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Nursing HomeMedicaid Top Rated

Maple Leaf Health Care Center

Strong Medicare quality ratings; families often praise friendly and attentive nursing staff. Still worth an in-person visit.

198 Pearl Street, Manchester, NH 03104114 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 57 Google reviews

5
4
3
2
1
Maple Leaf Health Care Center Nursing Home in Manchester, NH — Street View
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What this means for your family

While the facility offers a welcoming atmosphere and efficient check-in, recent reports of medication errors and hygiene issues are concerning. We strongly recommend requesting a tour of the specific room your loved one would occupy to ensure privacy and cleanliness meet your standards, and ask specifically about their protocol for medication administration.

Google Reviews

Google Reviews

57 reviews on Google
Maple Leaf Health Care Center receives highly polarized feedback, with many families praising the friendly staff and efficient security check-in process. However, significant concerns exist regarding inconsistent care quality, poor food standards, and cleanliness issues in some areas. Families should be aware that experiences appear to vary greatly depending on the specific wing or staff members involved.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean5.0Activities9.0Meds2.0MemoryN/AComms6.0ValueN/A

Strengths

  • Friendly and attentive nursing staff
  • Efficient, secure visitor check-in system
  • Warm, home-like atmosphere
  • Active engagement in resident activities

Concerns

  • Poor quality and quantity of food (mentioned by 5 reviewers)
  • Lack of cleanliness and hygiene (mentioned by 3 reviewers)
  • Inconsistent nursing care and medication management (mentioned by 3 reviewers)
  • Overcrowded rooms and lack of privacy (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02023(3)3.72024(6)4.62025(32)2.62026(8)

Distribution · 49 analyzed

5
28
4
9
3
2
2
0
1
10

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed the facility has a very active calendar; could you walk me through what a typical afternoon of resident engagement looks like?
  • 2With the current staffing levels, how does the team ensure that medication management remains consistent and timely for every resident?
  • 3We understand that dining is a major part of the daily experience; what steps are you taking to improve the variety and quality of the meals served?
  • 4Could you show us how the facility maintains cleanliness and hygiene standards in the resident rooms and common areas?
  • 5Given the room layouts, how does the staff balance the need for a community atmosphere with ensuring residents have enough privacy and personal space?
  • 6In the event of a sudden medical change, what is your specific protocol for communicating with family members and coordinating with outside physicians?

Personalized based on this facility's data


Key Review Excerpts

Staff was very patient with my great Aunt she was very confused today. She is now on Hospice care. She was not awake to order dinner but the nurses aide came with her dinner and she said but I didn’t order dinner, she said I know Sheila but I know you like your grilled cheese my Aunt just smiled and said yes I do!

Long-term resident's family · 2026★★★★

My sister,83 with Parkinson's disease is a resident there,private room and has outstanding care. All concerns, are always corrected.

Long-term resident's family · 2025★★★★

I'm happy and thankful that Wally gets totally taken care of there. He loves his BINGO! My only complaint is that he is in a room with 3 others and has no room to move around and forget about any privacy at all.

Long-term resident's family · 2025★★★☆☆
Source: 57 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.53hrs
71%
Registered nurses for medical care
Total Nursing
3.21hrs
78%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility24.7%
Worse than Avg
Here
24.7%
US
12.1%
NH
12.1%
Hillsborough
5.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
14.4%
NH
21.8%
Hillsborough
13.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.3%
Better than Avg
Here
15.3%
US
19.4%
NH
26.3%
Hillsborough
16.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.4%
Better than Avg
Here
10.4%
US
15.3%
NH
18.7%
Hillsborough
13.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.2%
Worse than Avg
Here
25.2%
US
19.5%
NH
19.1%
Hillsborough
18.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NH
96.9%
Hillsborough
98.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
81.8%
NH
86.5%
Hillsborough
95.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.6%
Better than Avg
Here
95.6%
US
79.7%
NH
83.0%
Hillsborough
93.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
NH
1.4%
Hillsborough
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (4.0)

Maple Leaf Health Care Center shows a pattern of recurring deficiencies in medication management and emergency systems across multiple surveys, with medication labeling issues appearing in both 2024 and 2025 inspections and generator problems persisting across the same period. The facility also had issues with infection control programs and resident assessments in the most recent survey. While all deficiencies were corrected, the recurring problems in key safety areas warrant careful consideration during your visit.

Mar 4, 2026Routine
2
0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Jan 24, 2025Routine
12
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Minimal · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0345Minimal · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Jan 25, 2024Routine
6
0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0036Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0036Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

Jan 27, 2023Routine
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Maple Leaf Health Care Center

Organization Type

for profit

Ownership & Management

Owners

Nh3 Opco Holdco LLC

Owner · Organization

Pepper, Yehuda

Owner

Schwarcz, Elliot

Owner

Esnh LLC

Owner (parent company) · Organization

50%

Jpnh LLC

Owner (parent company) · Organization

50%

Key personnel

Dwight Mortgage Trust LLC5% or Greater Security InterestSkafas, BethW-2 Managing EmployeeMatera Health LLCManager
Source: Medicare provider data

Contact

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References & Resources

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