ElderGrade
A

91/100

Excellent

Cheshire County Home

201 River Road, Westmoreland, NH 03467

CMS 4/5 stars #1 of 7 in Cheshire County (603) 399-4912
Certified beds
150
Occupancy
74%
Ownership
Government
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

27/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.45 total nurse hours per resident per day (national median 3.77)
  • 0.65 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 36% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.49 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.65 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.12 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 36.10%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 9 citations

Last standard health inspection: September 11, 2025 (11 months ago).

D Sep 11, 2025 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

D Sep 11, 2025 F0849

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.

No actual harm, potential for more than minimal harm

D Sep 11, 2025 F0908

Environmental Deficiencies

Keep all essential equipment working safely.

No actual harm, potential for more than minimal harm

E Sep 26, 2024 F0881

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

No actual harm, potential for more than minimal harm

D Sep 26, 2024 F0687

Quality of Life and Care Deficiencies

Provide appropriate foot care.

No actual harm, potential for more than minimal harm

D Sep 26, 2024 F0758

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 m...

No actual harm, potential for more than minimal harm

D Sep 26, 2024 F0761

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...

No actual harm, potential for more than minimal harm

D Jul 19, 2023 F0755

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
CLARK, TERRY Individual MANAGING CONTROL - GOVERNING BODY
STEWART, CLAUDIA Individual MANAGING CONTROL - GOVERNING BODY
TROMBLY, SHERYL Individual CORPORATE DIRECTOR
CLARK, TERRY Individual OPERATIONAL/MANAGERIAL CONTROL
DIBERNARDO, ANGELO Individual OPERATIONAL/MANAGERIAL CONTROL
KINDOPP, KATHRYN Individual OPERATIONAL/MANAGERIAL CONTROL
SORRENTI, MICHAEL Individual OPERATIONAL/MANAGERIAL CONTROL
STEWART, CLAUDIA Individual OPERATIONAL/MANAGERIAL CONTROL
COUNTY OF CHESHIRE Organization ADP OF THE SNF
CLARK, TERRY Individual ADP OF THE SNF
DIBERNARDO, ANGELO Individual ADP OF THE SNF
KINDOPP, KATHRYN Individual ADP OF THE SNF

What families say

Write a review

No family reviews yet for Cheshire County Home. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Cheshire County Home

What is the ElderGrade for Cheshire County Home? +

Cheshire County Home holds an ElderGrade of A (91 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Cheshire County Home? +

Residents receive an average of 4.49 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Cheshire County Home been cited for harming residents? +

No. None of the 9 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Cheshire County Home accept Medicaid? +

Yes, Cheshire County Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.