Federal inspection record · CMS data as of October 1, 2026
Covenant Living Of Keene
100 Wyman Rd, Keene, NH · (603) 352-3235
- Certified beds
- 20
- Residents per day
- 18
- Ownership
- Non-Profit
- Chain
- Covenant Living
- Medicare / Medicaid
- Medicare
- Certified since
- June 23, 2023
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Hampshire.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Covenant Living Of Keene carries 15 inspection points. That is fewer than 63% of New Hampshire's 72 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Hampshire: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–15 pts
- 3★ 15–23 pts
- 2★ 23–40 pts
- 1★ over 40 pts
Bars show every rated home in New Hampshire by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
6 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
Pharmacy Service2D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Resident Assessment and Care Planning2B
- B
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Ensure each resident receives an accurate assessment.
Inspection history
2026-06-04
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-06-25
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-06-11
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 5 h 28 min of nursing staff time a day, 2 h 3 min of it from a registered nurse.
This home
5 h 28 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 25% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 100.0% | 97.7% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 2.8% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.8 pts better | 0.0% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts better | 4.5% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.8 pts better | 8.3% | 19.1% | 19.5% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased25.5 pts worse | 47.8% | 22.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection6.9 pts worse | 9.1% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence15.1 pts worse | 40.5% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers7.2 pts worse | 11.5% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.7 pts better | 97.8% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.2 pts worse | 19.2% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.7% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.3 pts better | 100.0% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts better | 18.1% | 21.8% | 23.4% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Buettner, Kathy | Corporate Director · Individual | 0% | 1 facilities |
| Burdett, Gregg | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Christensen, Pamela | Corporate Director · Individual | 0% | 10 facilities |
| Covenant Living Communities & Services | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Creaney, Janet | Corporate Officer · Individual | 0% | 6 facilities |
| Cunliffe, Terri | W-2 Managing Employee · Individual | 0% | 13 facilities |
| Cunliffe, Terri | Corporate Officer · Individual | 0% | 13 facilities |
| Cunliffe, Terri | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Flewellen, Lorene | Corporate Officer · Individual | 0% | 3 facilities |
| Hoffman, Janet | Corporate Director · Individual | 0% | 4 facilities |
| Justie, Jean | W-2 Managing Employee · Individual | 0% | 6 facilities |
| Justie, Jean | Corporate Officer · Individual | 0% | 6 facilities |
| Justie, Jean | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Kincannon, Kurt | Corporate Director · Individual | 0% | 4 facilities |
| Malzahn, Elizabeth | W-2 Managing Employee · Individual | 0% | 3 facilities |
| Manlove, Matt | Corporate Officer · Individual | 0% | 13 facilities |
| Martin, Robert | Corporate Director · Individual | 0% | 6 facilities |
| Means, Jennifer | Corporate Director · Individual | 0% | 4 facilities |
| Partin, Karyn | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Peterson, Loann | Corporate Director · Individual | 0% | 1 facilities |
| Reppe, Dixie | Corporate Director · Individual | 0% | 1 facilities |
| Slechta, Todd | Corporate Director · Individual | 0% | 1 facilities |
| Vanover, Andrew | Corporate Director · Individual | 0% | 4 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- C
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- C
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Egress1D
- D
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Keene Center, Genesis Healthcare
Keene, NH · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 15 min
- Fines
- $0
-
Langdon Place Of Keene
Keene, NH · 603 Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 22 min
- Fines
- $0
-
Alpine Healthcare Center
Keene, NH
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 14 min
- Fines
- $0