Cycle 1
Health 2025-09-11 · Fire 2025-09-11
3 health deficiencies
Top issue: Administration (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Westmoreland, NH
Cheshire County Home
4-star overall rating with 3-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
201 River Road, Westmoreland, NH
(603) 399-4912
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
150
Certified beds
Average residents
113
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.66
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
2.86
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
4.52
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.66
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
4.17
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
5.30
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
6%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,089
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.99
Composite VBP score used to determine payment impact.
Payment multiplier
1.0152
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.20
Performance 19.02% · Measure score 5.20 · Achievement 5.20 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
3.65
Performance 6.74% · Measure score 3.65 · Achievement 3.65 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
6.76
Baseline 42.40% · Performance 36.04% · Measure score 6.76 · Achievement 6.76 · Improvement 3.13
Adjusted total nurse staffing
8.39
Baseline 5.01 hours · Performance 5.46 hours · Measure score 8.39 · Achievement 8.39 · Improvement 5.41
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.08% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 45 · Observed rate 2.22% · Lower 95% interval 6.3% |
| Discharge to community | 44.64% |
50.57%
5.9 pts worse
|
No Different than the National Rate · Eligible stays 30 · Observed rate 33.33% · Lower 95% interval 31.28% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 85.71% |
95.27%
9.6 pts worse
|
Numerator 30 · Denominator 35 |
| Falls with major injury | 2.86% |
0.77%
2.1 pts worse
|
Numerator 1 · Denominator 35 |
| Discharge self-care score | 34.48% |
53.69%
19.2 pts worse
|
Numerator 10 · Denominator 29 |
| Discharge mobility score | 24.14% |
50.94%
26.8 pts worse
|
Numerator 7 · Denominator 29 |
| Pressure ulcers or injuries, new or worsened | 14.29% |
2.29%
12 pts worse
|
Numerator 5 · Denominator 35 · Adjusted rate 11.2% |
| Healthcare-associated infections requiring hospitalization | 6.74% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 33 · Observed rate 6.06% · Lower 95% interval 3.48% |
| Staff COVID-19 vaccination coverage | 23.37% |
8.2%
15.2 pts better
|
Numerator 43 · Denominator 184 |
| Staff flu vaccination coverage | 60.47% |
42%
18.5 pts better
|
Numerator 182 · Denominator 301 |
| Discharge function score | 34.48% |
56.45%
22 pts worse
|
Numerator 10 · Denominator 29 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.9
1 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
96.4%
0.7 pts worse
|
93.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 96.2% · Q3 95.0% · Q4 94.6% · 4Q avg 95.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
98.0%
1.1 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% |
4.5%
0.4 pts better
|
3.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.8% · Q3 5.0% · Q4 2.7% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.2% |
9.7%
2.5 pts better
|
11.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 7.9% · Q3 6.3% · Q4 8.3% · 4Q avg 7.2% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
5.5%
0.2 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 7.4% · Q3 5.2% · Q4 4.7% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.9% |
18.9%
12 pts better
|
19.6%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.0% · Q3 6.1% · Q4 7.5% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.7% |
18.7%
2 pts better
|
16.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 18.2% · Q3 11.8% · Q4 18.0% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.9% |
19.2%
3.7 pts worse
|
16.3%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 22.4% · Q3 20.6% · Q4 21.4% · 4Q avg 22.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.5% |
21.9%
1.6 pts worse
|
14.9%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 26.4% · Q3 20.0% · Q4 17.9% · 4Q avg 23.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.3%
About the same
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 0.9% · Q4 0.7% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
2.4%
2.2 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.6% |
26.7%
5.1 pts better
|
19.8%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 23.7% · Q3 23.2% · Q4 17.4% · 4Q avg 21.6% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
4.4%
About the same
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.8% · Q3 4.4% · Q4 4.3% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.5% |
85.6%
0.1 pts worse
|
81.7%
3.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.0% · 4Q avg 85.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.9% |
14.1%
4.8 pts worse
|
12.0%
6.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 17.6% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.7% |
22.1%
9.4 pts better
|
23.9%
11.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 11.8% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-26 · Fire 2024-09-26
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-07-19 · Fire 2023-07-19
2 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
C · Minimal harm
2025-09-11
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-29
C · Minimal harm
2024-09-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-25
D · Potential for more than minimal harm
2023-07-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-28
C · Minimal harm
2023-07-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-07-28
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-11
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-10-29
D · Potential for more than minimal harm
2025-09-11
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-09-11
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-10-29
E · Potential for more than minimal harm
2024-09-26
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-09-26
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-09-26
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-09-26
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-10-30
D · Potential for more than minimal harm
2023-07-19
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-18
D · Potential for more than minimal harm
2023-07-19
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-08-18
Penalties and ownership
What sits behind the stars
Ownership
County Of Cheshire
5% Or Greater Direct Ownership Interest · Organization
Clark, Terry
Corporate Director · Individual
Englund, Robert
Corporate Director · Individual
Kindopp, Kathryn
Corporate Director · Individual
Kindopp, Kathryn
W-2 Managing Employee · Individual
Trombly, Sheryl
Corporate Director · Individual
Wozmak, John
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Covenant Living Of Keene
Keene, NH
3-star overall rating with 4-star inspections with 3 recent health deficiencies
#2
Keene Center, Genesis Healthcare
Keene, NH
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Langdon Place Of Keene
Keene, NH
3-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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