Covenant Living of Keene
Medicare-certified100 WYMAN RD, Keene, NH 03431
Skilled Nursing
Medicare certifiedSprinkler systemsResident & family councilContinuing care retirement community+2 more
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Prices not published
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Medicare-certifiedSkilled Nursing
Cheshire County Home
Westmoreland, New HampshireMedicare inspection record
About Cheshire County Home
Cheshire County Home provides skilled nursing and rehabilitation services to Westmoreland, New Hampshire residents who need short-term recovery or ongoing medical care. Our nursing staff delivers personalized treatment plans in a supportive environment designed for healing and independence.
Community at a glance
Capacity
150 residents
Location
Westmoreland, NH
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
201 RIVER ROAD, Westmoreland, New Hampshire 03467
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on September 11, 2025, state inspectors cited 3 health deficiencies (the New Hampshire average is 4.0).
Nurses and nurse aides spend 4 hours 29 minutes with each resident a day, above the New Hampshire average of 3 hours 54 minutes.
Medicare has not fined Cheshire County Home in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 29 minutesAbove the New Hampshire average |
| Registered nurse time per resident, per day | 39 minutesBelow the New Hampshire average |
| Nursing staff who left in the past year | 36%Below the New Hampshire average |
Inspections
7 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
September 11, 2025 · Standard inspection · 3 citations
Keep all essential equipment working safely.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Oct 29, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Sep 29, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Oct 29, 2025
September 26, 2024 · Standard inspection · 4 citations
Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Oct 30, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Oct 30, 2024Provide appropriate foot care.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 30, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Oct 30, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- Government - County
- Legal business name
- County of Cheshire
- Medicare-certified beds
- 150
- Average residents per day
- 111
- Accepts
- Medicare and Medicaid
- First certified
- April 1, 1996
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 305054
Location
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201 RIVER ROADWestmoreland, NH 03467
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Questions about Cheshire County Home
How did Cheshire County Home do on its last inspection?+
State inspectors visited on September 11, 2025 and cited 3 health deficiencies. The New Hampshire average is 4.0.
How much nursing care does each resident get at Cheshire County Home?+
Nurses and aides spend 4 hours 29 minutes with each resident per day, including 39 minutes from registered nurses. 36% of nursing staff left over the past year.
Has Cheshire County Home been fined by Medicare?+
Medicare's records show no fines against Cheshire County Home in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.