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Cheshire County Home

  • Nursing Home
  • Assisted Living
  • Adult Day Care

Updated Sep 1, 2022 by Nick Reese

Historical Rating
Grade: A
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+May 19: A+Jun 19: A+Jul 19: AAug 19: ASep 19: AJan 20: AMar 20: AApr 20: AMay 20: AJun 20: AJul 20: AAug 20: ASep 20: A+Oct 20: A+Jan 21: A+Feb 21: A+Mar 21: A+Apr 21: A+May 21: A+Jun 21: A+Jul 21: A+Aug 21: A+Sep 21: A+Oct 21: A+Nov 21: A+Jan 22: A+Feb 22: A+Mar 22: A+Apr 22: A+May 22: A+Jun 22: A+Aug 22: ASep 22: A
See Rating Overview

201 River Road,
Westmoreland NH 03467

(603) 399-4912

63.2% estimated occupancy 1

Cheshire County Home is a large government-owned facility in Westmoreland, New Hampshire. This proved to be a grade A facility, which is a dominant rating. We were so impressed with this facility that we ranked it in the top ten percentile of all nursing homes in the United States. One of the major highlights of this facility's stellar report card is its inspection grade. Inspection grades are discussed in the next section.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • Government - County
  • Offers Respite Care
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Home Making
  • Transportation
  • Medical Transportation
  • Speech Therapy
  • IV Antibiotic Therapy
  • Dentistry
  • Wound Care
  • Occupational Therapy
  • Podiatry
  • Physical Therapy
  • Recreational Therapy
  • Pain Management
  • Optometry
  • Audiology
  • Lymphedema Care

Awards

Top Nursing Home in New Hampshire badge

Top Nursing Home in New Hampshire Awards 2019

Top Nursing Home in New Hampshire badge

Top Nursing Home in New Hampshire Awards 2020

Best Nursing Home in New Hampshire badge

Best Nursing Home in New Hampshire Awards 2021

Registered Staff Hours

Medical Staff Hours Per Patient (2021)
Less:
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Facility Inspections

Grade: A-plus

To go along with its strong overall grade, we awarded this nursing home a grade of A+ for our inspections rating. Inspection scores take several factors into consideration, including deficiencies and substantiated complaints. You can learn more about each of these items by reviewing copies of nursing homes' inspection reports. We were not able to find deficiency counts for this nursing home. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Nurse Quality

Grade: A

One of the other reasons we graded this facility so highly is that it earned a very impressive nursing rating. In that area, we awarded this facility an A. The nursing grade includes many subcategories, but the paramount one is the number of nurse hours spent with patients. This nursing home averages 0.5 hours of nursing care per resident per day. Finally, we also looked at several nursing quality measures and this place excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any facility the country in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can frequently be avoided by providing better nursing care, such as by having a system of turning a resident more often.

Short-term Care Quality

Grade: A

The next category we assessed was short-term care. Adding to its dominant profile, this nursing home also excelled in that category. In fact, we gave it a of A in the area. In computing our short-term care ratings, we quantify the facility's skilled nursing services, including those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. Our purpose is to devise a barometer for comparing the rehabilitation services of various nursing homes. Fortunately, it looks like this nursing home employs registered nurses. Not all facilities employs these types of nurses. On the other hand, based on the data this nursing home provided, it does not look like the facility employs physical therapists. The final metric we considered in this category is the percentage of patients who were able to leave the nursing home and return home. We discovered that 0 percent of this nursing home's patients were able to return home.

Long-term Care Quality

Grade: A-minus

The last category we graded was long-term care, where this facility received an A-. This topped off a first-rate report card. Not many nursing homes earned an A- or higher in each of our categories. Long-term care ratings in this range generally require both 24/7 care from nurses and aids, as well as quality routine medical care. After considering the volume of care provided by nurses aids and other staff, we turned to the facility's vaccination statistics. This nursing home vaccinated 89.47369 percent of its residents for pneumonia, which happens to be a few points below what we were hoping for but still a respectable percentage. Although its vaccination rate was a bit lower than we hoped for, this place was able to limit hospitalizations. It had only 0.01 hospitalizations per one thousand long-term resident days, which is an impressively low number.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

Cheshire County Home Quality Metrics

Minimizes Pressure Ulcers

Grade: B-plus

In Cheshire County Home, 6.17% of Patients had Pressure Ulcers

This indicates the percent of residents who have had a pressure ulcer. Pressure ulcers, which are also known as bed sores, are routinely caused by residents staying in one position for too long. Better nursing care minimizes the number of pressure ulcers sustained by residents in a nursing home.

Minimizes Serious Falls

Grade: D

In Cheshire County Home, 5.16% of Patients had Serious Falls

This statistic tells you the percent of long-term residents who experienced a fall resulting in major injury. We use this statistic in calculating nursing ratings.

Minimizes Urinary Tract Infections

Grade: B-minus

In Cheshire County Home, 2.81% of Patients had UTIs

This indicates the percentage of residents that suffered from a urinary tract infection. These infections are sometimes associated with inadequate hygiene.

Appropriately Uses Anti-Psychotic Medication

Grade: B-plus

In Cheshire County Home, 17.01% of Patients use Anti-Psychotic Medication

This indicates the percentage of patients given antipsychotic drugs. These drugs are used for treating several medical conditions, such as dementia.

Appropriately Uses Anti-Anxiety Medication

Grade: A

In Cheshire County Home, 16.61% of Patients use Anti-Anxiety Medication

This indicates the percent of patients who were prescribed antianxiety drugs. These medications are commonly prescribed to patients suffering from anxiety or depression.

Managing Depression Among Residents

Grade: C

In Cheshire County Home, 5.77% of Patients

This indicates the percent of residents exhibiting symptoms of depression.

Appropriate Vaccine Usage

Grade: B-minus

In Cheshire County Home, 95.49% of Patients

This datapoint is a measure of the percentage of long-term care residents who received the flu and pneumonia vaccines.

Residents Maintain Autonomy

Grade: D

In Cheshire County Home, 18.58% Percentage of Patients

This indicates the percent of residents that required more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with activities of daily living could indicate erosion of a resident's well-being.

Ability to Keep Residents Mobile

Grade: A

In Cheshire County Home, 22.17% Percentage of Residents

This datapoint measures the percentage of long-term residents who were able to retain mobility.

Hospitalizations

Grade: A

In Cheshire County Home, 1.27 Hospitalizations per 1,000 resident days

This datapoint is a measure of the number of hospitalizations per thousand days of patient care.

Short-term Care: Rehospitalizations

Grade: D

In Cheshire County Home, 22.17 Percentage of Residents Rehospitalized

This metric measures the number of rehospitalizations per 1,000 days of short-term care.

Short-term Care: ER Visits

Grade: A+

In Cheshire County Home, 12.13 Percentage of Patients

This metric is a measure of the number of emergency room visits per thousand days of short-term patient care. Staying out of the emergency room is one way to gauge short-term care.

Nearby Hospitals

  • Cheshire Medical CenterAcute Care Hospitals 9 miles away580 Court Street Keene New Hampshire 03431Voluntary non-profit - Private(603) 354-5400
  • Brattleboro Memorial HospitalAcute Care Hospitals 10.25 miles away17 Belmont Ave Brattleboro Vermont 05301Voluntary non-profit - Private(802) 257-0341

Nearby Dialysis

  • Monadnock Dialysis Center9.48 miles away426b Winchester Street Keene New Hampshire 03431CMS Rating: 4 stars Dialysis Stations: 13 (603) 357-3600