Cheshire County Home
201 River Road, Westmoreland, NH 03467
Cheshire County Home, a 150-bed government - county nursing facility in Westmoreland, NH, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6033994912
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 4.52
- Well above average · nurse hrs/day · nat'l 3.89
- 9
- Inspection findings
- $0
- Federal penalties (0)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
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
How the 4.52 total nursing hours per resident-day are staffed:
- 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 (health inspection 3★ · staffing 5★ · quality 3★).
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. CMS has not levied any fines or payment denials against this facility. 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.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Cheshire County Home falls into a category where comparative context matters. Reported nursing turnover at this facility is 36.5%, within a range generally associated with stable care teams.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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)
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: Oct 29, 2025
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
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Oct 29, 2025
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Oct 30, 2024
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
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
Provide appropriate foot care.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 30, 2024
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
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 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 experiencing one or more falls with major injury | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.9% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.7% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 5.3% | No |
| 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 assessed and appropriately given the pneumococcal vaccine | Long Stay | 95.7% | No |
| 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 long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 21.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 85.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Cheshire County Home?
What are the staffing levels at Cheshire County Home?
How many beds does Cheshire County Home have?
Does Cheshire County Home have any deficiencies on record?
Has Cheshire County Home received any fines or penalties?
Who owns Cheshire County Home?
When was Cheshire County Home last inspected?
What quality measures are tracked for Cheshire County Home?
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.
Read our methodology - how this data is sourced, computed, and verified.
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