Keene Center, Genesis Healthcare
Keene, New Hampshire · CCN 305051
21 surveys since 2011, 1 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 72
- Surveys
- 21
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 106
- Ownership
- For profit - Corporation
- Chain
- GENESIS HEALTHCARE
- County
- Cheshire · rural
- Medicare-certified since
- 1995
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 3
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 16 for-profit facilities of 100–127 beds in New Hampshire.
Last survey on record
May 14, 2026
179 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.33 | 3.35 |
| Registered-nurse hours per resident day | 0.69 | — |
| Annual nurse turnover | 33.8% | 41.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D880.0% | E110.0% | F— |
| No harm, potential for minimal | A— | B110.0% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7612×
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.
- F6281×
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F6451×
PASARR screening for Mental disorders or Intellectual Disabilities
- F6581×
Ensure services provided by the nursing facility meet professional standards of quality.
- F7591×
Ensure medication error rates are not 5 percent or greater.
In the surveyor’s words
From the most serious findings on record at Keene Center, Genesis Healthcare, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF802Jun 12, 2023
Based on observation, interview, and record review it was determined that the facility failed to employ sufficient dietary staff to safely and effectively carry out the functions of the food and nutrition service for 2 out of 2 units observed for dining and the main kitchen observed for meal tray line service (Resident Identifiers are #4, #7, #13, #16, #17, #18, and #19). Findings include: Review on 6/12/23 of the facility's meal deliver times revealed the following: Breakfast - 2North 7:15 a.m., 2South 7:30 a.m., 3North 7:45 a.m., and 3South 8:00 a.m. Lunch - 2North 11:30 a.m., 2South 11:45 a.m., 3North 12:00 p.m., and 3South 12:30 a.m. Supper - 2North 5:15 p.m., 2 South 5:30 p.m., 3North 5:45 p.m., and 3South 6:00 p.m. Scheduled Times may vary plus/minus 10 minutes. […]
- No harm, potential for more than minimal, widespreadF725Feb 21, 2023
Based on interview, and record review it was determined that the facility failed to provide sufficient nursing staff coverage in accordance with the recommendations of the Facility Assessment to meet each resident's needs (Resident Identifiers are #1, #2, #3, and #4). Findings Include: Interview on 2/21/23 at approximately 8:48 a.m. with Resident #2 revealed, The facility is very short staffed, that's all we ever hear. I have to lay in my own urine for hours because there is no one to help you here. This happens often but more frequently at meal times. Interview on 2/21/23 at approximately 8:50 a.m. […]
- No harm, potential for more than minimal, widespreadF921Nov 3, 2021
Based on observation, interview and review of housekeeping schedule, facility failed to maintain a clean homelike environment for a census of 96 residents. Findings include: Observation on 11/3/21 at approximately 8:15 a.m. of the 3rd floor revealed Room 336 had gloves on the floor. Observation on 11/3/21 at approximately 8:30 a.m. of Room 336 revealed large areas on the wall with paint chipped and plaster missing. Interview on 11/3/21 at approximately 8:30 a.m. with Staff A (Registered Nurse) revealed there are days he/she does not see a housekeeper during their shift. Observation on 11/3/21 at approximately 8:30 a.m. of the elevator revealed food particles, dirt, and popcorn on the floor. Observation on 11/3/21 at approximately 8:35 a.m. […]
- No harm, potential for more than minimal, patternF812May 14, 2026
Based on observation, interview and record review the facility failed to ensure that food was stored in a refrigeration at or below 41 degrees Fahrenheit (F) for 1 of 2 kitchenette refrigerators and 1 of 1 main kitchen walk in refrigerators. Findings include:Observation on 5/12/26 at approximately 8:20 a.m. with Staff H (Dietary Manager) revealed that the temperature logs for the walk-in refrigerator in the main kitchen had high temperature recordings. Review on 5/13/26 of the refrigerator temperature logs for the main kitchen walk- in refrigerator revealed the following: a.m. […]
- No harm, potential for more than minimal, patternF880Nov 16, 2023
Based on observation, interview, and record review, it was determined that the facility failed to ensure that hand hygiene procedures were followed in direct resident contact for 1 resident in a census of 84 residents (Resident identifier is #60) and the facility failed to follow Centers for Disease Control and Prevention's (CDC) guidance on Enhanced Barrier Precaution (EBP) for 6 residents in a census of 84 residents observed for infection control (Resident identifiers are #8, #26, #51, #59, #60, and #72). […]
Read 21 findings in full →The most serious and the most recent: 21 of 72 on record.
Every survey on record
FindingsAt actual harm or above
- May 14, 2026Standard5 findings
- Apr 8, 2025Standard2 findings
- Apr 19, 2024Standard3 findings
- Nov 16, 2023Standard5 findings
- Jun 12, 2023Complaint6 findings
- May 24, 2023Standard and complaint6 findings
- Feb 21, 2023Complaint4 findings
- Jun 23, 2022Standard1 finding
Show the 13 earlier surveys
- Feb 8, 2022Complaint3 findings
- Nov 3, 2021Complaint2 findings
- Apr 15, 2021Standard10 findings
- Aug 4, 2020Complaint1 finding
- Jul 25, 2019Standard1 finding
- Jun 21, 2018Standard1 finding
- Aug 30, 2017Standard4 findings
- Aug 5, 2016Standard5 findings
- Sep 2, 2015Standard3 findings
- Sep 12, 2013—2 findings
- Oct 4, 2012—2 findings · 1 harm
- Jul 12, 2012—2 findings
- Sep 2, 2011—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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