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CHESHIRE COUNTY HOME

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CHESHIRE COUNTY HOME is a government - county facility in WESTMORELAND, NH with 150 certified beds and a 4-star overall CMS rating. The facility has 9 deficiency records on file.

201 RIVER ROAD, WESTMORELAND, NH 03467

Phone: 6033994912

Overall Rating

4/5

Health Inspection

3/5

Staffing

5/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
305054
Ownership
Government - County
Provider Type
Medicare and Medicaid
Beds
150
Residents
113
In Hospital
No
County
Cheshire
Last Inspection
Sep 11, 2025

Staffing Data

RN Hours
0.66 (nat'l avg: 0.68)
LPN Hours
1.00
CNA Hours
2.86
Total Nursing Hours
4.52 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
36.5%
RN Turnover
5.6%

What the CMS Record Reveals About CHESHIRE COUNTY HOME

CHESHIRE COUNTY HOME operates 150 certified beds in WESTMORELAND, NH with approximately 113 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (5★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 9 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.52 total nursing hours per resident day (national average 3.89), with RN coverage at 0.66 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, CHESHIRE COUNTY HOME falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 36.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (9 most recent)

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Oct 29, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Sep 29, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Oct 29, 2025

E — Pattern - Minimal harm Sep 26, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Oct 30, 2024

D — Isolated - Minimal harm Sep 26, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 30, 2024

D — Isolated - Minimal harm Sep 26, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Oct 30, 2024

D — Isolated - Minimal harm Sep 26, 2024 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 30, 2024

D — Isolated - Minimal harm Jul 19, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 18, 2023

D — Isolated - Minimal harm Jul 19, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 18, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 23.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 7.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 85.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 6.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 99.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 4.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 16.7% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for CHESHIRE COUNTY HOME?
CHESHIRE COUNTY HOME has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (5★), and quality measures (3★).
What are the staffing levels at CHESHIRE COUNTY HOME?
CHESHIRE COUNTY HOME reports 4.52 total nursing hours per resident day (national average: 3.89). RN hours are 0.66 per resident day (national average: 0.68). Nursing staff turnover is 36.5%.
How many beds does CHESHIRE COUNTY HOME have?
CHESHIRE COUNTY HOME has 150 certified beds with approximately 113 residents. The facility is located at 201 RIVER ROAD, WESTMORELAND, NH 03467.
Does CHESHIRE COUNTY HOME have any deficiencies on record?
Yes, CHESHIRE COUNTY HOME has 9 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has CHESHIRE COUNTY HOME received any fines or penalties?
No, CHESHIRE COUNTY HOME has no fines or penalties on record.
Who owns CHESHIRE COUNTY HOME?
CHESHIRE COUNTY HOME is classified as "Government - County" ownership. The facility type is "Medicare and Medicaid".
When was CHESHIRE COUNTY HOME last inspected?
The most recent health inspection for CHESHIRE COUNTY HOME was on Sep 11, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for CHESHIRE COUNTY HOME?
CHESHIRE COUNTY HOME is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial