Keene Center, Genesis Healthcare

Name: Keene Center, Genesis Healthcare
Address: 677 COURT STREET, Keene, NH, 03431, US
Telephone: 6033573800

677 Court Street, Keene, NH 03431 · Cheshire County · 106 certified beds · avg 82 residents/day · certified since Jun 1, 1995

Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.21

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 (10)

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
May 14, 2026	E · Potential for harm, repeated	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.
May 14, 2026	D · Potential for harm, one-off	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.
May 14, 2026	D · Potential for harm, one-off	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.
May 14, 2026	D · Potential for harm, one-off	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.
May 14, 2026	B · Minimal risk, repeated	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).
Apr 8, 2025	D · Potential for harm, one-off	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.
Apr 8, 2025	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Apr 19, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 19, 2024	D · Potential for harm, one-off	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.
Apr 19, 2024	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 5).

Year	Citations	Worst severity that year
2024	3	D
2025	2	D
2026	5	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.

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)	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, 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. Staffing rating: 3/5.

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: 2/5 · short-stay residents: 5/5

Who owns this facility

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

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"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
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

Compare this facility with the 3 closest →

All facilities in Keene →

Facility data as of CMS processing date 2026-08-01. CCN 305051.

The Care File

Visit checklist — Keene Center, Genesis Healthcare

677 Court Street, Keene, NH 03431 · 6033573800

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 305051 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)