Nursing home
Cheshire County Home
201 River Road, Westmoreland, NH 03467 · Map
Government - County · 150 certified beds
Cheshire County Home is a Medicare-certified nursing home in Westmoreland, New Hampshire. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.52 hours per resident per day, above the New Hampshire average of 3.88. Its most recent inspection on Sep 11, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Cheshire County Home compares
This facility vs. the New Hampshire and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Hampshire avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.52 | 3.88 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.66 | 0.74 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.86 | 2.39 | 2.34 | above avg |
| Nursing staff turnover | 36.5% | 48.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 4.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the September 11, 2025 inspection was corrected by October 29, 2025
What inspectors found at Cheshire County Home
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Sep 26, 2024 · Full report (PDF)
Show all 9 deficiencies
- Potential for harm
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 Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Jul 19, 2023 - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 19, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 201 River Road
Westmoreland, NH 03467 - CMS certification #
- 305054
- Ownership
- Government - County
- Certified beds
- 150
- Avg residents/day
- 112.5
- Provider type
- Medicare and Medicaid
- First certified
- 1996-04-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Cheshire County Home using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Cheshire Medical Center, Keene. 9.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Covenant Living of Keene, Keene. 6.6 miles away, straight line.
- Nearest home health agency office
- Vna At Hcs Inc, Keene. 8.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hannaford Pharmacy. 9.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 03467 as micropolitan (micropolitan high commuting).
- Dialysis within 15 miles
- Fmc Monadnock Dialysis Center, Keene, 8.7 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 03467.
Vna At Hcs, office in Keene, 10.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mary Hitchcock Memorial Hospital, Keene. 9.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Cheshire County Home a good nursing home?
CMS gives Cheshire County Home an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Cheshire County Home staffed?
Cheshire County Home reports 4.52 total nurse hours per resident per day, compared with the New Hampshire average of 3.88.
Has Cheshire County Home had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Cheshire County Home have?
Cheshire County Home is certified for 150 beds.