Cycle 1
Health 2025-06-25 · Fire 2025-06-25
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Keene, NH
Covenant Living Of Keene
3-star overall rating with 4-star inspections with 3 recent health deficiencies
100 Wyman Rd, Keene, NH
(603) 352-3235
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
20
Certified beds
Average residents
19
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Covenant Living
Operator or chain grouping
Approved since
2023-06-23
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,578
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.21
Composite VBP score used to determine payment impact.
Payment multiplier
0.9816
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.08
Performance 20.93% · Measure score 1.08 · Achievement 1.08 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
2.16
Performance 7.19% · Measure score 2.16 · Achievement 2.16 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.1% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 4.55% · Lower 95% interval 6.17% |
| Discharge to community | 55.33% |
50.57%
4.8 pts better
|
No Different than the National Rate · Eligible stays 45 · Observed rate 55.56% · Lower 95% interval 42.68% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 89.36% |
95.27%
5.9 pts worse
|
Numerator 42 · Denominator 47 |
| Falls with major injury | 2.13% |
0.77%
1.4 pts worse
|
Numerator 1 · Denominator 47 |
| Discharge self-care score | 68.57% |
53.69%
14.9 pts better
|
Numerator 24 · Denominator 35 |
| Discharge mobility score | 42.86% |
50.94%
8.1 pts worse
|
Numerator 15 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 4.26% |
2.29%
2 pts worse
|
Numerator 2 · Denominator 47 · Adjusted rate 6.68% |
| Healthcare-associated infections requiring hospitalization | 7.19% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 5.77% · Lower 95% interval 4.04% |
| Staff COVID-19 vaccination coverage | 27.61% |
8.2%
19.4 pts better
|
Numerator 37 · Denominator 134 |
| Staff flu vaccination coverage | 55.37% |
42%
13.4 pts better
|
Numerator 98 · Denominator 177 |
| Discharge function score | 74.29% |
56.45%
17.8 pts better
|
Numerator 26 · Denominator 35 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 96.97% |
96.28%
0.7 pts better
|
Numerator 32 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 72.41% |
25.2%
47.2 pts better
|
Numerator 21 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.4%
3.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
4.5%
0.2 pts better
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
9.7%
9.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 15.6% |
5.5%
10.1 pts worse
|
5.4%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.4% |
18.9%
0.5 pts worse
|
19.6%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.6% |
18.7%
9.9 pts worse
|
16.7%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 42.8% |
19.2%
23.6 pts worse
|
16.3%
26.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 42.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 44.1% |
21.9%
22.2 pts worse
|
14.9%
29.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 44.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.3%
1.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.0% |
2.4%
4.6 pts worse
|
1.7%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.0% |
26.7%
5.3 pts worse
|
19.8%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 32.0% |
| Percentage of long-stay residents with pressure ulcers | 7.6% |
4.4%
3.2 pts worse
|
5.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.3% |
85.6%
8.7 pts better
|
81.7%
12.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 91.8% · Q3 94.3% · Q4 98.4% · 4Q avg 94.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.2% |
14.1%
8.1 pts worse
|
12.0%
10.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.2% · Observed 20.0% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.7%
0.3 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 2.1% · Q4 2.4% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.2% |
83.0%
11.2 pts better
|
79.7%
14.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.0% |
22.1%
8.9 pts worse
|
23.9%
7.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.0% · Observed 25.0% · Expected 19.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-11 · Fire 2024-06-11
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2023-04-20 · Fire 2023-04-20
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-06-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-08
E · Potential for more than minimal harm
2024-06-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-08
C · Minimal harm
2024-06-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-08
C · Minimal harm
2024-06-11
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-07-08
C · Minimal harm
2023-04-20
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-16
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-25
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-06-25
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-07-09
B · Minimal harm
2025-06-25
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-11
D · Potential for more than minimal harm
2024-06-11
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-06-27
B · Minimal harm
2024-06-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-28
E · Potential for more than minimal harm
2023-04-20
F680 · Quality of Life and Care Deficiencies
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2023-05-17
E · Potential for more than minimal harm
2023-04-20
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-05-10
E · Potential for more than minimal harm
2023-04-20
F946 · Administration Deficiencies
Health
Provide training in compliance and ethics.
Corrected 2023-05-20
D · Potential for more than minimal harm
2023-04-20
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-06-20
D · Potential for more than minimal harm
2023-04-20
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-06-23
D · Potential for more than minimal harm
2023-04-20
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-05-16
Penalties and ownership
What sits behind the stars
Ownership
Buettner, Kathy
Corporate Director · Individual
Burdett, Gregg
W-2 Managing Employee · Individual
Christensen, Pamela
Corporate Director · Individual
Covenant Living Communities & Services
Operational/Managerial Control · Organization
Creaney, Janet
Corporate Officer · Individual
Cunliffe, Terri
Operational/Managerial Control · Individual
Cunliffe, Terri
Corporate Officer · Individual
Cunliffe, Terri
W-2 Managing Employee · Individual
Flewellen, Lorene
Corporate Officer · Individual
Hoffman, Janet
Corporate Director · Individual
Justie, Jeannie
Operational/Managerial Control · Individual
Justie, Jeannie
Corporate Officer · Individual
Justie, Jeannie
W-2 Managing Employee · Individual
Kincannon, Kurt
Corporate Director · Individual
Malzahn, Elizabeth
W-2 Managing Employee · Individual
Manlove, Matt
Corporate Officer · Individual
Martin, Robert
Corporate Director · Individual
Means, Jennifer
Corporate Director · Individual
Partin, Karyn
W-2 Managing Employee · Individual
Peterson, Loann
Corporate Director · Individual
Reppe, Dixie
Corporate Director · Individual
Slechta, Todd
Corporate Director · Individual
Vanover, Andrew
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Keene Center, Genesis Healthcare
Keene, NH
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Langdon Place Of Keene
Keene, NH
3-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Alpine Healthcare Center
Keene, NH
1-star overall rating with 1-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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