Home / New Hampshire / Westmoreland
Cheshire County Home
201 River Road, Westmoreland, NH 03467 · Cheshire County · (603) 399-4912
150 certified beds, about 111 residents a day · Government - County · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305054 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 11, 2025, inspectors cited 3 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 9 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.49 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.
36.1% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
September 11, 2025Standard inspection · 3 citations
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure a medication error rate less than 5 percent (%) for 2 of 33 medication administration opportunities observed. (Resident Identifier is #21).
- D 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.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to collaborate in the development of a coordinated plan of care for each resident receiving hospice services for 1 of 2 residents reviewed for hospice services in a final sample of 23 residents (Resident Identifier is #12).
- D Keep all essential equipment working safely.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to remove equipment from use that was not in safe working order for 1 of 2 residents reviewed for falls in a final sample of 23. (Resident Identifier is #11.)
September 26, 2024Standard inspection · 4 citations
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to follow an established antibiotic stewardship program and system of monitoring antibiotic use for 2 of 3 residents that were reviewed (Resident Identifiers are #36 and #7).
- D Provide appropriate foot care.
Inspectors wroteBased on observation, interview, record review, it was determined that the facility failed to provide foot care for 1 of 1 resident reviewed for foot care in a final sample of 21 residents (Resident Identifier #87).
- D 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.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that as needed (PRN) psychotropic drugs were limited to 14 days for 1 of 5 residents reviewed for unnecessary medications in a final sample of 21 residents (Resident Identifier #31).
- D 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.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that medications were disposed of properly, to prevent potential unauthorized access, during observation of medication administration in a survey sample of 16 medications prepared for administration.
July 19, 2023Standard inspection · 2 citations
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, interview, and policy review, it was determined that the facility failed to establish a system of records of receipt and disposition of controlled drugs in sufficient detail to enable an accurate reconciliation; and determine that drug records are in order; and that an account of all controlled drugs is maintained in 3 of 4 narcotic books reviewed.
- D 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.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that narcotics were properly stored in 1 of 4 medication storage rooms observed.
Fire safety inspections
4 fire safety citations on file: 1 on September 11, 2025, 1 on September 26, 2024, 2 on July 19, 2023.
Every fire safety citation4 citations
- C Have simulated fire drills held at unexpected times.
- C Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- C Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Hampshire | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.49 | 3.90 | 3.86 |
| Registered nurses | 0.65 | 0.78 | 0.69 |
| All nursing staff on weekends | 4.12 | 3.47 | 3.42 |
| Nurse aides | 2.84 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | 36.1% | 44.1% | 45.8% |
| Registered nurse turnover | 15.8% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.16 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.64 on weekdays and 4.12 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 35.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.70 in April to June 2025 to 4.49 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.49 | 0.65 | 4.64 | 4.12 | 35.3% | 0 of 90 | 111 |
| Oct to Dec 2025 | 4.60 | 0.65 | 4.75 | 4.20 | 42.5% | 0 of 92 | 111 |
| Jul to Sep 2025 | 4.52 | 0.66 | 4.66 | 4.17 | 43.4% | 0 of 92 | 113 |
| Apr to Jun 2025 | 4.70 | 0.72 | 4.84 | 4.36 | 41.4% | 0 of 91 | 109 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Hampshire, Jan to Mar 2026 | 3.85 | 0.74 | 4.01 | 3.45 | 13.1% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Hampshire | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.4 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 4.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.8 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.3 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 11.7 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.8 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.9 | 1.8 |
Owners and operators
Legal business name: COUNTY OF CHESHIRE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| County of Cheshire | 5% or greater direct ownership interest | Organization | 100% | 04/01/1996 |
| Clark, Terry | Managing control - governing body | Individual | 01/01/2025 | |
| Stewart, Claudia | Managing control - governing body | Individual | 01/01/2025 | |
| Trombly, Sheryl | Corporate director | Individual | 09/16/2002 | |
| Clark, Terry | Operational/managerial control | Individual | 01/01/2025 | |
| Dibernardo, Angelo | Operational/managerial control | Individual | 01/01/2025 | |
| Kindopp, Kathryn | Operational/managerial control | Individual | 12/10/2007 | |
| Sorrenti, Michael | Operational/managerial control | Individual | 05/01/2026 | |
| Stewart, Claudia | Operational/managerial control | Individual | 01/01/2025 | |
| County of Cheshire | Adp of the SNF | Organization | 01/01/2000 | |
| Clark, Terry | Adp of the SNF | Individual | 01/01/2025 | |
| Dibernardo, Angelo | Adp of the SNF | Individual | 01/01/2025 | |
| Kindopp, Kathryn | Adp of the SNF | Individual | 12/10/2007 | |
| Sorrenti, Michael | Adp of the SNF | Individual | 05/01/2026 | |
| Stewart, Claudia | Adp of the SNF | Individual | 01/01/2025 | |
| Trombly, Sheryl | Adp of the SNF | Individual | 08/22/2002 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on September 11, 2025: "Ensure medication error rates are not 5 percent or greater."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on September 11, 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."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on September 11, 2025: "Keep all essential equipment working safely."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 26, 2024: "Implement a program that monitors antibiotic use."
Other nursing homes nearby
- Covenant Living of Keene Keene, 6.6 mi · 4 of 5 stars · 6 citations
- Keene Center, Genesis Healthcare Keene, 8.7 mi · 3 of 5 stars · 10 citations
- Langdon Place of Keene Keene, 9.4 mi · 5 of 5 stars · 6 citations
- Alpine Healthcare Center Keene, 10.1 mi · 1 of 5 stars · 21 citations
- Thompson House Nursing Home Brattleboro, 10.2 mi · 1 of 5 stars · 7 citations
- Pine Heights at Brattleboro Center for Nursing & R Brattleboro, 10.3 mi · 5 of 5 stars · 11 citations
- Vernon Green Nursing Home Vernon, 14.7 mi · 3 of 5 stars · 45 citations
- Applewood Center Winchester, 15.1 mi · 5 of 5 stars · 7 citations
Common questions
- What is Cheshire County Home's Medicare star rating?
- CMS rates Cheshire County Home 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cheshire County Home get at its last inspection?
- 3 health deficiencies at the standard inspection on September 11, 2025. The New Hampshire average is 4.
- Has Cheshire County Home been fined?
- CMS lists no fines in the last three years.
- Does Cheshire County Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Cheshire County Home?
- CMS lists 16 owners and managers. Legal business name: COUNTY OF CHESHIRE.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.