Covenant Living of Keene
100 Wyman Rd, Keene, NH 03431 · Cheshire County · 20 certified beds · avg 19 residents/day · certified since Jun 23, 2023
Part of chain: COVENANT LIVING (15 facilities, chain avg rating 4.4★)
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 (6)
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 |
|---|---|---|
| Jun 4, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 25, 2025 | 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. |
| Jun 25, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jun 25, 2025 | B · Minimal risk, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jun 11, 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. |
| Jun 11, 2024 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | D |
| 2025 | 3 | 0 | E |
| 2026 | 1 | 0 | F |
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) | 6.27 | 4.11 | 3.95 | top 4% in New Hampshire; top 3% in the U.S. |
| Registered Nurse hours | 2.14 | 0.82 | 0.69 | top 1% in New Hampshire; top 1% in the U.S. |
| Weekend total nurse staffing | 5.34 | 3.67 | 3.50 | top 8% in New Hampshire; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.84 | 0.55 | 0.48 | top 10% in New Hampshire; top 10% in the U.S. |
| Total nursing staff turnover (%) | 46.9 | 44.1 | 45.8 | bottom 36% in New Hampshire; bottom 45% in the U.S. |
| RN turnover (%) | 14.3 | 40.9 | 42.9 | top 3% in New Hampshire; top 7% 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 5.32, RN 1.82, weekend 4.52. 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: 3/5 · long-stay residents: 1/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Buettner, Kathy | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
| Burdett, Gregg | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/17/2018 |
| Christensen, Pamela | Individual | Corporate Director | NOT APPLICABLE | 07/01/2021 |
| Covenant Living Communities & Services | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/08/2022 |
| Creaney, Janet | Individual | Corporate Officer | NOT APPLICABLE | 07/24/2020 |
| Cunliffe, Terri | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/22/2015 |
| Cunliffe, Terri | Individual | Corporate Officer | NOT APPLICABLE | 05/22/2015 |
| Cunliffe, Terri | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/22/2015 |
| Flewellen, Lorene | Individual | Corporate Officer | NOT APPLICABLE | 04/29/2022 |
| Hoffman, Janet | Individual | Corporate Director | NOT APPLICABLE | 07/01/2021 |
| Justie, Jeannie | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/20/2020 |
| Justie, Jeannie | Individual | Corporate Officer | NOT APPLICABLE | 09/20/2020 |
| Justie, Jeannie | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/20/2020 |
| Kincannon, Kurt | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Malzahn, Elizabeth | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/22/2014 |
| Manlove, Matt | Individual | Corporate Officer | NOT APPLICABLE | 07/24/2020 |
| Martin, Robert | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Means, Jennifer | Individual | Corporate Director | NOT APPLICABLE | 07/01/2021 |
| Partin, Karyn | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/14/2022 |
| Peterson, Loann | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 |
|---|---|---|---|---|---|
| Keene Center, Genesis Healthcare | 2.2 mi | Keene, NH | ★★★☆☆ | 3/5 | |
| Langdon Place of Keene | 3.2 mi | Keene, NH | ★★★★★ | 5/5 | |
| Alpine Healthcare Center | 4.2 mi | Keene, NH | ★☆☆☆☆ | 1/5 | |
| Cheshire County Home | 6.6 mi | Westmoreland, NH | ★★★★☆ | 3/5 | |
| Applewood Center | 14.4 mi | Winchester, NH | ★★★★★ | 5/5 | |
| Pine Heights at Brattleboro Center for Nursing & R | 14.5 mi | Brattleboro, VT | ★★★★★ | 4/5 | |
| Thompson House Nursing Home | 14.5 mi | Brattleboro, VT | ★☆☆☆☆ | 1/5 | SFF |
| Vernon Green Nursing Home | 16.7 mi | Vernon, VT | ★★★☆☆ | 2/5 | abuse |
| Jaffrey Rehabilitation and Nursing Center | 20.0 mi | Jaffrey, NH | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 305103.