Cheshire County Home
201 RIVER ROAD, Westmoreland, NH 03467
Westmoreland, New Hampshire · CMS verdict
On the federal five-star scale, Cheshire County Home carries a 4 of 5 CMS overall rating, above-average quality that runs above New Hampshire's state average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Cheshire County Home in Westmoreland, New Hampshire holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 70 of 100 (grade C). The 150-bed facility operates where a semi-private nursing-home room in New Hampshire runs a median of $12,243 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (larger bed book)
At 150 certified beds, this facility sits in the upper U.S. bed tercile (>120). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 70 is built
Each segment is a dimension's weighted points toward the score, summing to 70.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Cheshire County Home's larger certified-bed book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Cheshire County Home's overall quality rating at 4 out of 5 stars, a composite of three sub-ratings: health inspection (3/5), staffing (5/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Westmoreland, New Hampshire, this facility operates 150 certified beds with an average daily census of roughly 113 residents - an occupancy rate of about 75%. The facility is classified under government - county ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 75% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (9 total). CMS has levied no enforcement penalties over the equivalent window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Cheshire County Home compares to New Hampshire
CMS five-star sub-ratings (0–5) for this facility against the New Hampshire facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = New Hampshire state average. Higher is better on all four CMS measures.
Where Cheshire County Home ranks in New Hampshire
Among the 73 CMS-rated nursing homes in New Hampshire, Cheshire County Home’s 4-star overall rating is higher than 62% of them. The bars show how all New Hampshire homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
13 New Hampshire homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 150 |
| Residents | 113 |
| Ownership | Government - County |
| County | Cheshire |
| Penalties | 0 |
| Deficiencies | 9 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Cheshire County Home's larger facility
What is the quality rating for Cheshire County Home? ▾
CMS rates Cheshire County Home at 4 out of 5 stars overall. The three sub-ratings behind that number: health inspection 3/5, staffing 5/5, quality measures 3/5.
How much does a nursing home cost per month in New Hampshire? ▾
The median cost for a semi-private nursing home room in New Hampshire is $12,243 per month ($146,913 annually). A private room averages $13,444 per month. Costs are from the CareScout 2025 survey.
What services does Cheshire County Home offer? ▾
Cheshire County Home operates as a skilled nursing facility (150 beds with approximately 113 current residents) under government - county ownership. CMS inspections have recorded 9 deficiencies and 0 penalties there.
Does Cheshire County Home have any deficiencies or penalties? ▾
Cheshire County Home has multiple deficiencies (9 total) and 0 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in New Hampshire? ▾
In New Hampshire, alternatives include assisted living ($8,025/mo), home health aides ($7,627/mo), and adult day care ($2,015/mo).
Keep reading
Also see the New Hampshire elder-care overview and highest-rated states. Provider ID: 305054.
Read our methodology - how this data is sourced, computed, and verified.