Westmoreland, NH · Cheshire County
★★★★☆CMS 4/5150 bedsGovernmentMedicaid
- Nurse hours
- 4.49 /day
- Staff turnover
- 36%
- Serious cites
- 0
Cheshire County Home runs on a county government budget, and the numbers suggest that arrangement is working. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average, and the federal staffing rating reflects it. Weekend coverage does dip roughly 8 percent below weekday levels, so ask about Saturday and Sunday shifts specifically. Staff turnover of 36.1 percent is meaningfully lower than the national 45.8 percent, which matters for whether your family sees the same faces month to month. The home's nine deficiencies include nothing tied to harm, jeopardy, or abuse, and its last inspection was recent, in September 2025. Quality measures score well too.
Keene, NH · Cheshire County
★★★★★CMS 5/525 bedsFor-profitMedicaid
- Nurse hours
- 5.26 /day
- Staff turnover
- 27%
- Serious cites
- 0
Langdon Place Of Keene runs 5.26 nurse hours per resident day across its 25 beds, about 36% above the national average, and weekend staffing dips roughly 22% below its own weekday level. That trade-off matters less here because turnover sits at 26.5% against a national 45.8%, a steadier crew than most. The current record shows six deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 11, 2026. It's a for-profit limited liability company, so worth asking how that staffing holds through a full weekend.
Keene, NH · Cheshire County
★★★★☆CMS 4/520 bedsNon-profit
- Nurse hours
- 5.32 /day
- Staff turnover
- 47%
- Serious cites
- 0
Covenant Living of Keene runs a small household, 20 certified beds, under nonprofit ownership. The staffing numbers are the story here: 5.32 nurse hours per resident day puts it well above the national average, and weekends dip only about 15% below its own weekday coverage, which is a smaller drop than many places show. Turnover sits at 46.9%, roughly in line with the national figure. Inspections in June 2025 turned up 11 deficiencies, none at the harm or jeopardy level, though one was abuse-related. A 4/5 inspection rating and 3/5 on quality measures round out a record that's solid on direct care, less distinguished on clinical outcomes.
Winchester, NH · Cheshire County
★★★★★CMS 5/572 bedsFor-profitMedicaid
- Nurse hours
- 3.53 /day
- Staff turnover
- 36%
- Serious cites
- 0
Applewood Center runs lean on nursing hours, 3.53 per resident day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage. That gap matters most when families visit on Saturdays and Sundays. What offsets it: staff turnover of 35.8% is well below the national 45.8%, so the people caring for residents tend to stay. The inspection record is clean where it counts, seven deficiencies on file, none at the harm level, none abuse-related, and the most recent inspection was June 2026. A 72-bed for-profit with steady staff and no serious citations, but you'll want to ask how weekend coverage actually looks on the floor.
Keene, NH · Cheshire County
★★★☆☆CMS 3/5106 bedsFor-profitMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 34%
- Serious cites
- 0
Keene Center runs about 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekends dip another 13% below its own weekdays. That's the number I'd watch: less coverage on Saturdays and Sundays is when falls and medication issues tend to surface. Turnover sits at 33.8%, better than the 45.8% national figure, so the crew is relatively stable even if it's thin. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2026. Corporate for-profit ownership, mid-range marks on inspections, quality measures, and staffing alike. Nothing alarming here, but the staffing math is the thing to ask about directly.
Jaffrey, NH · Cheshire County
★☆☆☆☆CMS 1/583 bedsFor-profitMedicaid
- Nurse hours
- 3.41 /day
- Staff turnover
- 40%
- Serious cites
- 0
Jaffrey Rehabilitation and Nursing Center runs on thinner nurse staffing than most homes nationally, about 3.41 hours per resident day against a 3.86 average, and weekends dip roughly 6% below its own weekday level, so coverage is lightest exactly when families tend to visit. The inspection record is the bigger concern: 21 deficiencies, one of them abuse-related, and the most recent inspection was May 2026. Turnover at 39.7% is actually better than the 45.8% national figure, which tells you something is keeping some staff around. With 83 beds under individual for-profit ownership, this is a home where the staffing and inspection numbers deserve a hard look before you decide.
Keene, NH · Cheshire County
★☆☆☆☆CMS 1/585 bedsFor-profitMedicaid
- Nurse hours
- 3.14 /day
- Staff turnover
- 48%
- Serious cites
- 0
Alpine Healthcare Center runs 85 beds in Keene under for-profit LLC ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 10% below the home's own weekday numbers, and turnover lands at 47.8%, a bit above the national 45.8%. The inspection record carries 21 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level. CMS gave it one star each for health inspections and staffing, two for quality measures, and the state last visited in June 2025. What stands out is staffing: consistently thin, thinner on weekends, with a workforce cycling through faster than average.