Nursing HomeMedicaid

Keene Center, Genesis Healthcare

A middle-range Medicare rating. Review each component and visit in person before deciding.

677 Court Street, Keene, NH 03431|106 beds|Licensed & active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

4.3/5

based on 117 Google reviews

(603) 357-3800 Directions Website

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Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Above-median findings in the latest survey (5 vs median 3)

No Medicare penalties on record

Source: Medicare data

What this means for your family

Keene Center, Genesis Healthcare has a middle-range Medicare overall rating. Strengths include effective rehabilitation (pt/ot) services. Some reviewers note concerns about neglect and poor patient care (mentioned by 7 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.

Google Reviews

121 public Google reviews available

Keene Center receives highly polarized feedback, with many families praising the compassionate nursing staff and effective rehabilitation programs. However, a significant number of reviewers report serious concerns regarding facility cleanliness, odors, and inconsistent responsiveness to patient needs. Families should weigh the positive reports of staff kindness against recurring complaints about neglect and poor communication.

Quality Themes

Tap a score for details

Strengths

Effective rehabilitation (PT/OT) services
Compassionate and friendly nursing staff
Secure and organized visitor check-in system
Engaging activities and community events

Concerns

Neglect and poor patient care (mentioned by 7 reviewers)
Facility cleanliness and strong odors (mentioned by 3 reviewers)
Unresponsive staff and difficulty with communication (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 121 analyzed

How They Respond to Reviews

83%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed you have a very high response rate to online feedback; how do you use that family input to improve the daily experience for residents?
2With the current CMS staffing rating, could you walk me through how your team ensures consistent, one-on-one attention for residents throughout the day?
3I’ve read great things about your rehabilitation programs, but how do you balance that intensity with the need for a comfortable, clean, and odor-free living environment?
4Communication is very important to our family; what is the best way for us to stay in the loop regarding our loved one's care, and how quickly can we expect a response if we have concerns?
5Given the recent focus on facility standards, what specific protocols do you have in place to ensure that housekeeping and hygiene needs are met consistently?
6Since your community events are highly rated, what are some of the most popular activities that help residents feel connected and engaged with one another?

Personalized based on this facility's data

Key Review Excerpts

“The staff treats her with respect and kindness. I am grateful for all they do for her.”

Long-term resident's family · 2021★★★★★

“Upstairs rooms are filthy and outdated.... strong urine odor throughout. Walls and ceilings are stained and dirty....need paint.”

Family member · 2023★★☆☆☆

“They are neglectful abusive and hang up on you constantly. This place needs to be torn down. They can't answer questions.”

Family member · 2026★☆☆☆☆

Source: 121 Google reviews in the current analysis set

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.69hrs

92%

Registered nurses for medical care

Total Nursing

3.33hrs

81%

All nurses + aides combined

Staff Turnover

34%

Lower is better (< 30% = good)

RN Turnover

31%

Lower is better (< 30% = good)

Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

3/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents needing more daily help over time

↓ Lower is better

This Facility29.5%

Worse than Avg

Here

29.5%

13.9%

22.7%

Cheshire

26.8%

Residents with depression symptoms

↓ Lower is better

This Facility25.3%

Worse than Avg

Here

25.3%

12.8%

13.7%

Cheshire

20.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Residents whose walking got worse

↓ Lower is better

This Facility24.1%

Worse than Avg

Here

24.1%

14.1%

17.5%

Cheshire

20.0%

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility26.8%

Mixed vs Avgs

Here

26.8%

19.0%

25.7%

Cheshire

28.0%

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility14.4%

Better than Avg

Here

14.4%

19.5%

19.0%

Cheshire

17.6%

Residents on antipsychotic medication

↓ Lower is better

This Facility14.1%

Better than Avg

Here

14.1%

15.4%

17.8%

Cheshire

18.2%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility80.7%

Worse than Avg

Here

80.7%

82.0%

86.8%

Cheshire

90.5%

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility81.3%

Mixed vs Avgs

Here

81.3%

79.8%

83.0%

Cheshire

88.5%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.3%

Better than Avg

Here

1.3%

1.6%

1.3%

Cheshire

1.6%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

14findings in history

Latest survey: 5 · above NH avg (4.0)

Keene Center has a concerning pattern of deficiencies with families filing multiple complaints about nursing staffing, food safety, and abuse reporting failures. The facility shows recurring problems in nutrition services, care planning, and medication management across multiple surveys from 2023-2025. While all violations have correction dates, the persistent issues across different time periods suggest ongoing quality challenges that warrant careful consideration during your visit.

May 14, 2026Routine6 findings

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0628Minimal · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Apr 8, 2025Routine5 findings

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Minimal · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Apr 19, 2024Routine3 findings

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ownership & Operations

Who Operates This Facility

Owner / Operator

Keene Center, Genesis Healthcare

Organization Type

for profit

Chain Affiliation

Chain Name

Genesis Healthcare

Chain Size

184 facilities nationwide

Chain avg rating: 2.4/5 · Rank 45 of 188

Ownership & Management

Owners

Genesis Nh Holdings LLC

Owner · Organization

100%

Fc-Gen Operations Investment LLC