Cycle 1
Health 2025-01-03 · Fire 2025-01-03
1 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Keene, NH
Langdon Place Of Keene
3-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
136 A Arch Street, Keene, NH
(603) 357-3902
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
25
Certified beds
Average residents
22
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
603 Healthcare
Operator or chain grouping
Approved since
1997-02-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 2 overall / 3 health / 2 staffing / 2 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
39%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,246
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.44
Composite VBP score used to determine payment impact.
Payment multiplier
1.0136
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.35
Baseline 18.19% · Performance 18.49% · Measure score 6.35 · Achievement 6.35 · Improvement 0
Healthcare-associated infections
5.64
Baseline 5.82% · Performance 6.15% · Measure score 5.64 · Achievement 5.64 · Improvement 0
Total nurse turnover
5.54
Baseline 45.65% · Performance 41.03% · Measure score 5.54 · Achievement 5.54 · Improvement 1.72
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 | 9.88% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 192 · Observed rate 8.33% · Lower 95% interval 6.66% |
| Discharge to community | 58.19% |
50.57%
7.6 pts better
|
Better than the National Rate · Eligible stays 183 · Observed rate 54.1% · Lower 95% interval 51.04% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 111 · Denominator 111 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 111 |
| Discharge self-care score | 78.57% |
53.69%
24.9 pts better
|
Numerator 44 · Denominator 56 |
| Discharge mobility score | 75% |
50.94%
24.1 pts better
|
Numerator 42 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 1.8% |
2.29%
0.5 pts better
|
Numerator 2 · Denominator 111 · Adjusted rate 1.83% |
| Healthcare-associated infections requiring hospitalization | 6.15% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 101 · Observed rate 3.96% · Lower 95% interval 3.14% |
| Staff COVID-19 vaccination coverage | 2.74% |
8.2%
5.5 pts worse
|
Numerator 2 · Denominator 73 |
| Staff flu vaccination coverage | 91.67% |
42%
49.7 pts better
|
Numerator 88 · Denominator 96 |
| Discharge function score | 83.93% |
56.45%
27.5 pts better
|
Numerator 47 · Denominator 56 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 26 · Denominator 26 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 77 · Denominator 77 |
| Resident COVID-19 vaccinations up to date | 86.89% |
25.2%
61.7 pts better
|
Numerator 53 · Denominator 61 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
96.4%
1.2 pts worse
|
93.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 95.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.5%
4.5 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.0% |
18.9%
1.1 pts worse
|
19.6%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.0% |
| 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 short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
85.6%
8 pts better
|
81.7%
11.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 92.4% · Q3 90.3% · Q4 96.9% · 4Q avg 93.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.6% |
14.1%
6.5 pts worse
|
12.0%
8.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 20.6% · Expected 11.1% · 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 1.6% · Q3 3.0% · Q4 2.9% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.0% |
83.0%
16 pts better
|
79.7%
19.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.8% |
22.1%
2.7 pts worse
|
23.9%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 26.2% · Expected 25.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-18 · Fire 2024-01-18
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-01-12 · Fire 2023-01-12
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-01-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-21
D · Potential for more than minimal harm
2024-01-18
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-03-11
D · Potential for more than minimal harm
2023-01-12
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-03-01
C · Minimal harm
2023-01-12
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-03-01
B · Minimal harm
2023-01-12
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-03-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-01-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-23
D · Potential for more than minimal harm
2024-01-18
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-02-08
D · Potential for more than minimal harm
2024-01-18
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 2024-02-13
D · Potential for more than minimal harm
2024-01-18
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 2024-03-04
D · Potential for more than minimal harm
2024-01-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-16
D · Potential for more than minimal harm
2023-01-12
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-02-23
B · Minimal harm
2023-01-12
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-02-23
Penalties and ownership
What sits behind the stars
Ownership
Black Mountain Peak Healthcare, LLC
5% Or Greater Direct Ownership Interest · Organization
603 Healthcare LLC
Operational/Managerial Control · Organization
Johnson, Michael
Operational/Managerial Control · Individual
Kasschau, Michael
Operational/Managerial Control · Individual
Pr Nh Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Rausman, Philip
5% Or Greater Indirect Ownership Interest · Individual
Rausman, Robert
5% Or Greater Indirect Ownership Interest · Individual
Rr Nh Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Stevenson, Sean
5% Or Greater Indirect Ownership Interest · Individual
Stevenson, Sean
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
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
#2
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
#3
Covenant Living Of Keene
Keene, NH
3-star overall rating with 4-star inspections with 3 recent health deficiencies
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