Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cheshire County Home during CMS and state inspections, most recent first.
Medication error rate exceeded 5 percent after an LPN was observed preparing the wrong doses of Vitamin D3 and polyethylene glycol for a resident. The resident’s MAR ordered Vitamin D3 25 mcg and polyethylene glycol 8.5 g, but the LPN prepared Vitamin D3 10 mcg and 17 g of polyethylene glycol. The LPN confirmed the incorrect doses during interview, and the facility’s medication administration policy requires use of the five rights and a triple check during preparation.
Missing Coordinated Hospice Plan of Care: A resident admitted to hospice had no documented plan showing the frequency of hospice visits or the services to be provided. The medical record and hospice binder both lacked this information, and the Unit Mgr confirmed staff were not aware of when hospice staff would come or what services would be delivered.
Wheelchair Brake Not Kept in Safe Working Order: A resident fell while transferring when [his/her] wheelchair moved because the brake was not locking properly. Staff knew the brakes had been loose and periodically needed tightening, and an LNA had reported the issue before the fall. The rehab director said the brakes were being checked routinely, but this was not documented, and facility policy required wheelchairs to be in working order with no loose or poorly locking brakes.
The facility failed to follow its Antibiotic Stewardship Program, leading to inappropriate antibiotic use for two residents. One resident was treated for a UTI despite not meeting McGeer's criteria for bacterial growth, and another was treated for cellulitis without the required symptoms. The Infection Preventionist confirmed these discrepancies, highlighting a lapse in the facility's infection control practices.
A resident's toenails were observed to be long, thick, and curling, indicating a failure in providing appropriate foot care. Despite a podiatry note recommending follow-up care for dystrophic nails, the resident was not seen by the podiatrist during their visit, and there was no evidence of nail care being provided as noted in a nurse's assessment.
A facility failed to limit a PRN order for Lorazepam to 14 days for a resident, as required by their policy. The resident's medication record showed an ongoing order for Lorazepam 0.5 mg every 2 hours as needed for restlessness/agitation, starting in June 2024, with a dose administered in September 2024. The Unit Manager confirmed the oversight, which was against the facility's policy on psychotropic medications.
An RN was observed improperly disposing of medication capsules in the open trash on the medication cart, which could lead to unauthorized access. The RN admitted this was his/her usual practice, while an Administrator in Training stated that medications should be disposed of in the drug buster in the locked medication room.
Medication Error Rate Exceeded 5 Percent
Penalty
Summary
The facility failed to ensure a medication error rate of less than 5 percent, with 2 medication errors identified out of 33 medication administration opportunities for a 6.06% error rate. During observation on 9/10/25 at 9:06 a.m., Staff C, an LPN, prepared medications for Resident #21 and was observed preparing one tablet of Vitamin D3 10 mcg and 17 g of Polyethylene Glycol for administration. Review of Resident #21's September MAR showed orders for Vitamin D3 25 mcg and Polyethylene Glycol 8.5 g with the morning medication administration. During interview at approximately 9:08 a.m., Staff C confirmed that the wrong doses of Vitamin D3 and Polyethylene Glycol were going to be administered to Resident #21. The facility policy titled Medication Administration- General guidelines states that the five rights are to be applied for each medication and that a triple check of the five rights is recommended during medication preparation.
Missing Coordinated Hospice Plan of Care
Penalty
Summary
The facility failed to collaborate in developing a coordinated plan of care for a resident receiving hospice services. Resident #12 had an order dated 8/27/25 to admit to hospice, but the medical record contained no information about the frequency of hospice visits or the services to be provided. Review of the resident’s hospice binder also showed no information regarding the frequency of visits by hospice staff or the services to be provided. During interview, the Unit Manager confirmed that there was no plan of care from the hospice provider with the frequency of visits or services for Resident #12 and stated that staff were not aware of when hospice staff were coming to provide services.
Wheelchair Brake Not Kept in Safe Working Order
Penalty
Summary
The facility failed to remove a wheelchair from use that was not in safe working order for one resident reviewed for falls. Resident #11 reported that [he/she] fell when transferring from a recliner to [his/her] wheelchair because the wheelchair brake did not lock properly and the chair moved as [he/she] attempted to sit down. The resident also stated that the fall occurred while getting up to use the bathroom, and the medical record documented that the wheelchair was not locked fully when [he/she] went to sit in it. Staff interviews showed that the wheelchair brakes had been loose and required tightening before the fall. A rehabilitation technician stated the brakes were known to not work properly at times and had required periodic tightening about every 1 to 2 weeks. A LNA reported the loose brakes to the rehabilitation technician about 3 weeks before the fall. The rehabilitation director stated awareness that the brakes were loose prior to the resident's fall and that the brakes were being checked routinely to see if they needed tightening, but this was not documented. The facility policy stated wheelchairs should be clean and in working order and listed loose or poorly locking brakes as examples of needed repairs.
Failure in Antibiotic Stewardship and Monitoring
Penalty
Summary
The facility failed to adhere to its established Antibiotic Stewardship Program (ASP) and system of monitoring antibiotic use for two residents. The ASP policy aims to reduce the overuse of antibiotics, ensuring they are prescribed only when appropriate. However, the facility did not follow these guidelines for two residents. For one resident, antibiotics were prescribed for a urinary tract infection (UTI) despite the urinalysis and culture results showing Escherichia coli growth below the threshold set by McGeer's criteria, which requires at least 100,000 colony-forming units per milliliter (cfu/ml) for a valid diagnosis in residents with an indwelling catheter. The Infection Preventionist confirmed that the treatment did not meet the criteria due to the minimal bacterial growth. Another resident was treated for cellulitis based on symptoms of redness and raised skin, but the treatment did not meet McGeer's criteria, which require at least four specific symptoms to be present. The Infection Preventionist confirmed that only two of the required symptoms were observed. These findings indicate a failure in the facility's antibiotic stewardship and infection control surveillance, as the treatments did not align with the established criteria for appropriate antibiotic use.
Failure to Provide Appropriate Foot Care
Penalty
Summary
The facility failed to provide appropriate foot care for a resident, as evidenced by observations and record reviews. On 9/24/24, it was observed that the resident's toenails were long, overgrown by approximately 1 inch, thick, and curling around the toes. A review of the resident's podiatry note from 5/20/24 indicated that toenail care was needed for thick, dystrophic, elongated nails bilaterally, with a follow-up recommended in 60 days. However, the resident was not seen by the podiatrist during their visit to the facility on 9/24/24. Additionally, a nurse's note from 9/8/24 assessed the resident's toenails as long and thick, but there was no evidence that nail care was provided on that date.
Failure to Limit PRN Psychotropic Medication to 14 Days
Penalty
Summary
The facility failed to ensure that as needed (PRN) psychotropic drugs were limited to 14 days for one resident reviewed for unnecessary medications. A review of the resident's September 2024 Medication Administration Record revealed a physician's order for Lorazepam 0.5 mg to be administered by mouth every 2 hours as needed for restlessness/agitation, with a start date of June 2, 2024. The resident received a dose of this PRN medication on September 11, 2024, indicating that the order was not limited to 14 days as required. An interview with the Unit Manager confirmed these findings and acknowledged that the order for the resident was not appropriately limited. The facility's policy on Antipsychotic and Psychotropic Medications, dated August 2023, clearly states that PRN orders for psychotropic drugs should be limited to 14 days, which was not adhered to in this case.
Improper Medication Disposal by RN
Penalty
Summary
The facility failed to ensure proper disposal of medications, which could lead to potential unauthorized access. During an observation of medication administration, a Registered Nurse (RN), identified as Staff G, was seen disposing of medication capsules in the open trash on the medication cart. This occurred on two separate occasions during the observation. In an interview, Staff G admitted that disposing of medications in the trash was his/her usual practice. Further interview with Staff C, an Administrator in Training, revealed that the correct procedure for medication disposal is to use the drug buster stored in the locked medication room.
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Illustrative
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Westmoreland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Covenant Living Of Keene | 6.6 mi | ★★★★★ | 0 | 0 |
| Keene Center, Genesis Healthcare | 8.7 mi | ★★★★★ | 6 | 0 |
| Langdon Place Of Keene | 9.4 mi | ★★★★★ | 2 | 0 |
| Alpine Healthcare Center | 10.1 mi | ★★★★★ | 4 | 0 |
| Thompson House Nursing Home | 10.2 mi | ★★★★★ | 3 | 3 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.