Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 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.
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.
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 August 2026) and official state health department websites.