Standard

APPLEWOOD CENTER

8 SNOW ROAD · WINCHESTER, NH 03470

6032396355 · For profit - Corporation

72 beds59.6 residents95 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
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

APPLEWOOD CENTER receives an overall staffing grade of C (Below Standard). With 3.3666 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6131 HPRD, below the recommended 0.75. It is 0.53 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.41% compared to weekdays. The facility has low agency staff usage (2.47% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3666 HPRD — needs 0.11 more hours per resident per day.
⚠️RN staffing (0.6131 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.47%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3666hrs/resident/day▼ 0.53
CMS benchmark: 3.48
RN HPRD
0.6131hrs/resident/day▼ 0.07
Recommended: 0.75
Weekend Drop-off
18.41%
3.5514 weekday → 2.8976 weekend
Agency Staff
2.47%
7.67% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5969hrs/resident/day
Direct care aides
LPN HPRD
0.9904hrs/resident/day
Licensed practical nurses
Consistency
0.3548std 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. Cheshire County Average-0.59 HPRD
3.96
03.37 HPRD
vs. New Hampshire State Average-0.59 HPRD
3.96
03.37 HPRD
vs. National Average-0.53 HPRD
3.90
03.37 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
APPLEWOOD CENTER ★
WINCHESTER · This facility
—
C
3.36660.6131★★★★☆
ALPINE HEALTHCARE CENTER
KEENE
12.5 mi
C
3.32480.4549★☆☆☆☆
LANGDON PLACE OF KEENE
KEENE
13.1 mi
A+
5.00951.9236★★★☆☆
KEENE CENTER, GENESIS HEALTHCARE
KEENE
13.9 mi
C
3.20890.6207★★☆☆☆
COVENANT LIVING OF KEENE
KEENE
14.4 mi
A
4.75951.6881★★★★★
CHESHIRE COUNTY HOME
WESTMORELAND
15 mi
B
4.52090.661★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
10
Total Deficiencies
$0
Fines Assessed
May 15, 2025Health
4 deficiencies cited
▼
May 7, 2024Health
3 deficiencies cited
▼
Apr 5, 2023Health
3 deficiencies 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.