Langdon Place of Keene
136 A Arch Street, Keene, NH 03431 · Cheshire County · 25 certified beds · avg 22 residents/day · certified since Feb 12, 1997
Part of chain: 603 HEALTHCARE (7 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 |
|---|---|---|
| Feb 11, 2026 | 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. |
| Jan 3, 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. |
| Jan 18, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 18, 2024 | 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. |
| Jan 18, 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. |
| Jan 18, 2024 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 4 | 0 | D |
| 2025 | 1 | 0 | D |
| 2026 | 1 | 0 | D |
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) | 4.33 | 4.11 | 3.95 | top 39% in New Hampshire; top 28% in the U.S. |
| Registered Nurse hours | 1.66 | 0.82 | 0.69 | top 4% in New Hampshire; top 3% in the U.S. |
| Weekend total nurse staffing | 3.39 | 3.67 | 3.50 | top 49% in New Hampshire; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.31 | 0.55 | 0.48 | top 1% in New Hampshire; top 3% in the U.S. |
| Total nursing staff turnover (%) | 26.5 | 44.1 | 45.8 | top 4% in New Hampshire; top 9% in the U.S. |
| RN turnover (%) | 33.3 | 40.9 | 42.9 | top 28% in New Hampshire; top 33% 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 5.26, RN 2.01, weekend 4.12. 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: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Black Mountain Peak Healthcare, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/25/2024 |
| PR NH Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 48% | 02/19/2024 |
| RR NH Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 48% | 02/19/2024 |
| 603 Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/28/2024 |
| 603 Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/28/2024 |
| Johnson, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Johnson, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Kasschau, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Kasschau, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Stevenson, Sean | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/28/2024 |
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?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "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 |
|---|---|---|---|---|---|
| Alpine Healthcare Center | 1.0 mi | Keene, NH | ★☆☆☆☆ | 1/5 | |
| Keene Center, Genesis Healthcare | 1.1 mi | Keene, NH | ★★★☆☆ | 3/5 | |
| Covenant Living of Keene | 3.2 mi | Keene, NH | ★★★★☆ | 3/5 | |
| Cheshire County Home | 9.4 mi | Westmoreland, NH | ★★★★☆ | 3/5 | |
| Applewood Center | 13.1 mi | Winchester, NH | ★★★★★ | 5/5 | |
| Pine Heights at Brattleboro Center for Nursing & R | 15.5 mi | Brattleboro, VT | ★★★★★ | 4/5 | |
| Thompson House Nursing Home | 15.6 mi | Brattleboro, VT | ★☆☆☆☆ | 1/5 | SFF |
| Vernon Green Nursing Home | 16.6 mi | Vernon, VT | ★★★☆☆ | 2/5 | abuse |
| Jaffrey Rehabilitation and Nursing Center | 16.8 mi | Jaffrey, NH | ★☆☆☆☆ | 1/5 | |
| Pheasant Wood Center | 17.8 mi | Peterborough, NH | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 305085.