Applewood Center
8 Snow Road, Winchester, NH 03470 · Cheshire County · 72 certified beds · avg 60 residents/day · certified since Aug 1, 1996 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| May 7, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| May 7, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 7, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | D |
| 2025 | 4 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.49 | 4.11 | 3.95 | bottom 43% in New Hampshire; bottom 36% in the U.S. |
| Registered Nurse hours | 0.70 | 0.82 | 0.69 | bottom 40% in New Hampshire; top 37% in the U.S. |
| Weekend total nurse staffing | 2.92 | 3.67 | 3.50 | bottom 33% in New Hampshire; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.55 | 0.48 | top 36% in New Hampshire; top 25% in the U.S. |
| Total nursing staff turnover (%) | 35.8 | 44.1 | 45.8 | top 22% in New Hampshire; top 26% in the U.S. |
| RN turnover (%) | 44.4 | 40.9 | 42.9 | bottom 38% in New Hampshire; bottom 45% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.53, RN 0.71, weekend 2.95. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fc-Gen Operations Investment LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Gen Operations I LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Gen Operations II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Genesis Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Genesis Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Genesis Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Harborside Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Harborside New Hampshire Limited Partnership | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2019 |
| Harborside Toledo Business LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Sun Healthcare Group INC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Sunbridge Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Whitman, Arnold | Individual | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Berg, Michael | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2019 |
| Berg, Michael | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2019 |
| Bilal, Haris | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Bilal, Haris | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Bridgeford, Laura | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Cushing, Gail | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2012 |
| Cushing, Gail | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2012 |
| Fishman, Steven | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Vernon Green Nursing Home | 6.3 mi | Vernon, VT | ★★★☆☆ | 2/5 | abuse |
| Pine Heights at Brattleboro Center for Nursing & R | 10.6 mi | Brattleboro, VT | ★★★★★ | 4/5 | |
| Thompson House Nursing Home | 10.8 mi | Brattleboro, VT | ★☆☆☆☆ | 1/5 | SFF |
| Alpine Healthcare Center | 12.5 mi | Keene, NH | ★☆☆☆☆ | 1/5 | |
| Langdon Place of Keene | 13.1 mi | Keene, NH | ★★★★★ | 5/5 | |
| Keene Center, Genesis Healthcare | 13.9 mi | Keene, NH | ★★★☆☆ | 3/5 | |
| Covenant Living of Keene | 14.4 mi | Keene, NH | ★★★★☆ | 3/5 | |
| Quabbin Valley Healthcare | 14.5 mi | Athol, MA | ★★☆☆☆ | 2/5 | |
| Poet's Seat Healthcare Center | 14.9 mi | Greenfield, MA | ★★★☆☆ | 3/5 | |
| Cheshire County Home | 15.1 mi | Westmoreland, NH | ★★★★☆ | 3/5 | |
| Charlene Manor Extended Care Facility | 16.8 mi | Greenfield, MA | ★★☆☆☆ | 2/5 | |
| Regalcare at Greenfield | 17.3 mi | Greenfield, MA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
All facilities in Winchester →
Facility data as of CMS processing date 2026-08-01. CCN 305065.