Cheshire County, New Hampshire · Nursing home
Keene Center, Genesis Healthcare
3 of 5 overall from CMS
677 Court Street, Keene, NH 03431
At a glance
- Overall rating 3 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.33 hours Below the state average of 3.90
- Nursing staff who left in a year 33.8% Below the state average of 44.1%
- Health citations in 3 years 10 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 76.9% of 106 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Keene Center, Genesis Healthcare is a 106-bed nursing home in Keene, New Hampshire (Cheshire County). CMS rates it 3 of 5 stars overall as of Aug 2026. It reports 3.33 nurse staffing hours per resident per day, below the New Hampshire average of 3.90. CMS lists no fines in the past three years.
- Certified beds
- 106
- Residents per day (average)
- 81.5
- Certified since
- 1995 (31 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Genesis Healthcare (184 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Questions to ask Keene Center, Genesis Healthcare
Chosen from this home's public data.
- The latest standard inspection (May 14, 2026) cited 5 health deficiencies; the New Hampshire average is 3.9. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.89 hours per resident on weekends against 3.33 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.69 hours per resident per day; the New Hampshire average is 0.78. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 New Hampshire average 3.1
- Health inspections 3 of 5 New Hampshire average 2.9
- Staffing 3 of 5 New Hampshire average 3.3
- Quality measures 3 of 5 New Hampshire average 3.2
The vertical line marks the New Hampshire average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.33 h New Hampshire average 3.90
- Nurse aides 1.90 h New Hampshire average 2.34
- Licensed practical nurses 0.74 h New Hampshire average 0.78
- Registered nurses 0.69 h New Hampshire average 0.78
- All staff, weekends 2.89 h New Hampshire average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the New Hampshire average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover33.8%
- New Hampshire average44.1%
- Registered nurse turnover30.8%
- New Hampshire average40.9%
- Administrators who left1
Inspection history
Inspectors cited 10 health deficiencies in the past three years. None was graded as actual harm or immediate jeopardy.
| Inspection date | Health | Fire safety |
|---|---|---|
| May 14, 2026 | 5 | 1 |
| Apr 8, 2025 | 2 | 3 |
| Apr 19, 2024 | 3 | 0 |
New Hampshire homes averaged 3.9 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (10)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 16, 2026)
-
BPotential for minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Jun 18, 2026)
Show 5 more
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 30, 2025)
-
DPotential for more than minimal harm, isolated
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (May 13, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (May 3, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (May 9, 2024)
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
New Hampshire homes averaged 0.6 fines and $8,016 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Hampshire
- Size27 of 73 by certified beds
- New Hampshire average residents per day81.3
- ChainGenesis Healthcare
- Chain average overall rating2.4 of 5
- Resident or family councilBoth
- Homes in Cheshire County7
Common questions
What is the CMS star rating for Keene Center, Genesis Healthcare?
Keene Center, Genesis Healthcare has an overall rating of 3 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 3, staffing is 3 and quality measures is 3.
How many beds does Keene Center, Genesis Healthcare have?
Keene Center, Genesis Healthcare has 106 certified beds. It averages 81.5 residents per day, about 76.9% of its certified beds.
How much nursing care do residents get at Keene Center, Genesis Healthcare?
The home reports 3.33 hours of nurse staffing per resident per day, including 0.69 hours from registered nurses. The New Hampshire average is 3.90 hours and 0.78 hours from registered nurses.
Has Keene Center, Genesis Healthcare been fined?
CMS lists no fines for this home in the past three years.
Does Keene Center, Genesis Healthcare accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 5 of 5 Langdon Place of Keene 25beds 87.6%in use 5.26nurse hours a day
- 1 of 5 Alpine Healthcare Center 85beds 88.5%in use 3.14nurse hours a day
- 4 of 5 Covenant Living of Keene 20beds 93.0%in use 5.32nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Cheshire County
Who to call in New Hampshire
These offices serve residents of every nursing home in New Hampshire.
- Long-term care ombudsman Office of the Long-Term Care Ombudsman 1-800-442-5640 A free advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Administration, Health Facility Certification Unit 603-271-9049 The state agency that inspects nursing homes.
New Hampshire staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 305051. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.