Federal inspection record · CMS data as of October 1, 2026
Langdon Place Of Keene
136 A Arch Street, Keene, NH · (603) 357-3902
- CMS high-performer trophy
- Certified beds
- 25
- Residents per day
- 22
- Ownership
- For-Profit
- Chain
- 603 Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 12, 1997
1
How this home got 5 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.
-
Staffing
★★★★★no change (already 5)
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Langdon Place Of Keene carries 4 inspection points. That is fewer than 90% 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 Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
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.
Quality of Life and Care1D
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspection history
2026-02-11
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-01-03
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-01-18
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 22 min of nursing staff time a day, 2 h 12 min of it from a registered nurse.
This home
5 h 22 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 24% of nursing staff and 46% 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 injury4.5 pts better | 0.0% | 4.5% | 3.2% |
| Percentage of long-stay residents who lose too much weight5.2 pts better | 0.0% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts better | 19.0% | 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 with a urinary tract infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with pressure ulcers12 pts worse | 16.3% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.4 pts better | 97.5% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.2 pts worse | 20.2% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 0.8% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.9 pts better | 96.6% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts worse | 23.8% | 21.8% | 23.4% |
·
Who owns and runs it
10 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 |
|---|---|---|---|
| Black Mountain Peak Healthcare, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| Pr Nh Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 48% | 11 facilities |
| Rr Nh Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 48% | 11 facilities |
| 603 Healthcare LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| 603 Healthcare LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Johnson, Michael | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Johnson, Michael | Adp Of The SNF · Individual | 0% | 7 facilities |
| Kasschau, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kasschau, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stevenson, Sean | Operational/Managerial Control · Individual | 0% | 10 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2D
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
·
Other homes nearby
-
Alpine Healthcare Center
Keene, NH
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 14 min
- Fines
- $0
-
Keene Center, Genesis Healthcare
Keene, NH · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 15 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