Cheshire County Home
Westmoreland, New Hampshire · CCN 305054
12 surveys since 2010, 2 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 38
- Surveys
- 12
- Harm or worse
- 2
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 150
- Ownership
- Government - County
- Chain
- Independent
- County
- Cheshire · rural
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 5
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=15, floor 20).
Last survey on record
Sep 11, 2025
424 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.49 | 4.58 |
| Registered-nurse hours per resident day | 0.65 | — |
| Annual nurse turnover | 36.1% | 34.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D888.9% | E111.1% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7612×
Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
- F6871×
Provide appropriate foot care.
- F7551×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F7581×
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- F7591×
Ensure medication error rates are not 5 percent or greater.
In the surveyor’s words
From the most serious findings on record at Cheshire County Home, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF881Sep 26, 2024
Based on record review and interview, it was determined that the facility failed to follow an established antibiotic stewardship program and system of monitoring antibiotic use for 2 of 3 residents that were reviewed (Resident Identifiers are #36 and #7). Findings include: Review on 9/25/24 of facility policy titled, Antibiotic Stewardship Program (ASP), undated, revealed that the program support statement is to reduce the overuse of antibiotics. Further review revealed .Providers .Document conversation with residents and their representative regarding the current medical treatment plan and the appropriate use of antibiotics .Infection Preventionist .Help ensure antibiotics are prescribed only when appropriate. […]
- No harm, potential for more than minimal, patternF761May 13, 2021
Based on interview, observation and manufacturer's instruction review, it was determined that the facility failed to ensure that drugs were labeled and stored in accordance with accepted professional standards for 2 out of 2 medication storage rooms and 2 out of 3 medication carts observed. (Resident identifiers #24, #31, #33, #41, #59 and #97.) Findings include: Observation on [DATE] at approximately 9:30 a.m. of the 4th floor TLC (Therapeutic Living Community) medication room with Staff A (Unit Manager) revealed Resident #59's open bottle Nuplazide 10 mg (milligrams) with a pharmacy label reading use by [DATE]. Interview on [DATE] at approximately 9:30 a.m. with Staff A confirmed the above findings. […]
- No harm, potential for more than minimal, isolatedF759Sep 11, 2025
Based on observation, interview, and record review, it was determined that the facility failed to ensure a medication error rate less than 5 percent (%) for 2 of 33 medication administration opportunities observed. (Resident Identifier is #21).Findings include:Observation on 9/10/25 at 9:06 a.m. of the morning medication administration for Resident #21 with Staff C (Licensed Practical Nurse) revealed Staff C to prepare one tablet of Vitamin D3 10 mcg (micrograms) and 17 g (grams) of Polyethylene Glycol (laxative) and prepared to administer the medications to Resident #21.Review on 9/10/25 of Resident #21's September Medication Administration Record (MAR) revealed a physician's order for Vitamin D3 25mcg. […]
- No harm, potential for more than minimal, isolatedF849Sep 11, 2025
Based on record review and interview, it was determined that the facility failed to collaborate in the development of a coordinated plan of care for each resident receiving hospice services for 1 of 2 residents reviewed for hospice services in a final sample of 23 residents (Resident Identifier is #12).Findings include:Review on 9/9/25 of Resident #12's medical record revealed an order, dated 8/27/25, to admit to hospice. Further review of Resident #12's medical record revealed no information regarding frequency of visits by hospice staff or services to be provided.Review on 9/10/25 of Resident #12's hospice binder revealed no information regarding the frequency of visits by hospice staff or services to be provided.Interview on 9/10/25 at approximately 12:07 p.m. […]
- No harm, potential for more than minimal, isolatedF908Sep 11, 2025
Based on interview and record review, it was determined that the facility failed to remove equipment from use that was not in safe working order for 1 of 2 residents reviewed for falls in a final sample of 23. (Resident Identifier is #11.)Findings include:Interview on 9/9/25 at approximately 9:30 a.m. with Resident #11 revealed that he/she had a fall last week due to his/her wheelchair brake not locking properly. Further interview revealed that Resident #11 lost his/her balance and fell when transferring from their recliner to their wheelchair.Review on 9/11/25 of Resident #11's medical record revealed a progress note, dated 9/6/25, Resident stating [pronoun omitted] was getting up to use the bathroom and [pronoun omitted] wheelchair wasn't locked fully-when [pronoun omitted] went to sit… […]
Read 22 findings in full →The most serious and the most recent: 22 of 38 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 11, 2025Standard3 findings
- Sep 26, 2024Standard4 findings
- Jul 19, 2023Standard2 findings
- Sep 1, 2022Standard5 findings
- May 13, 2021Standard1 finding
- Apr 8, 2016Standard2 findings
- Feb 5, 2015Standard2 findings
- Dec 12, 2013—3 findings
Show the 4 earlier surveys
- Nov 30, 2012—4 findings
- Nov 9, 2011—4 findings
- Jan 13, 2011—5 findings
- Oct 28, 2010—3 findings · 2 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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