Cheshire County, New Hampshire · Nursing home
Cheshire County Home
4 of 5 overall from CMS
201 River Road, Westmoreland, NH 03467
At a glance
- Overall rating 4 of 5 Above the state average of 3.1
- Nurse time per resident, per day 4.49 hours Above the state average of 3.90
- Nursing staff who left in a year 36.1% Below the state average of 44.1%
- Health citations in 3 years 9 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 74.3% of 150 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Cheshire County Home is a 150-bed nursing home in Westmoreland, New Hampshire (Cheshire County). CMS rates it 4 of 5 stars overall as of Aug 2026. It reports 4.49 nurse staffing hours per resident per day, above the New Hampshire average of 3.90. CMS lists no fines in the past three years.
- Certified beds
- 150
- Residents per day (average)
- 111.4
- Certified since
- 1996 (30 yrs)
Government - County Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Questions to ask Cheshire County Home
Chosen from this home's public data.
- About 74.3% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- Registered nurse time is 0.65 hours per resident per day; the New Hampshire average is 0.78. Is an RN on site overnight?RN staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 New Hampshire average 3.1
- Health inspections 3 of 5 New Hampshire average 2.9
- Staffing 5 of 5 New Hampshire average 3.3
- Quality measures 4 of 5 New Hampshire average 3.2
The vertical line marks the New Hampshire average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.49 h New Hampshire average 3.90
- Nurse aides 2.84 h New Hampshire average 2.34
- Licensed practical nurses 1.00 h New Hampshire average 0.78
- Registered nurses 0.65 h New Hampshire average 0.78
- All staff, weekends 4.12 h New Hampshire average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the New Hampshire average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover36.1%
- New Hampshire average44.1%
- Registered nurse turnover15.8%
- New Hampshire average40.9%
- Administrators who left0
Inspection history
Inspectors cited 9 health deficiencies in the past three years. None was graded as actual harm or immediate jeopardy.
| Inspection date | Health | Fire safety |
|---|---|---|
| Sep 11, 2025 | 3 | 1 |
| Sep 26, 2024 | 4 | 1 |
| Jul 19, 2023 | 2 | 2 |
New Hampshire homes averaged 3.9 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (9)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Oct 29, 2025)
-
DPotential for more than minimal harm, isolated
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.
Administration · Deficient, Provider has date of correction (Sep 29, 2025)
-
DPotential for more than minimal harm, isolated
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (Oct 29, 2025)
-
EPotential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Oct 30, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate foot care.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 30, 2024)
Show 4 more
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 30, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 30, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Aug 18, 2023)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Aug 18, 2023)
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
New Hampshire homes averaged 0.6 fines and $8,016 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Hampshire
- Size10 of 73 by certified beds
- New Hampshire average residents per day81.3
- ChainNone listed
- Resident or family councilBoth
- Homes in Cheshire County7
Common questions
What is the CMS star rating for Cheshire County Home?
Cheshire County Home has an overall rating of 4 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 3, staffing is 5 and quality measures is 4.
How many beds does Cheshire County Home have?
Cheshire County Home has 150 certified beds. It averages 111.4 residents per day, about 74.3% of its certified beds.
How much nursing care do residents get at Cheshire County Home?
The home reports 4.49 hours of nurse staffing per resident per day, including 0.65 hours from registered nurses. The New Hampshire average is 3.90 hours and 0.78 hours from registered nurses.
Has Cheshire County Home been fined?
CMS lists no fines for this home in the past three years.
Does Cheshire County Home accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 4 of 5 Covenant Living of Keene 20beds 93.0%in use 5.32nurse hours a day
- 3 of 5 Keene Center, Genesis Healthcare 106beds 76.9%in use 3.33nurse hours a day
- 5 of 5 Langdon Place of Keene 25beds 87.6%in use 5.26nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Cheshire County
Who to call in New Hampshire
These offices serve residents of every nursing home in New Hampshire.
- Long-term care ombudsman Office of the Long-Term Care Ombudsman 1-800-442-5640 A free advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Administration, Health Facility Certification Unit 603-271-9049 The state agency that inspects nursing homes.
New Hampshire staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 305054. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.