Maple Leaf Health Care Center

Name: Maple Leaf Health Care Center
Address: 198 PEARL STREET, Manchester, NH, 03104, US
Telephone: 6036691660

198 Pearl Street, Manchester, NH 03104 · Hillsborough County · 114 certified beds · avg 107 residents/day · certified since Feb 18, 1975

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.81

Nurse hours/resident/day (adjusted)

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
Mar 4, 2026	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.
Mar 4, 2026	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 24, 2025	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.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 24, 2025	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 25, 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Worst severity that year
2024	1	D
2025	4	D
2026	2	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)	2.81	4.11	3.95	bottom 6% in New Hampshire; bottom 8% in the U.S.
Registered Nurse hours	0.58	0.82	0.69	bottom 22% in New Hampshire; bottom 49% in the U.S.
Weekend total nurse staffing	2.58	3.67	3.50	bottom 6% in New Hampshire; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.55	0.48	bottom 14% in New Hampshire; bottom 44% in the U.S.
Total nursing staff turnover (%)	40.4	44.1	45.8	top 38% in New Hampshire; top 37% in the U.S.
RN turnover (%)	35.7	40.9	42.9	top 38% in New Hampshire; top 39% 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 2.91, RN 0.60, weekend 2.67. Staffing rating: 2/5.

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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Esnh LLC	Organization	5% or Greater Indirect Ownership Interest	50%	09/01/2022
JPNH LLC	Organization	5% or Greater Indirect Ownership Interest	50%	09/01/2022
NH3 Opco Holdco LLC	Organization	5% or Greater Direct Ownership Interest	—	09/01/2022
Pepper, Yehuda	Individual	5% or Greater Direct Ownership Interest	—	09/01/2022
Schwarcz, Elliot	Individual	5% or Greater Direct Ownership Interest	—	09/01/2022
Dwight Mortgage Trust LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	09/01/2022
Matera Health LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Pepper, Yehuda	Individual	Operational/Managerial Control	NOT APPLICABLE	03/17/2026

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 how medications are stored and secured on the units, including controlled drugs?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Mount Carmel Rehabilitation and Nursing Center	0.1 mi	Manchester, NH	★★★★☆	4/5
Saint Teresa Rehabilitation & Nursing Center	0.9 mi	Manchester, NH	★★☆☆☆	2/5
Courville at Manchester	0.9 mi	Manchester, NH	★★☆☆☆	1/5	SFF
Hanover Hill Health Care Center	1.1 mi	Manchester, NH	★★★☆☆	3/5
St Joseph Residence	1.1 mi	Manchester, NH	★★★★☆	3/5
Villa Crest Nursing and Retirement Center	2.4 mi	Manchester, NH	★★★★☆	4/5
Holy Cross Health Center	2.6 mi	Manchester, NH	★★★★★	4/5
Bedford Hills Center	2.7 mi	Bedford, NH	★★★★☆	4/5
Ridgewood Center, Genesis Healthcare	2.8 mi	Bedford, NH	★★☆☆☆	2/5
Bedford Nursing & Rehabilitation Center	3.0 mi	Bedford, NH	★☆☆☆☆	1/5	SFF
Hackett Hill Healthcare Center	3.2 mi	Manchester, NH	★★☆☆☆	1/5
Hillsborough County Nursing Home	4.3 mi	Goffstown, NH	★★★★★	3/5

Compare this facility with the 3 closest →

All facilities in Manchester →

Facility data as of CMS processing date 2026-08-01. CCN 305030.

The Care File

Visit checklist — Maple Leaf Health Care Center

198 Pearl Street, Manchester, NH 03104 · 6036691660

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 305030 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)