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C
Below Standard

MAPLE LEAF HEALTH CARE CENTER

198 PEARL STREET · MANCHESTER, NH 03104

6036691660 · For profit - Limited Liability company

114 beds108.3 residents129 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
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

MAPLE LEAF HEALTH CARE CENTER receives an overall staffing grade of C (Below Standard). With 3.2233 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5126 HPRD, below the recommended 0.75. It is 0.67 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.77% compared to weekdays. The facility has low agency staff usage (0.03% 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: 3.2233 HPRD — needs 0.26 more hours per resident per day.
⚠️RN staffing (0.5126 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 (0.03%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2233hrs/resident/day▼ 0.67
CMS benchmark: 3.48
RN HPRD
0.5126hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
18.77%
3.4039 weekday → 2.7649 weekend
Agency Staff
0.03%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9629hrs/resident/day
Direct care aides
LPN HPRD
0.6628hrs/resident/day
Licensed practical nurses
Consistency
0.3486std 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-0.51 HPRD
3.74
03.22 HPRD
vs. New Hampshire State Average-0.74 HPRD
3.96
03.22 HPRD
vs. National Average-0.67 HPRD
3.90
03.22 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
MAPLE LEAF HEALTH CARE CENTER ★
MANCHESTER · This facility
—
C
3.22330.5126★★★★☆
MOUNT CARMEL REHABILITATION AND NURSING CENTER
MANCHESTER
0.2 mi
B
4.26570.663★★★★☆
SAINT TERESA REHABILITATION & NURSING CENTER
MANCHESTER
0.9 mi
B
4.03970.6834★★★★☆
COURVILLE AT MANCHESTER
MANCHESTER
0.9 mi
A
4.15280.903★★☆☆☆
HANOVER HILL HEALTH CARE CENTER
MANCHESTER
1.1 mi
C
3.36880.4275★☆☆☆☆
ST JOSEPH RESIDENCE
MANCHESTER
1.2 mi
A+
6.22581.0531★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
6
Total Deficiencies
$0
Fines Assessed
Jan 24, 2025Health
4 deficiencies cited
▼
Jan 25, 2024Health
1 deficiency cited
▼
Jan 27, 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.