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Langdon Place of Keene
136 A Arch Street, Keene, NH 03431 (opens Google Maps) · Cheshire County · (603) 357-3902· 25 certified beds · avg 22 residents/day · certified since Feb 12, 1997 · 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: 603 HEALTHCARE (7 facilities, chain avg rating 3.6★)
5/5
Health inspection rating (on-site)
inspected Feb 11, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.33
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 6 inspection findings. Open the full record below to read every finding.
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
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
The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. F-0698
View all 6 inspection findingsShow only the latest 3 findings
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 |
|---|---|---|
| Feb 11, 2026 | 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 |
| Jan 3, 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 |
| Jan 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Jan 18, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Jan 18, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Jan 18, 2024 | 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 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
All citationsSerious citations (G–L)
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNew Hampshire averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.33
New Hampshire average: 4.11
U.S. average: 3.95
Registered Nurse hours
This facility: 1.66
New Hampshire average: 0.82
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.39
New Hampshire average: 3.67
U.S. average: 3.50
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) | 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 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 5.26, RN 2.01, weekend 4.12.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.26 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
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: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Langdon Place of Keene. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
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 - 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 |
All 10 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain 603 Healthcare — 7 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.
- Mineral Springs — North Conway, NH · overall 2/5
- The Elms Center — Milford, NH · overall 2/5
- Wolfeboro Bay Center — Wolfeboro, NH · overall 4/5
- Waterview Nursing Care Center — Flushing, NY · overall 3/5
- Bedford Hills Center — Bedford, NH · overall 4/5
- Langdon Place of Dover — Dover, NH · overall 5/5
Listed by state, then facility name — not a ranking.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 27% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 305085.