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No fines or payment denials in the published 3-year window.
677 Court Street, Keene, NH 03431 (opens Google Maps) · Cheshire County · (603) 357-3800· 106 certified beds · avg 82 residents/day · certified since Jun 1, 1995 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. F-0645
The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. F-0761
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 14, 2026 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| May 14, 2026 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| May 14, 2026 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| May 14, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · F-0810 |
| May 14, 2026 | B · Potential for minimal harm, pattern | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628 |
| Apr 8, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Apr 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Apr 19, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Apr 19, 2024 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Apr 19, 2024 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | D |
| 2025 | 2 | 0 | D |
| 2026 | 5 | 0 | E |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.21 | 4.11 | 3.95 | bottom 25% in New Hampshire; bottom 22% in the U.S. |
| Registered Nurse hours | 0.66 | 0.82 | 0.69 | bottom 35% in New Hampshire; top 40% in the U.S. |
| Weekend total nurse staffing | 2.79 | 3.67 | 3.50 | bottom 18% in New Hampshire; bottom 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.70 | 0.55 | 0.48 | top 19% in New Hampshire; top 16% in the U.S. |
| Total nursing staff turnover (%) | 33.8 | 44.1 | 45.8 | top 15% in New Hampshire; top 21% in the U.S. |
| RN turnover (%) | 30.8 | 40.9 | 42.9 | top 26% in New Hampshire; top 30% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.33, RN 0.69, weekend 2.89.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.33 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Keene Center, Genesis Healthcare. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fc-Gen Operations Investment LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Gen Operations I LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Gen Operations II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis NH Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2011 |
| Genesis Operations LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| GHC Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Sun Healthcare Group INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Whitman, Arnold | Individual | 5% or Greater Indirect Ownership Interest | — | 12/31/2011 |
| Berg, Michael | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2012 |
| Bridgeford, Laura | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Johnson, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2012 |
| Johnson, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 03/09/2025 |
| Mendelson, Avi | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Pitts, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2015 |
| Pitts, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 03/09/2025 |
| Whitman, Arnold | Individual | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Genesis Healthcare — 184 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 183 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Langdon Place of Keene | 1.1 mi | Keene, NH | ★★★★★ | 5/5 | |
| Alpine Healthcare Center | 2.1 mi | Keene, NH | ★☆☆☆☆ | 1/5 | |
| Covenant Living of Keene | 2.2 mi | Keene, NH | ★★★★☆ | 3/5 | |
| Cheshire County Home | 8.7 mi | Westmoreland, NH | ★★★★☆ | 3/5 | |
| Applewood Center | 13.9 mi | Winchester, NH | ★★★★★ | 5/5 | |
| Pine Heights at Brattleboro Center for Nursing & R | 15.6 mi | Brattleboro, VT | ★★★★★ | 4/5 | |
| Thompson House Nursing Home | 15.6 mi | Brattleboro, VT | ★☆☆☆☆ | 1/5 | SFF |
| Vernon Green Nursing Home | 17.0 mi | Vernon, VT | ★★★☆☆ | 2/5 | abuse |
| Jaffrey Rehabilitation and Nursing Center | 17.8 mi | Jaffrey, NH | ★☆☆☆☆ | 1/5 | |
| Pheasant Wood Center | 18.5 mi | Peterborough, NH | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 305051.
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