Home / New Hampshire / Keene
Langdon Place of Keene
136 a Arch Street, Keene, NH 03431 · Cheshire County · (603) 357-3902
25 certified beds, about 22 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305085 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 11, 2026, inspectors cited 1 health deficiency (the New Hampshire average is 4, the national average 9.2).
None of its 6 health citations since January 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 5.26 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 2.01 of those hours.
26.5% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
CMS links it to 603 Healthcare, an affiliated group of 7 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.
February 11, 2026Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement water management control measures which could potentially expose the facility's census of 25 residents to the spread and growth of water borne pathogens.
January 3, 2025Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to implement policies and procedures for Enhanced Barrier Precautions (EBP) for 1 of 2 residents reviewed for EBP in a final sample of 13 residents. (Resident identifier is #176.)
January 18, 2024Standard inspection · 4 citations
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that a resident receiving dialysis services received medications according to physician orders and failed to ensure monitoring of a dialysis fistula site for 1 of 1 resident reviewed for dialysis in a final sample of 12 residents (Resident Identifier is #11).
- 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 pharmacist failed to report irregularities to the facility for 2 out of 7 residents reviewed for drug regimen review in a final sample of 12 residents (Resident Identifiers are #7 and #14).
- 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 orders for psychotropic drugs were limited to 14 days and that consents were obtained for the use of psychotropic medications for 2 of 2 residents reviewed for psychotropic/opioid side effects in a final sample of 12 residents reviewed (Resident Identifiers are #7 and #14).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observation, interview, and policy review, it was determined that the facility failed to follow its policies for managing healthcare personnel with symptoms of SARS-CoV-2 (COVID-19) working in the facility (Staff identifier I).
Fire safety inspections
3 fire safety citations on file: 1 on February 11, 2026, 1 on January 3, 2025, 1 on January 18, 2024.
Every fire safety citation3 citations
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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) | 5.26 | 3.90 | 3.86 |
| Registered nurses | 2.01 | 0.78 | 0.69 |
| All nursing staff on weekends | 4.12 | 3.47 | 3.42 |
| Nurse aides | 2.34 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 26.5% | 44.1% | 45.8% |
| Registered nurse turnover | 33.3% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.66 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 5.73 on weekdays and 4.12 on weekends, 28% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.09 in April to June 2025 to 5.26 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 | 5.26 | 2.01 | 5.73 | 4.12 | 0.0% | 0 of 90 | 22 |
| Oct to Dec 2025 | 5.07 | 1.77 | 5.48 | 4.03 | 0.0% | 0 of 92 | 22 |
| Jul to Sep 2025 | 4.99 | 1.91 | 5.41 | 3.94 | 0.0% | 0 of 92 | 22 |
| Apr to Jun 2025 | 5.09 | 1.95 | 5.46 | 4.15 | 0.0% | 0 of 91 | 22 |
| 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 short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.3 | 1.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.9 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.8 | 13.4 | 12.0 |
Owners and operators
Legal business name: KEENE SNF OPCO LLC. CMS links this home to 603 Healthcare, a group of 7 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Black Mountain Peak Healthcare, LLC | 5% or greater direct ownership interest | Organization | 100% | 01/25/2024 |
| Pr Nh Holdings LLC | 5% or greater indirect ownership interest | Organization | 48% | 02/19/2024 |
| Rr Nh Holdings LLC | 5% or greater indirect ownership interest | Organization | 48% | 02/19/2024 |
| 603 Healthcare LLC | Operational/managerial control | Organization | 10/28/2024 | |
| Johnson, Michael | Operational/managerial control | Individual | 09/01/2024 | |
| Kasschau, Michael | Operational/managerial control | Individual | 09/01/2024 | |
| Stevenson, Sean | Operational/managerial control | Individual | 10/28/2024 | |
| 603 Healthcare LLC | Adp of the SNF | Organization | 10/28/2024 | |
| Johnson, Michael | Adp of the SNF | Individual | 09/01/2024 | |
| Kasschau, Michael | Adp of the SNF | Individual | 09/01/2024 |
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 3 problems in this area, most recently on February 11, 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 January 18, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 18, 2024: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
Other nursing homes nearby
- Alpine Healthcare Center Keene, 1 mi · 1 of 5 stars · 21 citations
- Keene Center, Genesis Healthcare Keene, 1.1 mi · 3 of 5 stars · 10 citations
- Covenant Living of Keene Keene, 3.2 mi · 4 of 5 stars · 6 citations
- Cheshire County Home Westmoreland, 9.4 mi · 4 of 5 stars · 9 citations
- Applewood Center Winchester, 13.1 mi · 5 of 5 stars · 7 citations
- Pine Heights at Brattleboro Center for Nursing & R Brattleboro, 15.5 mi · 5 of 5 stars · 11 citations
- Thompson House Nursing Home Brattleboro, 15.6 mi · 1 of 5 stars · 7 citations
- Vernon Green Nursing Home Vernon, 16.6 mi · 3 of 5 stars · 45 citations
Common questions
- What is Langdon Place of Keene's Medicare star rating?
- CMS rates Langdon Place of Keene 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Langdon Place of Keene get at its last inspection?
- 1 health deficiency at the standard inspection on February 11, 2026. The New Hampshire average is 4.
- Has Langdon Place of Keene been fined?
- CMS lists no fines in the last three years.
- Does Langdon Place of Keene accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Langdon Place of Keene?
- CMS lists 10 owners and managers, and links the home to 603 Healthcare. Legal business name: KEENE SNF OPCO LLC.
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.