New Hampshire › Cheshire County › Westmoreland
Cheshire County Home
201 River Road, Westmoreland, NH 03467
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Cheshire County Home is a Government, county nursing home in Westmoreland, New Hampshire, certified for 150 beds and caring for about 111 residents a day.
CMS gives it 4 of 5 stars overall, above the New Hampshire median of 3; the health inspection rating is 3, staffing 5 and quality measures 4.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (3, 4, 2 by cycle, most recent first), none at the actual-harm level. That is 6.0 per 100 beds, fewer than the state median of 13.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.5 hours per resident per day (0.7 RN), close to the New Hampshire median of 3.6; nursing staff turnover is 36.1%.
Compared with county, state and nation
| Measure | This facility | Cheshire Co. median | New Hampshire median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 9 | 12 | 28.7 |
| Citations per 100 beds | 6.0 | 24.0 | 13.1 | 26.8 |
| Total nurse hours per resident day | 4.5 | 3.5 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 36.1% | 36.1% | 43.6% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (7 in the county, 73 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Hampshire average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Sep 2025, 26 Sep 2024.
Severity mix: D ×8 E ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 29 Oct 2025 |
| 11 Sep 2025 | F0849 | 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. | D | Standard survey | 29 Sep 2025 |
| 11 Sep 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 29 Oct 2025 |
| 26 Sep 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 30 Oct 2024 |
| 26 Sep 2024 | F0687 | Provide appropriate foot care. | D | Standard survey | 30 Oct 2024 |
| 26 Sep 2024 | F0758 | 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. | D | Standard survey | 30 Oct 2024 |
| 26 Sep 2024 | F0761 | 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. | D | Standard survey | 30 Oct 2024 |
| 19 Jul 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 18 Aug 2023 |
| 19 Jul 2023 | F0761 | 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. | D | Standard survey | 18 Aug 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Hampshire average. Turnover: nursing staff 36.1%, RNs 15.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Hampshire median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.4% | 22.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.2% | 4.3% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.8% | 17.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.3% | 16.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, county. Legal business name: County Of Cheshire.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| County of Cheshire | 5% or greater direct ownership interest | 100% | 04/01/1996 |
| County of Cheshire | Adp of the snf | NOT APPLICABLE | 01/01/2000 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cheshire County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Applewood Center | Winchester | 72 | 5 | 5 | 3 | 7 | 9.7 | — | 15 May 2025 |
| Langdon Place of Keene | Keene | 25 | 5 | 5 | 5 | 6 | 24.0 | — | 11 Feb 2026 |
| Covenant Living of Keene | Keene | 20 | 4 | 3 | 5 | 6 | 30.0 | — | 4 Jun 2026 |
| Keene Center, Genesis Healthcare | Keene | 106 | 3 | 3 | 3 | 10 | 9.4 | — | 14 May 2026 |
| Alpine Healthcare Center | Keene | 85 | 1 | 1 | 1 | 21 | 24.7 | — | 20 Jan 2026 |
| Jaffrey Rehabilitation and Nursing Center | Jaffrey | 83 | 1 | 1 | 2 | 21 | 25.3 | — | 21 May 2026 |
All 7 facilities in Cheshire County
Questions and answers
How many deficiencies has Cheshire County Home been cited for?
9 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The New Hampshire median is 12 per facility.
Has Cheshire County Home been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Cheshire County Home compare?
Reported total nurse staffing is 4.5 hours per resident per day against a New Hampshire median of 3.6 and a national average of 3.9.
Who operates Cheshire County Home?
Ownership type is government, county. Organisations in the CMS ownership record include County of Cheshire. Individual owners and managers are not listed on this site.
When was Cheshire County Home last inspected?
The most recent survey or investigation in the CMS record is dated 11 Sep 2025; the most recent standard health survey was 11 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.