Cheshire County Home - Westmoreland Nursing Home
General Information
UPDATEFederal Provider Number
305054
Provider Name
CHESHIRE COUNTY HOME
Provider Address
201 RIVER ROAD
WESTMORELAND, NH 3467
WESTMORELAND, NH 3467
Provider Phone Number
(603) 399-4912
Provider SSA County
20
Provider County Name
Cheshire
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
150
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF CHESHIRE
Date First Approved to Provide Medicare and Medicaid services
1996-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.34007
Reported LPN Staffing Hours per Resident per Day
0.79412
Reported RN Staffing Hours per Resident per Day
0.90772
Reported Licensed Staffing Hours per Resident per Day
1.70184
Reported Total Nurse Staffing Hours per Resident per Day
5.04191
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08051
Expected CNA Staffing Hours per Resident per Day
2.56053
Expected LPN Staffing Hours per Resident per Day
0.58384
Expected RN Staffing Hours per Resident per Day
0.80844
Expected Total Nurse Staffing Hours per Resident per Day
3.95281
Adjusted CNA Staffing Hours per Resident per Day
3.20072
Adjusted LPN Staffing Hours per Resident per Day
1.12893
Adjusted RN Staffing Hours per Resident per Day
0.83896
Adjusted Total Nurse Staffing Hours per Resident per Day
5.14152
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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