Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Keene Center, Genesis Healthcare during CMS and state inspections, most recent first.
Food storage temperatures were repeatedly above the required limit in the main kitchen walk-in refrigerator and a third-floor kitchenette refrigerator. Logs showed multiple readings over 41 degrees, and a Dietary Aide reported a 45-degree reading but did not notify anyone. The kitchenette refrigerator was found out of service with beverages still inside, and the Maintenance Director said the units were in use on days they were above 41 degrees.
Inaccurate PASARR Screenings for Residents With Mental Health Diagnoses: Two residents with known mental health diagnoses had inaccurate PASARR screenings. One resident had Bipolar disorder and another had Major Depressive Disorder, but both screenings marked suspected MI as "No," failed to check the applicable diagnosis codes, and left key MI sections incomplete. Social Services confirmed the PASARRs were inaccurate.
An open bottle of Latanoprost eye drops for a resident was found on a medication cart with no open date or open expiration date on the box or bottle. An RN confirmed the missing labeling, and the pharmacy refill date was visible on the package. Manufacturer instructions stated the bottle may be stored at room temperature for 6 weeks once opened.
Failure to provide ordered adaptive eating equipment. A resident with an order and care plan for a lip plate and built-up utensils was observed eating with standard utensils and had difficulty manipulating the fork, with food spilling from it. The OT stated the resident needed the adaptive equipment due to a change in hand dominance for eating, and the resident said the built-up utensils made eating much easier.
Failure to Provide Required Hospital Transfer Notice Information: The facility did not provide complete transfer/discharge notices for two residents who were sent to the hospital. The notices lacked required appeal-rights details, including contact information for the appeal entity and the State LTC Ombudsman, as well as instructions for obtaining and submitting an appeal form. The Admissions Director and DON confirmed the facility does not provide the notice to residents transferred to the hospital.
Staff did not follow Enhanced Barrier Precautions (EBP) for two residents—one with a Foley catheter and another with chronic wounds and a history of MRSA. In both cases, staff provided care without wearing required gowns and gloves, despite EBP signage and documentation indicating the need for these precautions.
A resident's room air conditioner was found with a dust-covered, gray filter that had not been cleaned as required by the manufacturer's instructions, despite the unit being in use. The Maintenance Director confirmed the lack of cleaning and acknowledged the maintenance requirements.
The facility failed to follow physician's orders for two residents, leading to deficiencies in their care. One resident did not have required weight checks documented, and another resident's blood sugar levels were not rechecked or reported as ordered. These issues were confirmed by the Unit Manager.
The facility failed to ensure the medication error rate was not greater than 5% for two of 36 medication opportunities observed. An LPN prepared incorrect dosages of Losartan and Sertraline for a resident, which was confirmed during an interview. The facility's policy on medication administration was not followed, resulting in a 5.56% error rate.
The facility failed to secure medication carts and properly label an opened bottle of Latanoprost Ophthalmic Solution. Two medication carts were left unlocked and unattended by an LPN, and an opened bottle of Latanoprost lacked an open or expiration date despite instructions. The facility's policies on securing medication carts and labeling opened medications were not followed.
Refrigerators Stored Food Above Safe Temperature Limits
Penalty
Summary
Food was not stored in refrigeration at or below 41 degrees Fahrenheit in 1 of 2 kitchenette refrigerators and 1 of 1 main kitchen walk-in refrigerators. Observation with the Dietary Manager revealed that the main kitchen walk-in refrigerator had temperature logs showing repeated high readings, including multiple a.m. and p.m. temperatures above 41 degrees across several dates in April and May. The third-floor kitchenette refrigerator also had repeated elevated temperatures documented on its logs, and when observed it was placed out of service with items still inside, including a jug of orange juice with an open date of 5/10/26, three 20-ounce diet cokes, and one unopened Gatorade bottle. Interview with the Dietary Aide revealed that on 5/8/26 he/she recorded a digital temperature of 45 degrees from the outside of the third-floor kitchenette refrigerator before stocking and did not report the elevated temperature because he/she was not aware it was reportable. The Maintenance Director stated they were unaware of the elevated temperatures for the third-floor kitchenette refrigerator, and further stated the refrigerators were in use on the days they were above 41 degrees Fahrenheit. The facility policy for cold food storage stated that daily temperatures are to be recorded and that if temperatures are higher than the acceptable range, foods must be removed and stored safely in other refrigerators and maintenance notified.
Inaccurate PASARR Screenings for Residents With Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure accurate PASARR screenings for residents with mental health diagnoses. Resident #6 was admitted with a known diagnosis of Bipolar disorder, but the PASARR dated 11/11/25 marked Section 2, Screening for mental illness, as "No" for suspected diagnosis, did not check Bipolar in the listed ICD-10 codes for MI, and left Sections 2A, 2B, and 2C incomplete. Resident #100 was admitted about one week before the review with a known diagnosis of Major Depressive Disorder, Recurrent, Moderate, but the PASARR dated 5/6/26 also marked suspected diagnosis as "No," did not check Major Depression in the listed ICD-10 codes for MI, and left Sections 2A, 2B, and 2C incomplete. Staff F from Social Services confirmed that both pre-admission PASARRs were inaccurate. The facility policy stated that the Center Social Worker or designated staff would assure that all patients with mental disorders and/or intellectual disability receive appropriate pre-admission screenings.
Unlabeled Open Eye Drops
Penalty
Summary
The facility failed to label an open eye medication with an open date or open expiration date for Resident #17. During observation of the third floor North High medication cart, an open bottle of Latanoprost eye drops was found with no open date or open expiration date on either the box or the bottle. The box also had a pharmacy label showing a refill date of 1/6/26. Staff G, a Registered Nurse, confirmed that no open date or open expiration date was present and stated the eye drops would have come from the pharmacy on 1/6/26. Review of the manufacturer instructions showed that once opened, the bottle may be stored at room temperature for 6 weeks.
Failure to Provide Ordered Adaptive Eating Equipment
Penalty
Summary
The facility failed to provide adaptive eating equipment for Resident #68, who had a care plan intervention and physician order to use a lip plate and built-up utensils with every meal. During observation on 5/13/26, Resident #68 was seen eating breakfast in the second-floor day room using a spouted cup, lip plate, and standard utensils, and had difficulty manipulating the fork with food spilling from it. Record review showed an order dated 4/21/26 for adaptive equipment, and the Occupational Therapist stated that the resident needed the lip plate and built-up utensils due to a change in hand dominance for eating. The resident later stated that the built-up utensils made eating much easier and asked where more could be obtained. The facility policy stated that assistive devices and utensils would be provided as identified in the individualized plan of care.
Failure to Provide Required Hospital Transfer Notice Information
Penalty
Summary
The facility failed to provide a notice of transfer and discharge that included the required appeal-rights information for 2 of 2 residents reviewed for hospitalization. Resident #12 was sent to the hospital for acute kidney injury and later for abdominal pain. Review of the resident’s record showed a one-page typed Hospital Transfer notice dated 12/11/25 and 12/25/25, but it did not include a statement of appeal rights, the name, mailing and email address, and telephone number of the entity receiving appeal requests, instructions on how to obtain an appeal form and assistance with completing and submitting the appeal hearing request, or the name, mailing and email address, and telephone number of the Office of the State Long-Term Care Ombudsman. Resident #97 was transferred and admitted to the hospital, and the record contained a one-page typed Hospital transfer notice dated 3/27/26. That notice also did not include the required appeal-rights information, including how to obtain an appeal form and assistance with the appeal hearing request, or the contact information for the Office of the State Long-Term Care Ombudsman. During interview, the Admissions Director and DON confirmed that the facility does not provide the notice of transfer and discharge to residents who transfer to the hospital.
Failure to Implement Enhanced Barrier Precautions for Residents with Indwelling Devices and Chronic Wounds
Penalty
Summary
The facility failed to implement its Enhanced Barrier Precautions (EBP) policies and procedures for two residents who required these precautions. For one resident with an indwelling Foley catheter, staff was observed adjusting bed linens without wearing a gown and gloves, despite signage indicating EBP requirements and the presence of a PPE cart. Additionally, the resident's care plan did not include interventions for EBP, as confirmed by the Director of Nursing. For another resident with chronic wounds and a history of MRSA, staff was observed providing morning care while wearing gloves but not a gown, even though the resident was on EBP for their wounds. Medical record review confirmed the resident had wounds older than 30 days and that EBP had been initiated. Interviews with staff, including an LPN and an Advanced Practical Registered Nurse, confirmed the resident's EBP status and the need for these precautions due to the wounds and MRSA history.
Failure to Maintain Air Conditioner Per Manufacturer's Instructions
Penalty
Summary
A deficiency was identified when a room air conditioning unit used by a resident was found to have a filter that was gray with dust and had not been cleaned, despite the manufacturer's instructions requiring cleaning every two weeks. Observations confirmed that the air conditioning unit was in use and vented outside through the window, and the resident's room was significantly cooler than other rooms. The Maintenance Director acknowledged that the filter had not been cleaned and confirmed the manufacturer's maintenance requirements. The resident reported using the air conditioning unit within the past two weeks, and the lack of filter cleaning was verified through both observation and staff interview.
Failure to Follow Physician's Orders for Nutrition and Medication
Penalty
Summary
The facility failed to follow physician's orders for two residents, leading to deficiencies in their care. For Resident #67, the physician's order required daily weight checks every Wednesday for four weeks. However, the Medication Administration Record (MAR) showed that weights were not recorded on the specified dates, and the nurse's notes did not provide reasons for the missed weights. The resident's nutritional assessment indicated the need for monitoring due to wound healing, but the required weights were not documented, which was confirmed by the Unit Manager during an interview. For Resident #27, the physician's order specified the administration of Novolog insulin per sliding scale and required rechecking blood sugar levels two hours after readings above 351, and notifying the provider if levels exceeded 400. The MAR revealed multiple instances where blood sugar levels were above 351 and 400, but there was no documentation of rechecks or provider notifications. The progress notes also lacked documentation of follow-up actions, and the Unit Manager confirmed these findings. The resident's care plan included monitoring blood glucose levels and administering hypoglycemic medications as ordered, but these interventions were not consistently followed.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to ensure the medication error rate was not greater than 5% for two of 36 medication opportunities observed. Specifically, a Licensed Practical Nurse (LPN) prepared and was about to administer incorrect dosages of Losartan and Sertraline to a resident. The resident's Medication Administration Record (MAR) indicated a physician's order for two tablets of Losartan 25 mg and two tablets of Sertraline 100 mg once daily. However, the LPN prepared only one tablet of each medication. This error was confirmed during an interview with the LPN. The facility's policy on medication administration requires staff to verify the correct medication and dose each time it is administered, which was not followed in this instance. The error rate calculated from this incident was 5.56%, exceeding the acceptable threshold of 5%.
Failure to Secure and Properly Label Medications
Penalty
Summary
The facility failed to ensure that medications were secured and properly labeled in accordance with professional principles. During an observation of medication administration, it was noted that two medication carts were left unlocked and unattended by an LPN, who confirmed that they were responsible for both carts. The facility's policy clearly states that medication carts should be locked when out of sight or unattended, which was not adhered to in this instance. The Director of Nursing also confirmed that medication carts should be locked when unattended. Additionally, an observation of a third-floor medication cart revealed an opened bottle of Latanoprost Ophthalmic Solution for a resident, which lacked an open or expiration date despite instructions indicating it should not be used after 42 days. The medication had been filled several months prior and was still being administered daily. The facility's policy requires that the date opened and the expiration date be recorded on the container for medications with a shortened expiration date once opened, which was not followed in this case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Keene
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Langdon Place Of Keene | 1.1 mi | ★★★★★ | 2 | 0 |
| Alpine Healthcare Center | 2.1 mi | ★★★★★ | 4 | 0 |
| Covenant Living Of Keene | 2.2 mi | ★★★★★ | 0 | 0 |
| Cheshire County Home | 8.7 mi | ★★★★★ | 4 | 0 |
| Applewood Center | 13.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.