The home failed to monitor antibiotic use properly. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: E
Nursing home report
CHESHIRE COUNTY HOME
WESTMORELAND, NH · Medicare-certified · 150 beds
In good standing
Government-run
4 of 5 overall
Cheshire County Home in Westmoreland, NH has an overall rating of 4 out of 5 stars. Its staffing is strong at 5 out of 5 stars with 4.60 nurse hours per resident per day, above the federal benchmark of 4.1, while health inspections and quality measures are both 3 out of 5 stars; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.5961 hrs/resident/day
Quality measures
Last inspection: September 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5961.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 1.03
- Nurse aides
- 2.92
- Weekend nursing
- 4.20
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 16%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.4%15.9%Improving
Residents with a fall causing major injury
3.8%4.6%Worsening
Residents with pressure ulcers (bedsores)
4.8%3.1%Improving
Residents with a urinary tract infection
1%1%No change
Residents who lost too much weight
7.4%7.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.4%25.8%Improving
Residents whose ability to walk got worse
22.4%15.1%Improving
Long-stay residents on antianxiety or sleep medication
7%7.5%Worsening
Residents with a long-term catheter
1.8%0.8%Improving
Residents with new or worsening incontinence
23.7%21.1%Improving
Residents with depressive symptoms
7.9%17.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99.1%—
Long-stay residents given the pneumonia vaccine
96.2%97.2%Improving
Short-stay residents given the pneumonia vaccine
—84.2%—
What the inspectors found
The nursing home failed to keep medication mistakes below the allowed level. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: D
The home failed to arrange hospice services or help the resident transfer to a place that would provide hospice care. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 849 — 42 CFR §483.70 — S/S: D
The nursing home failed to keep essential equipment working safely. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 908 — 42 CFR §483.90 — S/S: D
The home failed to provide appropriate foot care for residents. Cited September 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 687 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 110.7 residents on an average day (74% of 150 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.