Federal inspection record · CMS data as of October 1, 2026
Keene Center, Genesis Healthcare
677 Court Street, Keene, NH · (603) 357-3800
- Certified beds
- 106
- Residents per day
- 86
- Ownership
- For-Profit
- Chain
- Genesis Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1995
1
How this home got 3 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
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Keene Center, Genesis Healthcare carries 17 inspection points. That is fewer than 58% 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
10 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
Pharmacy Service3D
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Resident Assessment and Care Planning2D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights1B
- B
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2026-05-14
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-04-08
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2024-04-19
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 15 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 15 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 25% of registered nurses left in the past year, along with 1 administrator.
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.1 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 97.3% | 97.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 100.0% | 97.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 4.7% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms24.4 pts worse | 40.2% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts better | 1.8% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts better | 15.6% | 19.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.7 pts better | 15.2% | 17.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8 pts worse | 23.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts worse | 29.1% | 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 infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts better | 23.8% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts worse | 5.7% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts worse | 82.9% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visitAbout the same | 13.0% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse | 1.9% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.3 pts worse | 82.4% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.9 pts better | 18.9% | 21.8% | 23.4% |
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Who owns and runs it
19 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 |
|---|---|---|---|
| Genesis Nh Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 7 facilities |
| Berg, Michael | Corporate Officer · Individual | 0% | 165 facilities |
| Bridgeford, Laura | Corporate Officer · Individual | 0% | 148 facilities |
| Fc-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 155 facilities |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Gen Operations Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 161 facilities |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 152 facilities |
| Genesis Operations LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 58 facilities |
| Ghc Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 118 facilities |
| Johnson, Michael | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Johnson, Michael | Adp Of The SNF · Individual | 0% | 7 facilities |
| Mendelson, Avi | Corporate Officer · Individual | 0% | 147 facilities |
| Pitts, Leslie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pitts, Leslie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 156 facilities |
| Whitman, Arnold | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 153 facilities |
| Whitman, Arnold | Adp Of The SNF · Individual | 0% | 153 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C
Provide properly protected cooking facilities.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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Other homes nearby
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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
-
Covenant Living Of Keene
Keene, NH · Covenant Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 28 min
- Fines
- $0