CHESHIRE COUNTY HOME – WESTMORELAND, NH

CMS Verified | 2026-03-01

Cheshire County Home

201 RIVER ROAD, Westmoreland, NH 3467
(603) 399-4912
150 beds
All Westmoreland facilities
4.0*
Overall
3.0*
Health Inspection
3.0*
Quality Care
5.0*
Staffing
73.94
Score /100
#6433
National Rank

#6433
of 14703 facilities
National
56.3% position
#28
of 74 in NH
State Rank
#2
of 7 in Cheshire
County Rank
#1
of 1 in Westmoreland
City Rank
#1
of 1 in ZIP 3467
ZIP Rank






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).
Facility

Cheshire County Home

Address

201 River Road, Westmoreland, NH 3467

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 150 Certified Beds
  • Ownership: Government – County
  • Resident Council: Both
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
✅ Zero fines across all 5 years
5-Year Trend
Declining over 5 years
73.94
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#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.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 14.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#6,433
of 14,703
National
Top 44%
#28
of 74
NH State
Top 38% in NH
#2
of 7
️ Cheshire County
#2 of 7
#1
of 1
️ Westmoreland
Best in city
#1
of 1
ZIP 3467
Best in ZIP

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).

How do we calculate these rankings?

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/

Contact and Location

ADR
Address

201 RIVER ROAD, Westmoreland, NH 3467
Get directions on Google Maps

TEL
LLC
Legal Name

COUNTY OF CHESHIRE

MAP

Facility Details

Number of Certified Beds 150
Average Residents / Day 112 (75% occupancy)
Ownership Type Government – County
Provider Type Medicare and Medicaid
County Cheshire County, NH
City Westmoreland, NH
ZIP Code 3467
Approved Since April 1, 1996
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 305054
Data Processing Date March 1, 2026
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.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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