Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cheshire Home during CMS and state inspections, most recent first.
A resident with cognitive intactness but physical limitations was observed twice with their call light out of reach, contrary to their care plan and facility policy. The LPN confirmed the oversight, and facility management acknowledged the deficiency.
The facility failed to complete reference checks for two newly hired staff members, an LPN and an RN. The surveyor found no documented reference checks in their files, despite the facility's policy to seek maximum references. The Acting HR Representative, who took over after the previous HR left, could not provide information on these hires. An inquiry form for the RN was incomplete, and no response was received. The facility's policy, last revised in 1996, was not followed, and the issue was acknowledged by the LNHA and AA.
The facility failed to provide adequate care and documentation for two residents with pressure ulcers. One resident lacked proper documentation and assessment of wounds, and the care plan did not reflect current wound status. Another resident had a Stage 4 pressure ulcer without a formal risk assessment or consistent documentation. Interviews revealed a lack of formal risk assessment processes and inconsistent wound documentation.
A resident using an external urinary catheter managed their own drainage bag, which was observed with uncovered tubing, contrary to infection control practices. Interviews with staff revealed inconsistencies in the understanding of proper storage procedures, and facility documentation lacked specific guidance on the care of external catheters. The care plan did not address the resident's catheter use, and there was no documented education provided to the resident.
A facility failed to change a resident's nebulizer and suction setups as per physician orders, despite having a checklist for respiratory equipment maintenance. The resident, who had a tracheostomy and other health conditions, was observed with outdated equipment. Staff acknowledged the oversight, and the survey team discussed the findings with facility management.
The facility failed to post the Nursing Home Resident Care Staffing Report (NHRCSR) at the beginning of the current shift on two occasions. The Unit Clerk and a nurse were responsible for posting the NHRCSR, but it was not updated for the current day, violating the facility's policy. Interviews confirmed the lapse, with the charge nurse ultimately responsible for ensuring compliance.
A resident with chronic pain was prescribed PRN Oxycodone and Acetaminophen to be administered together for severe pain. However, records showed discrepancies in administration, with Acetaminophen not given as frequently as Oxycodone. Nursing staff confirmed the oversight, and the Consultant Pharmacist failed to identify this irregularity in their monthly review, leading to a deficiency.
A facility failed to provide timely lab services for a resident, neglecting psychiatric recommendations for liver enzyme monitoring and routine lab orders for CBC and CMP. The resident, who was cognitively intact and on medications requiring lab monitoring, did not receive the necessary tests. The DON acknowledged inconsistencies in lab requisition processes, but no explanation or additional information was provided to address the deficiency.
The facility failed to follow proper infection control practices, as a Physical Therapist did not change gloves or disinfect equipment between residents, and laundry areas had issues with dust accumulation and improper storage of soiled clothing. The facility's management was informed, revealing gaps in staff training and monitoring of infection control protocols.
Call Light Accessibility Deficiency
Penalty
Summary
The facility failed to ensure that a resident's call light was readily accessible within reach, which was identified during a survey. The surveyor observed the resident, who was alert and verbally responsive but had slurred speech, sitting in a wheelchair beside the bed with the call light placed on the opposite side of the bed against the wall, out of reach. This observation was made on two separate occasions. The resident's medical record indicated diagnoses of diffuse Traumatic Brain Injury and neuromuscular dysfunction of the bladder, with cognitive intactness but limitations in both upper and lower extremities. The care plan for the resident included an intervention to ensure the call light was within reach, highlighting the facility's failure to adhere to this plan. During an interview, the LPN assigned to the resident confirmed that the call light should be within the resident's reach and acknowledged the oversight when the surveyor pointed it out. The facility's policy on making an open bed also stipulated that the call bell should be within the resident's reach, which was not followed in this instance. The facility management, including the DON and LNHA, acknowledged the findings and the requirement for call lights to be accessible to all residents.
Failure to Complete Reference Checks for New Hires
Penalty
Summary
The facility failed to ensure that reference checks were completed for two out of six newly hired staff members, specifically a Licensed Practical Nurse (LPN) and a Registered Nurse (RN). The surveyor's review of the employee files revealed that there were no reference checks documented for these two staff members. The Licensed Nursing Home Administrator (LNHA) and the Administrative Assistant (AA) were informed of this issue, and the AA indicated that she would follow up with the Acting Human Resources Representative (AHRR). The AHRR, who began covering the HR position after the previous representative left in May 2024, stated that the facility typically requested two references from new employees and used a facility inquiry form to contact previous employers. However, the AHRR could not provide information on the reference checks for the two staff members in question as they were hired before she assumed her role. The surveyor was provided with a copy of an inquiry form that was faxed to a previous employer of the RN, but it was not completed, and no response was received. The facility's policy on Personnel Management Reference Checks, last revised in 1996, stated that the facility would seek the maximum number of references possible to obtain a solid work ethic and character background. Despite this policy, the facility did not have documented reference checks for the two staff members, which was acknowledged by the AA and the LNHA. No additional information was provided by the facility to address this deficiency.
Deficient Pressure Ulcer Care and Documentation
Penalty
Summary
The facility failed to provide care and services consistent with professional standards of practice for two residents with pressure ulcers. Resident #8, who was cognitively intact and had diagnoses including quadriplegia, was observed with pressure ulcers but lacked proper documentation and assessment of these wounds. The care plan for Resident #8 did not reflect the current status of the resident's wounds, and there was no consistent weekly documentation of wound assessments, including measurements and descriptions. The Director of Nursing (DON) acknowledged the lack of formal investigation reports for new wounds and stated that there was no formal assessment tool used to assess residents' risks for wounds. Resident #9, who also had quadriplegia and a history of pressure ulcers, was found to have a Stage 4 pressure ulcer that was not present upon admission. The facility did not use a formal assessment tool like the Braden Scale to determine the resident's risk for pressure ulcer development, and there was no documented evidence of a clinical assessment related to the risk of developing pressure ulcers. The care plan for Resident #9 included interventions for monitoring wound healing, but there was no consistent weekly documentation of the pressure ulcer assessments, including measurements and descriptions. Interviews with facility staff, including the DON, Assistant DON, and nursing staff, revealed that the facility did not have a formal risk assessment process for pressure ulcers, and documentation of wound assessments was inconsistent. The facility's policies on wound management and prevention did not include information about risk assessment for pressure ulcer development. The surveyor noted that the facility did not provide additional information or documentation to address the concerns raised during the survey.
Inadequate Storage and Care of Urinary Drainage Bags
Penalty
Summary
The facility failed to provide appropriate care and services for the storage of urinary drainage bags for a resident using an external urinary catheter. The deficiency was identified during observations and interviews conducted by the surveyor. The resident, who was cognitively intact and had a history of paraplegia and neuromuscular dysfunction of the bladder, used an external urinary catheter at night and managed the drainage bag independently. However, the drainage bag was observed hanging at the bedside with uncovered tubing, which was not in line with infection control practices. Interviews with the Certified Nurse Aide (CNA) and Licensed Practical Nurses (LPNs) revealed inconsistencies in the understanding and implementation of proper storage procedures for urinary drainage bags. The CNA acknowledged that the resident preferred to manage their own drainage bag, but noted that the bag should be capped and stored in a plastic bag, which was not done. The LPNs provided conflicting information about the storage and disposal of drainage bags, with one LPN indicating that the bags should be capped and stored, while another suggested they were disposable and should be replaced. The facility's documentation and policies did not adequately address the care and storage of external urinary catheters and drainage bags. The care plan for the resident did not include specific interventions for managing the external catheter and drainage bag, and there was no documentation of education provided to the resident regarding proper care. Additionally, the facility's policy on urinary tract infections did not cover external catheters or the storage of urinary drainage bags, contributing to the deficiency in care provided to the resident.
Failure to Change Respiratory Equipment as Ordered
Penalty
Summary
The facility failed to ensure proper respiratory care for a resident, specifically in changing nebulizer setups and suction tubing as per physician orders. During an initial tour, a surveyor observed a resident with a tracheostomy who reported receiving daily nebulizer treatments. The nebulizer tubing was labeled with a date, indicating it had not been changed as required. The resident's medical history included tracheostomy, paraplegia, hemiplegia, and major depressive disorder, and they were cognitively intact according to a recent assessment. The physician's orders specified that the nebulizer setup should be changed every day shift starting on the 24th of each month, and the suction canister, tubing, and filter should also be changed on the same schedule. However, the electronic Medication Administration Record (eMAR) indicated that these changes were not documented as completed. Interviews with staff, including a Licensed Practical Nurse (LPN) and an Infection Preventionist/Registered Nurse (IP/RN), revealed that the nebulizer and suction setups were not changed as scheduled, which was acknowledged as unacceptable practice. The facility's Respiratory Equipment Set-up checklist required the nebulizer setup to be changed weekly and the suction machine setup monthly, with labeling and dating. Despite these guidelines, the surveyor found that the equipment was not changed according to the schedule, and the staff acknowledged the oversight. The survey team discussed these findings with the facility management, who did not provide additional information during the exit conference.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure the daily posting of the Nursing Home Resident Care Staffing Report (NHRCSR) at the beginning of the current shift for two out of four days during the survey. On two separate occasions, the surveyor observed that the NHRCSR was not updated for the current day, with reports from the previous day still posted. Specifically, on the morning of 9/03/24 and 9/05/24, the NHRCSR for the current day was missing, indicating a lapse in the facility's compliance with staffing information posting requirements. Interviews with facility staff revealed that the Unit Clerk (UC) was responsible for posting the NHRCSR for the day and evening shifts, while a nurse was tasked with posting it for the night shift. The UC acknowledged that the NHRCSR might be posted late and indicated that the charge nurse was ultimately responsible for ensuring the report was posted for each shift. The facility's policy, titled 'Staffing Nursing Staffing Information,' mandates that the nurse staffing data be posted daily at the beginning of each shift, which was not adhered to on the observed days.
Failure to Administer PRN Medications as Ordered
Penalty
Summary
The facility failed to identify and address an irregularity in the administration of as-needed pain medications for a resident, leading to a deficiency. The resident, who was cognitively intact and had a history of quadriplegia, chronic pain, and other conditions, was prescribed PRN Oxycodone and PRN Acetaminophen to be administered together for severe pain. However, the facility's records showed discrepancies in the administration of these medications, with PRN Acetaminophen not being given as frequently as PRN Oxycodone, contrary to the physician's order. The surveyor's review of the electronic Medication Administration Record (eMAR) for July, August, and September 2024 revealed that PRN Acetaminophen was not administered as ordered alongside PRN Oxycodone on numerous occasions. Interviews with nursing staff confirmed that the medications were not consistently signed off together, and the Licensed Practical Nurse acknowledged the oversight in documentation. Despite the facility's policy requiring a licensed pharmacist to conduct a monthly drug regimen review and report any irregularities, the Consultant Pharmacist did not identify or document this issue in their reports. The deficiency was further highlighted during interviews with the Registered Nurse Supervisors and the Consultant Pharmacist, who admitted to not addressing the irregularity in the monthly Medication Regimen Review. The facility's management was informed of these findings, but no additional information was provided to address the concerns raised by the survey team. The facility's policy mandates that any irregularities be reported in writing to the attending physician, medical director, and Director of Nursing, which was not adhered to in this case.
Failure to Ensure Timely Laboratory Services
Penalty
Summary
The facility failed to ensure timely and appropriate laboratory services for a resident, specifically regarding psychiatric recommendations and routine lab orders. The deficiency was identified for a resident who was cognitively intact and had multiple diagnoses, including quadriplegia, chronic pain, major depressive disorder, and hypertension. The resident was receiving medications such as Baclofen, Cymbalta, and Trazodone, which required regular monitoring through lab tests. The surveyor found that the facility did not follow the psychiatric recommendation from July 2024 to monitor liver enzymes ALT and AST every 3-6 months. Additionally, routine lab orders for CBC and CMP, scheduled for January and June 2024, were not conducted as required. The facility's Director of Nursing (DON) acknowledged that standing orders for labs should be electronically entered and executed according to physician orders, but inconsistencies in the process were noted, with some requisitions being handled manually. During interviews, the DON could not provide evidence that the lab orders were followed or explain why they were not. Despite being notified of the findings, the facility management did not offer additional information or documentation to address the concerns raised by the surveyor. The deficiency was reported to the Licensed Nursing Home Administrator, DON, and Administrative Assistant during an exit conference.
Infection Control Deficiencies in Hand Hygiene and Laundry Practices
Penalty
Summary
The facility failed to adhere to proper infection prevention and control practices, as evidenced by the actions of a Physical Therapist (PT) and issues observed in the laundry areas. The PT was observed wearing the same pair of gloves while checking multiple residents' electric wheelchair cushions without changing gloves, performing hand hygiene, or disinfecting the handheld equipment used. This practice was contrary to the facility's policy and CDC guidelines, which require hand hygiene and equipment disinfection between patient interactions. The PT stated that he was instructed by his director to wear the same gloves, indicating a possible gap in staff training or communication. Additionally, during a tour of the laundry areas, deficiencies were noted in the handling and storage of linens and residents' clothing. In one laundry area, an electric fan with visible dust accumulation was blowing air onto uncovered clean linens, which were exposed to potential contamination. In another area, soiled residents' clothing was left uncovered and unattended on top of a washer, contrary to the facility's policy that requires soiled laundry to be bagged and properly stored. The District Manager from the contracted laundry service acknowledged these issues but did not provide a satisfactory explanation for the lapses in protocol. The facility's management, including the Director of Nursing (DON) and Licensed Nursing Home Administrator (LNHA), were informed of these findings. It was revealed that residents using the laundry facilities were not educated on infection control practices, and there was no staff assigned to monitor the laundry area. The facility's policies on hand hygiene and soiled laundry collection were not being followed, contributing to the potential spread of infection within the facility.
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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 Florham Park
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pine Acres Rehabilitation And Healthcare | 1.3 mi | — | 9 | 0 |
| Florham Park Rehabilitation And Healthcare Center | 1.5 mi | — | 0 | 0 |
| Careone At Livingston | 2.7 mi | — | 2 | 0 |
| Livia Health And Senior Living | 2.7 mi | — | 9 | 0 |
| Chatham Hills Subacute Care Center | 2.8 mi | — | 17 | 0 |
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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 August 2026) and official state health department websites.