Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Applewood Center during CMS and state inspections, most recent first.
An LPN failed to prime insulin pens before administering doses to a resident, contrary to manufacturer instructions and facility policy. This oversight was confirmed during an interview, revealing the LPN's lack of awareness of the priming requirement.
The facility failed to label a multidose vial of Tuberculin Purified Protein Derivative and did not secure medications in two resident rooms. An LPN confirmed the vial was unlabeled and open, contrary to the manufacturer's instructions and facility policy. Additionally, unsecured medications were found in two residents' rooms, violating the facility's policy requiring locked storage.
A facility failed to document the administration of a hypoglycemia protocol for a resident with low blood sugar levels. Despite the protocol requiring intervention when blood glucose fell below 70 mg/dl, there was no record of such actions being taken, although the protocol was reportedly followed. The DON confirmed the lack of documentation, which was contrary to the facility's policy.
Failure to Prime Insulin Pens Before Administration
Penalty
Summary
The facility failed to adhere to professional standards of quality in administering insulin to a resident. During an observation, a Licensed Practical Nurse (LPN) was seen preparing insulin for a resident using both a Novolog insulin pen and a Semglee insulin pen without priming them prior to administration. This action was confirmed during an interview with the LPN, who admitted to being unaware of the necessity to prime insulin pens before use, indicating it was not part of their usual practice. The manufacturer's instructions for both the Novolog and Semglee insulin pens clearly state the requirement to perform a priming step before each injection to ensure accurate dosing and to avoid injecting air. The facility's policy on medication administration also mandates following manufacturer guidelines. The failure to prime the insulin pens as per the manufacturer's instructions and facility policy led to the deficiency identified during the survey.
Medication Management Deficiencies
Penalty
Summary
The facility failed to properly label a vial of multidose injectable medication and did not secure medications in resident rooms, leading to deficiencies in medication management. During an observation of the medication room's vaccination refrigerator, a vial of Tuberculin Purified Protein Derivative was found open and unlabeled, lacking both an open date and an open expiration date. This was confirmed by an LPN, and a review of the manufacturer's instructions indicated that vials in use for more than 30 days should be discarded. Additionally, the facility's policy required that multidose vials be dated and discarded within 28 days unless otherwise specified by the manufacturer. In two separate resident rooms, medications were found unsecured. In one room, a bottle of One A Day Multivitamins was observed on a side table, and in another room, a box of Loratidine Allergy Relief pills was found in a bin. Both instances were confirmed by LPNs, who acknowledged that the medications should not have been left unlocked. The facility's policy stipulated that bedside medications or biologicals should be stored in a locked compartment within the resident's room, which was not adhered to in these cases.
Incomplete Documentation of Hypoglycemia Protocol
Penalty
Summary
The facility failed to ensure that a resident's medical records were complete and accurate, specifically regarding the administration of unnecessary medications. For one resident, the Medication Administration Record (MAR) indicated a hypoglycemia protocol was to be followed if blood glucose levels fell below 70 mg/dl. On two occasions, the resident's fasting blood sugar (FBS) levels were recorded as significantly low, at 51 and 38 mg/dl, which required intervention according to the protocol. However, there was no documentation in the resident's medical record that the hypoglycemia protocol was followed on these dates. The Director of Nursing confirmed the absence of documentation, although the protocol was reportedly followed. The facility's policy required the administration of a fast-acting oral carbohydrate and a repeat blood glucose test in such instances, but these actions were not documented.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Winchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vernon Green Nursing Home | 6.3 mi | ★★★★★ | 12 | 0 |
| Pine Heights At Brattleboro Center For Nursing & R | 10.6 mi | ★★★★★ | 6 | 0 |
| Thompson House Nursing Home | 10.8 mi | ★★★★★ | 3 | 3 |
| Alpine Healthcare Center | 12.5 mi | ★★★★★ | 4 | 0 |
| Langdon Place Of Keene | 13.1 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.