Cheshire County Home

Name: Cheshire County Home
Address: 201 RIVER ROAD, Westmoreland, NH, 03467, US
Telephone: 6033994912

201 River Road, Westmoreland, NH 03467 · Cheshire County · 150 certified beds · avg 111 residents/day · certified since Apr 1, 1996

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.45

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (9)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 11, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 11, 2025	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Sep 11, 2025	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Sep 26, 2024	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 19, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 19, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).

Year	Citations	Worst severity that year
2023	2	D
2024	4	E
2025	3	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New Hampshire avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.45	4.11	3.95	top 17% in New Hampshire; top 8% in the U.S.
Registered Nurse hours	0.79	0.82	0.69	top 46% in New Hampshire; top 28% in the U.S.
Weekend total nurse staffing	5.00	3.67	3.50	top 15% in New Hampshire; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.55	0.48	bottom 21% in New Hampshire; bottom 49% in the U.S.
Total nursing staff turnover (%)	36.1	44.1	45.8	top 25% in New Hampshire; top 27% in the U.S.
RN turnover (%)	15.8	40.9	42.9	top 9% in New Hampshire; top 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.49, RN 0.65, weekend 4.12. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
County of Cheshire	Organization	5% or Greater Direct Ownership Interest	100%	04/01/1996
Clark, Terry	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Clark, Terry	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Clark, Terry	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
County of Cheshire	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2000
Dibernardo, Angelo	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Dibernardo, Angelo	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Kindopp, Kathryn	Individual	Operational/Managerial Control	NOT APPLICABLE	12/10/2007
Kindopp, Kathryn	Individual	ADP of the SNF	NOT APPLICABLE	12/10/2007
Sorrenti, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2026
Sorrenti, Michael	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2026
Stewart, Claudia	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Stewart, Claudia	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Stewart, Claudia	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Trombly, Sheryl	Individual	Corporate Director	NOT APPLICABLE	09/16/2002
Trombly, Sheryl	Individual	ADP of the SNF	NOT APPLICABLE	08/22/2002

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your current medication error rate, and what have you changed to bring errors down?"
"How do you coordinate hospice care, and can residents stay here while receiving it?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"How is routine foot care handled here, and does a podiatrist visit regularly?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Covenant Living of Keene	6.6 mi	Keene, NH	★★★★☆	3/5
Keene Center, Genesis Healthcare	8.7 mi	Keene, NH	★★★☆☆	3/5
Langdon Place of Keene	9.4 mi	Keene, NH	★★★★★	5/5
Alpine Healthcare Center	10.1 mi	Keene, NH	★☆☆☆☆	1/5
Thompson House Nursing Home	10.2 mi	Brattleboro, VT	★☆☆☆☆	1/5	SFF
Pine Heights at Brattleboro Center for Nursing & R	10.3 mi	Brattleboro, VT	★★★★★	4/5
Vernon Green Nursing Home	14.7 mi	Vernon, VT	★★★☆☆	2/5	abuse
Applewood Center	15.1 mi	Winchester, NH	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Westmoreland →

Facility data as of CMS processing date 2026-08-01. CCN 305054.

The Care File

Visit checklist — Cheshire County Home

201 River Road, Westmoreland, NH 03467 · 6033994912

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How do you coordinate hospice care, and can residents stay here while receiving it?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "How is routine foot care handled here, and does a podiatrist visit regularly?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 305054 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)