Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Langdon Place Of Keene during CMS and state inspections, most recent first.
Failure to implement water management controls was identified after review of the facility’s Legionella surveillance policy and water management plan. The plan required hot water holding tank temperature checks, inspection for scale build up, biofilm, and other contamination, and monthly flushing, but the Mnt Dir confirmed there was no documentation that these measures were completed.
A facility failed to implement Enhanced Barrier Precautions for a resident with a PICC line. An LNA was observed assisting the resident with toileting and changing linens without wearing a gown, contrary to EBP guidelines. The Infection Preventionist confirmed the need for gown and glove use during high-contact care activities, as outlined in the facility's policy and CDC guidelines, to prevent the spread of MDROs.
Failure to Implement Water Management Controls
Penalty
Summary
The facility failed to implement water management control measures as part of its infection prevention and control program, which could potentially expose its census of 25 residents to the spread and growth of water borne pathogens. Review of the facility’s Legionella Surveillance policy showed that hot water shall be stored above 140 degrees F and circulated at a minimum return temperature of 124 degrees F. Review of the facility water management plan identified hot water holding tanks as an area where Legionella could grow and spread and required checks for scale build up, biofilm, and other surface contamination, assurance of reasonable flow through the tank without stagnation, and monthly flushing for sediment buildup. During interview, the Maintenance Director confirmed the facility did not have documentation that temperatures were taken at the hot water holding tank, that checks for scale build up, biofilm, and other forms of surface contamination were completed, or that monthly flushes of the hot water holding tanks were performed.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a Peripherally Inserted Central Catheter (PICC) line. During an observation, a Licensed Nursing Assistant (LNA) was seen assisting the resident with toileting and changing linens without wearing a gown, which is required under EBP guidelines. The LNA was wearing a mask and gloves but did not change them between handling dirty and clean linens, which is against the facility's policy and CDC guidelines for EBP. The Infection Preventionist confirmed that the resident was on EBP due to the presence of a central line and that staff should wear gowns and gloves during high-contact care activities. The facility's policy and CDC guidelines both emphasize the necessity of gown and glove use during such activities to prevent the spread of Multidrug-Resistant Organisms (MDROs), especially for residents with indwelling medical devices. The failure to adhere to these precautions was identified during a survey, highlighting a deficiency in the facility's infection control practices.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 46 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Keene
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alpine Healthcare Center | 1 mi | ★★★★★ | 4 | 0 |
| Keene Center, Genesis Healthcare | 1.1 mi | ★★★★★ | 6 | 0 |
| Covenant Living Of Keene | 3.2 mi | ★★★★★ | 0 | 0 |
| Cheshire County Home | 9.4 mi | ★★★★★ | 4 | 0 |
| Applewood Center | 13.1 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.