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B
Good

CHESHIRE COUNTY HOME

201 RIVER ROAD · WESTMORELAND, NH 03467

6033994912 · Government - County

150 beds112.5 residents144 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CHESHIRE COUNTY HOME receives an overall staffing grade of B (Good). With 4.5209 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.661 HPRD, below the recommended 0.75. It is 0.62 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 10.39% compared to weekdays. The facility relies heavily on temporary agency staff (43.45% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️RN staffing (0.661 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️43.45% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
4.5209hrs/resident/day▲ 0.62
CMS benchmark: 3.48
RN HPRD
0.661hrs/resident/day▼ 0.02
Recommended: 0.75
Weekend Drop-off
10.39%
4.6577 weekday → 4.1737 weekend
Agency Staff
43.45%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.8025hrs/resident/day
Direct care aides
LPN HPRD
0.9965hrs/resident/day
Licensed practical nurses
Consistency
0.2742std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Cheshire County Average+0.57 HPRD
3.96
04.52 HPRD
vs. New Hampshire State Average+0.56 HPRD
3.96
04.52 HPRD
vs. National Average+0.62 HPRD
3.90
04.52 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CHESHIRE COUNTY HOME ★
WESTMORELAND · This facility
—
B
4.52090.661★★★★☆
COVENANT LIVING OF KEENE
KEENE
6.6 mi
A
4.75951.6881★★★★★
KEENE CENTER, GENESIS HEALTHCARE
KEENE
8.7 mi
C
3.20890.6207★★☆☆☆
LANGDON PLACE OF KEENE
KEENE
9.4 mi
A+
5.00951.9236★★★☆☆
ALPINE HEALTHCARE CENTER
KEENE
10.1 mi
C
3.32480.4549★☆☆☆☆
APPLEWOOD CENTER
WINCHESTER
15 mi
C
3.36660.6131★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
9
Total Deficiencies
$0
Fines Assessed
Sep 11, 2025Health
3 deficiencies cited
▼
Sep 26, 2024Health
4 deficiencies cited
▼
Jul 19, 2023Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.