About Cheshire County HomeCheshire County Home is located at 201 River Road, Westmoreland, NH, reachable at (603) 399-4912. This Government – County facility operates 150.0 certified beds and serves an average of 112 residents per day. Medicare and Medicaid services have been provided since 1996-04-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
#6433 of 14703 nationally – #28 of 74 in New Hampshire
Who Is This Facility Best For?
Cheshire County Home offers a mid-range care option in Westmoreland, NH. It is particularly well-suited for long-term residents based on its Quality Measure scores. Above-average staffing levels make it a good option for residents needing intensive nursing care. Its clean five-year compliance record adds confidence for families making this important decision.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★4 / 5
Health Inspection
★★★★★3 / 5
Staffing Rating
★★★★★5 / 5
Quality Measures (QM)
★★★★★3 / 5
Long-Stay QM Rating
★★★★★4 / 5
Short-Stay QM Rating
★★★★★2 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightCheshire County Home currently provides 4 hours 31 minutes of total nurse staffing per resident per day, including 40 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. Total nursing staff turnover stands at 36.5% — above the national average of ~35%.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing4 hours 31 minutes
Nurse Aide Hours2 hours 52 minutes
Licensed Practical Nurse (LPN) Hours1 hour
Registered Nurse (RN) Hours40 minutes
Physical Therapist Hours3 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours4 hours 10 minutes
Weekend Registered Nurse (RN) Hours23 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryCheshire County Home has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data.
Nationally, Cheshire County Home ranks 6433rd out of 14,703 facilities (composite score: 73.9/100), placing it in the above average nationwide. Within NH, it ranks 28th out of 74 nursing homes. For 2026 staffing: total nurse hours rank #2,313 nationally and RN hours rank #5,602 nationally (#40 in NH).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
NH State Rank
Note
2022
5.06
#1,078 / 14,703
#4 / 74
Top 10%
2023
4.50
#2,106 / 14,703
#15 / 74
Top 25%
2024
4.75
#1,535 / 14,703
#14 / 74
Top 25%
2025
4.84
#1,464 / 14,703
#9 / 74
Top 10%
2026
4.52
#2,313 / 14,703
#13 / 74
Top 25%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
NH State Rank
Note
2022
0.86
#3,215 / 14,703
#22 / 74
Top 25%
2023
0.69
#4,696 / 14,703
#30 / 74
Above average
2024
0.67
#4,932 / 14,703
#39 / 74
Above average
2025
0.74
#4,213 / 14,703
#27 / 74
Above average
2026
0.66
#5,602 / 14,703
#40 / 74
Above average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Cheshire County Home is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1996-04-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (603) 399-4912 or your local Medicaid office to verify current eligibility.
Cheshire County Home holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (5★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 73.9/100, placing it #6433 of 14703 facilities nationally and #28 of 74 in New Hampshire. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Cheshire County Home receives a reported average of 4 hours 31 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 40 minutes; Licensed Practical Nurse (LPN) — 1 hour; Nurse Aide — 2 hours 52 minutes. On weekends, total nurse staffing is 4 hours 10 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 36.5%. Families are encouraged to ask about current staffing schedules during their facility visit.
Cheshire County Home has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 14.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Cheshire County Home ranks 6433rd out of 14,703 facilities (composite score: 73.9/100), placing it in the above average nationwide. Within NH, it ranks 28th out of 74 nursing homes. For 2026 staffing: total nurse hours rank #2,313 nationally and RN hours rank #5,602 nationally (#40 in NH). Our composite quality score of 73.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Westmoreland, visit: https://nursinghomesnearme.org/new_hampshire/westmoreland/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.