Cheshire County Home
201 River Road, Westmoreland NH 03467 · (603) 399-4912 · 82.46% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Cheshire County Home is a large government-owned facility located in Westmoreland, New Hampshire. It looks like this nursing home is among the highest-graded nursing homes we looked at. A score in this range requires top-notch scores across the board. We could not find many negative things to say about this place. Its scores are as good as they get. One of the major highlights of this nursing home's remarkable profile is its inspection rating. We discuss inspections in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 150 Beds
CCRC :
Government - County
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
One of the reasons this ended up being a quality nursing home is it received an A+ in our inspections category. This is simply as good as it gets in this category. These inspection ratings take several factors into consideration, including deficiencies and substantiated complaints. You can find more information about each of these issues by obtaining copies of nursing homes' inspection reports. We were not able to track down deficiency counts for this nursing home. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Nurse Quality
One of the other reasons we rated this nursing home so highly is that it received a very impressive nursing grade. In that category, we gave this facility a grade of A+. Nursing ratings are based largely on levels of nurse staffing. With 4.9 hours of nursing care per resident per day, this nursing home surpassed the overwhelming majority of facilities. Finally, this facility also excelled in several of the quality measures we looked at. With less than five percent of its residents suffering from pressure ulcers, this place performed as well as any facility the nation in this category. This is typically a good indicator that a place has reliable quality controls. Many pressure ulcers can be avoided by offering better nursing care and a policy of moving patients more often.
Long-term Care Quality
The third area we analyzed was long-term care. Contributing to its first-rate resume, this nursing home also excelled in this category. In fact, we awarded it a grade of of A in that category. For patients in need of a permanent place to live rather than rehabilitation, long-term care grades are very important. This facility's vaccination statistics were not as favorable as its number of nursing hours per resident. It gave the pneumonia vaccine to just 44.42149 percent of its residents. We would love to see some improvement herein this statistic in the future. Although its vaccination rate was a bit lower than we had hoped, at least this nursing home was able to limit hospitalizations. With just 1.11 hospitalizations per one thousand long-term resident days, this nursing home has fewer hospitalizations than many nursing homes.
Short-term Care Quality
Turning to the next category, this nursing home was given a very strong short-term care rating. Although this wasn't nearly as elite as a few of its other grades, this is nevertheless one of our more favorable grades a facility can receive. In the category of short-term care, we strive to assess indicators of a nursing home's rehabilitation services. We assess the nursing home's skilled nursing services, such as those performed by registered nurses and physical, occupational and other therapists. This nursing home provides more services with physical therapists and registered nurses than most nursing homes we looked at. This is usually a favorable sign. The final datapoint we assessed in this area is the number of residents that who were able to eventually return home from the facility. We found that 28.8 percent of this nursing home's patients returned home rather than remaining at the nursing home on a permanent basis.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Cheshire County Home Quality Metrics
Minimizes Pressure Ulcers
This is the percentage of patients that suffered from a pressure ulcer. Pressure ulcers, which are also known as bed sores, are often caused by patients not being moved frequently enough. Better nursing care limits the number of pressure ulcers sustained by residents in a nursing home.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This figure tells you the percentage of long-term patients who have suffered falls resulting in serious injury. This is one of the statistics we use in calculating our nursing scores.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents who have had a urinary tract infection. These infections are sometimes associated with poorer hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percent of residents given antipsychotic medications. Antipsychotic medications are prescribed to residents for a variety of medical conditions, such as cognitive disorders. Tragically, in some cases, increased usage of these drugs may suggest that a facility is using these drugs to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of long-term stay patients taking antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint measures the percent of long-term patients demonstrating depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
Measures the percent of long-term stay residents who have received the pneumonia and flu vaccines. Respiratory viruses can be fatal for seniors, making these vaccines vital to patient safety.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percent of residents who required additional assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may be a sign of erosion of a resident's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percentage of long-term residents who remained mobile levels.
Percentage of Residents
Higher is Better
Hospitalizations
This metric tracks the number of hospitalizations per thousand days of patient care. Avoiding hospitalizations is critical to preserving the physical health of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric tracks the number of rehospitalizations per 1,000 days of short-term care. Avoiding rehospitalizations during rehabilitation is important to restoring the physical abilities of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
Measures the number of emergency room visits per thousand days of short-term care. Avoiding medical emergencies is one way to measure patient well-being during rehabilitation.
Percentage of Patients
Lower is Better