Applewood Center is a small facility located in Winchester, New Hampshire. Sporting an overall rating of A-, this nursing home is one of the higher-graded nursing homes we assessed. In fact, we ranked this nursing home in the top 25 percent of all nursing homes in the United States. This facility also received phenomenal scores in each of the major categories we assessed. More information about these categories can be found below.
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- Nursing Home
Updated Apr 1, 2023 by Nick Lata
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Secure Memory Care
- Offers Hospice
- Offers Post-Acute Care
- Offers Respite Care
- Offers Inpatient Rehab
- Offers Outpatient Rehab
- Personal Care
- Medication Management
- Home Making
- Medical Transportation
- Speech Therapy
- IV Antibiotic Therapy
- Palliative Care
- Wound Care
- Occupational Therapy
- Mental Health
- Physical Therapy
- Nutritional Counseling
- Recreational Therapy
- Pain Management
- Colostomy Care
- Orthopedic Rehabilitation
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Top Nursing Home in New Hampshire Awards 2019
Registered Staff Hours
On top of receiving an elite overall grade, this facility received an A+ inspection rating. This score is based on the facility's recent inspection reports. An A+ in this area is one of the best complements we can offer a facility. Perhaps the most significant factor we consider in determining our inspection grades is deficiencies. Deficiencies can be found on a facility's inspection reports. Nursing homes with better scores in this area typically avoided the most severe deficiencies involving health risks or even death. It doesn't look like we were able to find deficiency data for this facility. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Short-term Care Quality
Adding to its first-rate assessment, this facility also was given a dominant short-term care score, with a grade of A-. Our short-term care grades are believed to be more meaningful for folks needing rehabilitation services. Rehabilitation generally requires additional skilled nursing. This includes not only nursing services, but also physical and respiratory therapy, as well as other types of therapy. Fortunately, it appear that this facility employs registered nurses. Not every facility employs these types of nurses. On the other hand, according to the information they provided, they do not appear to employ physical therapists. The last metric we assessed in this area is the number of residents that ultimately returned home from the nursing home. We found that 5.6 percent of this nursing home's patients returned home as opposed to remaining at the facility on a permanent basis.
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Long-term Care Quality
The third area we graded is long-term care. This nursing home was given an impressive long-term care grade, with a B+ in this area. Long-term care ratings in this range generally require both 24/7 care from nurses and aids, as well as quality routine healthcare services. On top of assessing the amount of care provided by nurses and other staff, we looked at the percentage of residents vaccinated for pneumonia. This nursing home administered the vaccine to 98.79032 percent of its residents, which is significantly higher than most nursing homes. Clearly, this facility is doing something right in this area as it was able to keep its patients out of the hospital. Indeed, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low number.
In the last category we graded, this nursing home received an impressive grade grade of B+ in our nursing category. With this grade, the facility wrapped up a very strong report card. The nursing rating considers a host of factors. The most important factor is the quantity of hours nurses spend with patients. This particular nursing home provided 0.3 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This place performed well in this area. Avoiding major falls is typically a good indicator that a place has reliable quality controls in place. Major falls can often be avoided if more nurses aids and better safety protocols are in place.
Rating Over Time
Compared to national and state averages across all facilities.
Applewood Center Quality Metrics
Minimizes Pressure Ulcers
In Applewood Center, 6.48% of Patients had Pressure Ulcers
This tells you the percent of patients who have had a pressure ulcer. Pressure ulcers are considered to be a measure of the quality of nursing care at a nursing home. Pressure ulcers, also referred to as bed sores, are routinely caused by residents staying in one position for too long.
Minimizes Serious Falls
In Applewood Center, 5.13% of Patients had Serious Falls
This indicates the percent of residents that sustained a fall resulting in severe injury.
Minimizes Urinary Tract Infections
In Applewood Center, 2.56% of Patients had UTIs
This indicates the percent of residents who have had a urinary tract infection. These infections are sometimes associated with poorer hygiene.
Appropriately Uses Anti-Psychotic Medication
In Applewood Center, 16.15% of Patients use Anti-Psychotic Medication
This tells you the percentage of residents prescribed antipsychotic drugs. These medications are sometimes used for several medical conditions, such as cognitive disorders.
Appropriately Uses Anti-Anxiety Medication
In Applewood Center, 14.9% of Patients use Anti-Anxiety Medication
This tells you the percent of residents who were prescribed antianxiety medications. These drugs are commonly used to treat patients suffering from anxiety and depression.
Managing Depression Among Residents
In Applewood Center, 6.23% of Patients
This metric is a measure of the percentage of long-term care patients who are showing depressive symptoms. Many would argue this is a reliable measure of quality of care.
Appropriate Vaccine Usage
In Applewood Center, 94.94% of Patients
This tells you the percentage of patients that received the pneumonia and flu vaccines. Higher vaccination rates should be demanded by residents.
Residents Maintain Autonomy
In Applewood Center, 18.44% Percentage of Patients
This indicates the percent of residents who needed increased assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's could indicate deterioration of a resident's health.
Ability to Keep Residents Mobile
In Applewood Center, 18.81% Percentage of Residents
This metric measures the percentage of long-term stay residents that remained mobile levels. Some experts believe that mobility is vital to patients well-being.
In Applewood Center, 1.55 Hospitalizations per 1,000 resident days
Measures the number of hospitalizations per 1,000 days of patient care. Keeping residents out of the hospital is critical to the physical well-being of residents.
Short-term Care: Rehospitalizations
In Applewood Center, 18.81 Percentage of Residents Rehospitalized
This is the number of rehospitalizations per thousand days of short-term patient care.
Short-term Care: ER Visits
In Applewood Center, 13.79 Percentage of Patients
This metric measures the number of times residents are sent to the emergency room per thousand days of short-term patient care.
Short-term Care: Facilitates Functional Improvement
In Applewood Center, 81.87% Percentage of Resident
This indicates the percent of short-term patients who saw functional improvements, such as enhanced ability to perform activities of daily living.
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