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Nursing HomeMedicaid

Cheshire County Home

Strong Medicare quality ratings; families often praise compassionate and professional nursing staff. Still worth an in-person visit.

201 River Road, Westmoreland, NH 03467150 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 14 Google reviews

5
4
3
2
1
Cheshire County Home Nursing Home in Westmoreland, NH — Street View
Street View

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What this means for your family

While many families report excellent, compassionate care, the facility has a history of serious complaints regarding hygiene and staff professionalism. When touring, we strongly recommend requesting to see the common areas and asking for specific details on how they monitor patient hygiene and medication administration.

Google Reviews

Google Reviews

14 reviews on Google
Cheshire County Home receives polarized feedback, with many families praising the compassionate and professional nursing staff and the peaceful, rural setting. However, significant concerns regarding cleanliness and the quality of basic patient care have been raised, suggesting inconsistent standards across different units or time periods.

Quality Themes

Tap a score for details
Food10.0Staff7.0Clean3.0Activities8.0Meds2.0MemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and professional nursing staff
  • Peaceful, rural location
  • Responsive management
  • High standards of infection control

Concerns

  • Unprofessional and disrespectful staff behavior (mentioned by 2 reviewers)
  • Poor cleanliness and hygiene standards (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'17(1)'19(5)'21(2)'24(1)'26(1)

Distribution · 15 analyzed

5
12
4
0
3
0
2
0
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's rural setting, what kind of daily activities or community engagement opportunities are available to keep residents active and connected?
  • 2With a strong focus on staffing, how does your team ensure consistent, high-quality care and professional communication during every shift?
  • 3Could you walk us through your current protocols for maintaining cleanliness and hygiene in resident living areas to ensure a comfortable environment?
  • 4Since medication management is a critical part of daily health, what specific systems do you have in place to ensure accuracy and safety for residents?
  • 5How does the nursing team coordinate with local medical providers to handle urgent health needs or emergencies that might arise outside of standard hours?
  • 6How do you foster a culture of respect and empathy among your staff to ensure that every resident feels valued and heard?

Personalized based on this facility's data


Key Review Excerpts

Level of care is top notch. Staff is consistently professional, caring, and committed to providing individual care. Very responsive to needs expressed by resident and/or family.

Family member · 2013★★★★★

My dad receives exceptional care here. The staff are friendly and compassionate and treat him so kindly.

Family member · 2019★★★★★

Residents are happy overall and the staff is top-notch! High standards of infection control keep residents and staf safe.

Local Guide · 2019★★★★★
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
87%
Registered nurses for medical care
Total Nursing
4.60hrs
OK
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
16%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

2

measures

Mixed Results

7

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
19.5%
NH
19.1%
Cheshire
20.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
12.1%
NH
12.1%
Cheshire
18.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.5%
Mixed vs Avgs
Here
22.5%
US
14.4%
NH
21.8%
Cheshire
28.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.3%
Mixed vs Avgs
Here
21.3%
US
19.4%
NH
26.3%
Cheshire
29.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.8%
Mixed vs Avgs
Here
19.8%
US
15.3%
NH
18.7%
Cheshire
27.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
95.5%
NH
98.0%
Cheshire
96.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.2%
Mixed vs Avgs
Here
84.2%
US
81.8%
NH
86.5%
Cheshire
87.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Near state avg (4.0)

Cheshire County Home shows a pattern of correctable issues across routine inspections with no complaint-driven investigations. The facility has recurring problems with medication management, appearing in all three surveys, along with fire safety and equipment maintenance issues. While all 13 deficiencies have been corrected according to state records, the repeated medication-related violations suggest ongoing challenges in pharmacy services that families should discuss during visits.

Sep 11, 2025Routine
4
0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Sep 26, 2024Routine
5
0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Jul 19, 2023Routine
4
0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0372Minimal · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cheshire County Home

Organization Type

government

Ownership & Management

Owners

County of Cheshire

Owner · Organization

100%

Key personnel

Clark, TerryManaging Control - Governing BodyTrombly, SherylOfficer / DirectorClark, TerryManagerKindopp, KathrynManagerWalter, JohnManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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