Home / New Hampshire / Keene
Covenant Living of Keene
100 Wyman Rd, Keene, NH 03431 · Cheshire County · (603) 352-3235
20 certified beds, about 19 residents a day · Non profit - Corporation · Medicare since 2023
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305103 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 4, 2026, inspectors cited 1 health deficiency (the New Hampshire average is 4, the national average 9.2).
None of its 6 health citations since June 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.32 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 1.82 of those hours.
46.9% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
CMS links it to Covenant Living, an affiliated group of 15 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
June 4, 2026Standard inspection · 1 citation
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, the facility failed to update their Water Management Program and implement control measures to prevent the growth and spread of Legionella and other opportunistic waterborne pathogens in a facility with a census of 20 residents (Resident identifier is #16).
June 25, 2025Standard inspection · 3 citations
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to implement their established antibiotic stewardship protocols for monitoring the appropriate antibiotic use (Resident identifiers #13, #16, and #123).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that each resident had a monthly MRR (Medication Regimen Review) by a pharmacist for 1 of 5 residents reviewed for unnecessary medications in a final sample of 8 residents. (Resident identifier is #5.)
- B Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview, and record review, it was determined that the facility failed to revise a care plan for 2 resident in a final sample of 8 residents (Resident identifiers are #5 and #13).
June 11, 2024Standard inspection · 2 citations
- 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.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that a resident who was on antipsychotic medication had adequate indication of use that was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 5 residents reviewed for unnecessary medications in a final sample size of 12 residents (Resident Identifier is #17).
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, record review, and interview, it was determined that the facility failed to accurately reflect resident use of restraints on the Minimum Data Set (MDS) assessments for 2 out of 2 residents reviewed for restraints in a final sample of 12 residents (Resident Identifiers are #6 and #3).
Fire safety inspections
8 fire safety citations on file: 4 on June 4, 2026, 4 on June 11, 2024.
Every fire safety citation8 citations
- F Provide properly protected cooking facilities.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have simulated fire drills held at unexpected times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have generator or other power source capable of supplying service within 10 seconds.
- C Provide properly protected cooking facilities.
- C Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Hampshire | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.32 | 3.90 | 3.86 |
| Registered nurses | 1.82 | 0.78 | 0.69 |
| All nursing staff on weekends | 4.52 | 3.47 | 3.42 |
| Nurse aides | 2.64 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 46.9% | 44.1% | 45.8% |
| Registered nurse turnover | 14.3% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.25 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.64 on weekdays and 4.52 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.20 in April to June 2025 to 5.32 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.32 | 1.82 | 5.64 | 4.52 | 0.5% | 2 of 90 | 19 |
| Oct to Dec 2025 | 4.94 | 1.82 | 5.29 | 4.03 | 0.4% | 1 of 92 | 19 |
| Jul to Sep 2025 | 4.71 | 1.67 | 5.05 | 3.84 | 2.8% | 0 of 92 | 19 |
| Apr to Jun 2025 | 5.20 | 1.74 | 5.67 | 4.00 | 3.5% | 1 of 91 | 19 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Hampshire, Jan to Mar 2026 | 3.85 | 0.74 | 4.01 | 3.45 | 13.1% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Hampshire | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 38.5 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.3 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.1 | 4.2 | 4.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.4 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.8 | 13.4 | 12.0 |
Owners and operators
Legal business name: COVENANT LIVING OF KEENE. CMS links this home to Covenant Living, a group of 15 nursing homes averaging 4.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Burdett, Gregg | W-2 managing employee | Individual | 09/17/2018 | |
| Cunliffe, Terri | W-2 managing employee | Individual | 05/22/2015 | |
| Justie, Jeannie | W-2 managing employee | Individual | 09/20/2020 | |
| Malzahn, Elizabeth | W-2 managing employee | Individual | 05/22/2014 | |
| Partin, Karyn | W-2 managing employee | Individual | 03/14/2022 | |
| Buettner, Kathy | Corporate director | Individual | 07/01/2020 | |
| Christensen, Pamela | Corporate director | Individual | 07/01/2021 | |
| Hoffman, Janet | Corporate director | Individual | 07/01/2021 | |
| Kincannon, Kurt | Corporate director | Individual | 07/01/2018 | |
| Martin, Robert | Corporate director | Individual | 07/01/2018 | |
| Means, Jennifer | Corporate director | Individual | 07/01/2021 | |
| Peterson, Loann | Corporate director | Individual | 07/01/2020 | |
| Reppe, Dixie | Corporate director | Individual | 07/01/2020 | |
| Slechta, Todd | Corporate director | Individual | 07/01/2022 | |
| Vanover, Andrew | Corporate director | Individual | 07/01/2021 | |
| Creaney, Janet | Corporate officer | Individual | 07/24/2020 | |
| Cunliffe, Terri | Corporate officer | Individual | 05/22/2015 | |
| Flewellen, Lorene | Corporate officer | Individual | 04/29/2022 | |
| Justie, Jeannie | Corporate officer | Individual | 09/20/2020 | |
| Manlove, Matt | Corporate officer | Individual | 07/24/2020 | |
| Covenant Living Communities & Services | Operational/managerial control | Organization | 02/08/2022 | |
| Cunliffe, Terri | Operational/managerial control | Individual | 05/22/2015 | |
| Justie, Jeannie | Operational/managerial control | Individual | 09/20/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 4, 2026: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 25, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 25, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
Other nursing homes nearby
- Keene Center, Genesis Healthcare Keene, 2.2 mi · 3 of 5 stars · 10 citations
- Langdon Place of Keene Keene, 3.2 mi · 5 of 5 stars · 6 citations
- Alpine Healthcare Center Keene, 4.2 mi · 1 of 5 stars · 21 citations
- Cheshire County Home Westmoreland, 6.6 mi · 4 of 5 stars · 9 citations
- Applewood Center Winchester, 14.4 mi · 5 of 5 stars · 7 citations
- Pine Heights at Brattleboro Center for Nursing & R Brattleboro, 14.5 mi · 5 of 5 stars · 11 citations
- Thompson House Nursing Home Brattleboro, 14.5 mi · 1 of 5 stars · 7 citations
- Vernon Green Nursing Home Vernon, 16.7 mi · 3 of 5 stars · 45 citations
Common questions
- What is Covenant Living of Keene's Medicare star rating?
- CMS rates Covenant Living of Keene 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Covenant Living of Keene get at its last inspection?
- 1 health deficiency at the standard inspection on June 4, 2026. The New Hampshire average is 4.
- Has Covenant Living of Keene been fined?
- CMS lists no fines in the last three years.
- Does Covenant Living of Keene accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Covenant Living of Keene?
- CMS lists 23 owners and managers, and links the home to Covenant Living. Legal business name: COVENANT LIVING OF KEENE.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.