Applewood Center
8 Snow Road, Winchester NH 03470 · (603) 239-6355 · 94.86% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
With an address in Winchester, New Hampshire, Applewood Center is the sole option we were able to find in this city. Sporting an overall grade of A-, this nursing home is ranked among the better nursing homes we assessed. We ranked this nursing home in the 50 best facilities in New Hampshire. The best aspect of this nursing home's strong profile is its inspection reports. We discuss inspections in the next paragraph
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 72 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
On top of being a strong nursing home overall, it also received A+ government inspections recently. Its inspections were nearly flawless. We take several aspects of a facility's inspection report into consideration in computing our inspection scores. One critical factor is health deficiencies. You should keep in mind that the severity of deficiencies is usually more meaningful than the number of deficiencies, as some of these end up being quite insignificant. We were not able to locate deficiency counts for this nursing home. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
This nursing home also was awarded a very strong long-term care score. In fact, this is this facility's second best category score. In that category, we awarded this facility a grade of A-. When nursing homes receive this kind of score in this category it is a good sign for resident care and indicates that the facility is well-staffed with nurses aids. Once we looked at the quantity of care provided by nurses and other staff, we then looked at the nursing home's vaccination record. This facility vaccinated 99.18033 percent of its patients for pneumonia. Vaccines are vital to keeping residents out of the hospital. This nursing home was also able to keep its patients out of the hospital. Indeed, it had just 1.03 hospitalizations per one thousand long-term resident days, which is a significantly lower hospitalization rate than most nursing homes.
Nurse Quality
Among its many impressive grades, this facility received an excellent nursing grade. In fact, we gave it a grade of A- in that category. Our nursing score includes numerous factors. The most important variable is the number of hours nurses spent with residents. This nursing home provides 3.4 hours of nursing care per resident per day. Finally, we also looked at some nursing quality-based metrics in determining our nursing grades. This place performed very well when it comes to minimizing its residents' major falls and pressure ulcers. We consider these areas to be good indicators of the quality of nursing care.
Short-term Care Quality
The last area we assessed was short-term care. In this category, we gave this nursing home a solid grade of B-. This actually is this nursing home's least impressive category. Our short-term care ratings are based in part on a facility's quantity of skilled nursing services. This includes a broad scope of nursing services, ranging from registered nurses to physical and respiratory therapists, not to mention other forms of therapy. Fortunately, we found that this nursing home provided respectable levels of physical therapist and registered nurse hours per resident. The final statistic we considered in this category is the percentage of residents who were able to leave the nursing home and return to the community. We discovered that just 43.5 percent of this facility's patients were able to return home, which is actually below average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Applewood Center Quality Metrics
Minimizes Pressure Ulcers
This is the percentage of patients who sustained a pressure ulcer. Pressure ulcers are damage to the skin resulting from staying in the same position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of patients that suffered from a major fall. Falls leading to serious injury are considered to be an indicator of the quality of nursing care . Major falls are routinely caused by lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percent of residents that sustained a urinary tract infection. Urinary tract infections are routinely associated with facilities with lower levels of hygiene. Closer supervision can limit the number of UTI's sustained by residents in a nursing home. Note that this statistic is sometimes skewed by the fact that nursing homes have varying reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This metric gauges the percent of long-term stay residents which were given antipsychotic drugs. Increased usage of these drugs may mean a nursing home is using these medications to subdue residents in situations where such drugs are not medically required. Nevertheless, some nursing homes need to rely on these medications due to having more residents suffering from dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of patients given antianxiety medications. These drugs are prescribed to patients experiencing anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
Measures the percent of long-term residents exhibiting symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
Measures the percent of long-term stay patients who were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percent of long-term care residents that required increased assistance with activities of daily living over time. Activities of daily living include activities such as moving around and eating. Many would argue that this is a reliable measure of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint measures the percent of long-term care patients who were able to retain mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This indicates the number of times residents are hospitalized per 1,000 days of care. There is usually a correlation between having fewer hospitalizations and the quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint measures the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric measures the number of emergency room visits per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percentage of short-term care residents that experienced functional improvements, such as with activities of daily living. Higher levels of autonomy with ADL's usually correlates with higher quality rehabilitation.
Percentage of Resident
Higher is Better