Keene Center, Genesis Healthcare
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 116 Google reviews
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What this means for your family
While the facility has a strong reputation for rehabilitation and friendly staff, the recurring reports of neglect and poor cleanliness are significant red flags. We strongly recommend conducting an unannounced tour of the specific wing your loved one would reside in and asking management directly about their current staffing ratios and cleaning protocols.
Google Reviews
Google Reviews
116 reviews on Google“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 detailsStrengths
- 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 · 120 analyzed
How They Respond to Reviews
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.”
“Upstairs rooms are filthy and outdated.... strong urine odor throughout. Walls and ceilings are stained and dirty....need paint.”
“My mom was at another nursing care facility in Keene and they were just awful... At Genesis, they respect her and treat her with dignity.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
4
measures
6
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Apr 8, 2025Routine5
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Keep all essential equipment working safely.
Smoke Deficiencies
Provide properly protected cooking facilities.
Apr 19, 2024Routine3
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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.
Nov 16, 2023Routine4
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Have policies on smoking.
Jun 12, 2023Complaint6
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Administration Deficiencies
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.
May 24, 2023Complaint2
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Ownership & Operations
Who Operates This Facility
Keene Center, Genesis Healthcare
for profit
Chain Affiliation
Genesis Healthcare
187 facilities nationwide
Chain avg rating: 2.4/5 · Rank 45 of 188
Ownership & Management
Owners
Genesis Nh Holdings LLC
Owner · Organization
Genesis Healthcare LLC
Owner (parent company) · Organization
Genesis Operations LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
116 reviews from families & visitors
Official Website
Visit genesishcc.com
Medicare data downloads
Original nursing home datasets
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