Nursing HomeInspections

Cheshire County Home

Nursing home in Westmoreland, NH

Medicare & Medicaid certified4★ overall (CMS)

Call (603) 399-4912Send a messageMap ↗

Public-record details

Address
201 River Road, Westmoreland, NH 03467
Phone
(603) 399-4912
Listed under
Government-owned, 4–5 star overall rating, No fines in 3 years
Medicare CCN
305054
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
5 of 5
Quality measures rating
4 of 5
Certified beds
150
Average residents per day
111
Ownership
Government, county
Legal business name
County of Cheshire
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 305054. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 11, 2025. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 19, 2023 to Sep 11, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 11, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 11, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
Sep 11, 2025Keep all essential equipment working safely.
Environmental		D
Potential for more than minimal harm, isolated
Sep 26, 2024Provide appropriate foot care.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 26, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 26, 2024Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 26, 2024Implement a program that monitors antibiotic use.
Infection Control		E
Potential for more than minimal harm, pattern
Jul 19, 2023Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 19, 2023Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.49 hours
Registered nurse (RN) time per resident per day
0.65 hours
Nurse aide time per resident per day
2.84 hours
Total nurse staffing on weekends
4.12 hours
Nursing staff turnover (yearly)
36%
RN turnover (yearly)
16%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.