Nursing home
Keene Center, Genesis Healthcare
677 Court Street, Keene, NH 03431 · Map
For profit - Corporation · Part of Genesis Healthcare (193 facilities) · 106 certified beds
Keene Center, Genesis Healthcare is a Medicare-certified nursing home in Keene, New Hampshire. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.20 hours per resident per day, below the New Hampshire average of 3.88. Its most recent inspection on Apr 8, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Keene Center, Genesis Healthcare compares
This facility vs. the New Hampshire and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Hampshire avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.20 | 3.88 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.62 | 0.74 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.81 | 2.39 | 2.34 | below avg |
| Nursing staff turnover | 37.8% | 48.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 4.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Keene Center, Genesis Healthcare
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Apr 19, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Apr 19, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 19, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Have policies on smoking.
Environmental Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Jun 12, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 12, 2023 - Potential for harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Jun 12, 2023 - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Jun 12, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 677 Court Street
Keene, NH 03431 - CMS certification #
- 305051
- Ownership
- For profit - Corporation
- Certified beds
- 106
- Avg residents/day
- 82.7
- Provider type
- Medicare and Medicaid
- First certified
- 1995-06-01
- Chain
- Genesis Healthcare (193 facilities)
- Setting
- Rural
Part of Genesis Healthcare
Genesis Healthcare operates 193 nursing facilities across the United States. View all Genesis Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Keene Center, Genesis Healthcare using Google Maps.
Other public records
- Website says Respite stays, works with hospice, pets allowed
- Workplace safety 1 OSHA workplace safety inspection since 2023, no violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Keene Center, Genesis Healthcare says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Keene Center is a skilled nursing facility offering post-hospital, short-term rehabilitation as well as long-term and respite care.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Brandee’s nursing experience includes ICU, Psychiatric Nursing, Home Healthcare, as well as Hospice care.
(page, checked Oct 12, 2026) - Pets allowed.
Pets permitted for visits
(page, checked Oct 12, 2026) - Smoke-free.
Smoke free environment
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jun 6, 2023: programmed (planned) inspection, complete (health). Case closed Oct 16, 2023. No violations cited. OSHA record. OSHA recorded the employer as Genesis Healthcare LLC.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Cheshire Medical Center, Keene. 0.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Langdon Place of Keene, Keene. 1.1 miles away, straight line.
- Nearest home health agency office
- Vna At Hcs Inc, Keene. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hannaford Pharmacy. 1.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 03431 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc Monadnock Dialysis Center, Keene, 2.1 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 03431.
Vna At Hcs, office in Keene, 2.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mary Hitchcock Memorial Hospital, Keene. 0.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Keene Center, Genesis Healthcare a good nursing home?
CMS gives Keene Center, Genesis Healthcare an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Keene Center, Genesis Healthcare staffed?
Keene Center, Genesis Healthcare reports 3.20 total nurse hours per resident per day, compared with the New Hampshire average of 3.88.
Has Keene Center, Genesis Healthcare had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Keene Center, Genesis Healthcare have?
Keene Center, Genesis Healthcare is certified for 106 beds.