Provider Name: MAPLE LEAF HEALTH CARE CENTER
Address: 198 PEARL STREET, MANCHESTER, NH 03104
Phone: (603) 669-1660
County: Hillsborough (050)
Ownership Type: For profit - Corporation
Certified Beds: 114
Average Residents Per Day: 109. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: BH MAPLE LEAF LLC
First Approved Date: February 18, 1975
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 5 ()
QM Rating: 3 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 2 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.53907, LPN Staff Hours Per Day: 0.4503, RN Staff Hours Per Day: 0.5750, Licensed Staff Hours Per Day: 1.0254
Total Nurse Staff Hours Per Day, per resident: 2.56451
Weekend Nurse Staff Hours: 2.20546, Weekend RN Staff Hours: 0.4009
PT Staff Hours Per Day, per resident: 0.0703
Nurse Staff Turnover: 70.8, Nurse Turnover Note:
RN Turnover: 66.7, RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9162, Case Mix LPN Hours Per Day: 0.7648, Case Mix RN Hours Per Day: 0.3884
Adjusted Nurse Aide Hours Per Day, per resident: 1.63622, Adjusted LPN Hours Per Day: 0.4345, Adjusted RN Hours Per Day: 0.5578
Total Adjusted Nurse Hours Per Day, per resident: 2.63338
Adjusted Weekend Nurse Hours Per Day, per resident: 2.26468
Health Survey Dates and Scores: Cycle 1: 2023-01-27 (Score: 8), Cycle 2: 2022-02-16 (Score: 4), Cycle 3: 2021-01-28 (Score: 12)
Total Weighted Health Score: 7.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 198 PEARL STREET,MANCHESTER,NH,03104 (42.9965, -71.455)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-13
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-03-25
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-02-26
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-02-26
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0324, Version: New
Description: Provide properly protected cooking facilities.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-03-05
Type: Fire Safety, Tag: 0325, Version: New
Description: Have properly installed hallway dispensers for alcohol-based hand rub.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-03-05