Deficiency Index

Langdon Place of Keene

Keene, New Hampshire · CCN 305085

13 surveys since 2010, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
39
Surveys
13
Harm or worse
0
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file10/13

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
25
Ownership
For profit - Limited Liability company
Chain
603 HEALTHCARE
County
Cheshire · rural
Medicare-certified since
1997

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=13, floor 20).

Last survey on record

Feb 11, 2026

271 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.264.01
Registered-nurse hours per resident day2.01—
Annual nurse turnover26.5%46.5%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD6100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 6 of the 39 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6981×

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • F7561×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • F7581×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

In the surveyor’s words

From the most serious findings on record at Langdon Place of Keene, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF880Feb 11, 2026

    Based on observation, interview, and record review, the facility failed to implement water management control measures which could potentially expose the facility's census of 25 residents to the spread and growth of water borne pathogens. Findings include:Review on 2/10/26 of the facility's policy titled, Legionella Surveillance, revised on 9/1/25, revealed, .5. Primary Prevention Strategies:.d. Temperature controls: .ii. Hot water shall be stored above 140 [degrees] F [Fahrenheit] and circulated at a minimum return temperature of 124 F.Review on 2/10/26 of the facility water management plan, dated 11/18/25, revealed, .Area where Legionella Could Grow and Spread .Hot water holding tanks .Control Measures & [and] Corrective Action .Hot water holding tanks: .For both types of tanks check for… […]

  • No harm, potential for more than minimal, isolatedF880Jan 3, 2025

    Based on observation, interview, and record review, it was determined that the facility failed to implement policies and procedures for Enhanced Barrier Precautions (EBP) for 1 of 2 residents reviewed for EBP in a final sample of 13 residents. (Resident identifier is #176.) Findings include: Observation on 1/2/25 at approximately 10:00 a.m. on the unit revealed an EBP sign and Personnel Protective Equipment (PPE) cart outside of Resident #176's room next to the entrance door. Review on 1/2/25 of Resident #176's active physician's order revealed an order for a Peripherally Inserted Central Catheter (PICC) line with a start date of 1/2/25. Observation on 1/3/25 at approximately 6:00 a.m. […]

  • No harm, potential for more than minimal, isolatedF698Jan 18, 2024

    Based on interview and record review, it was determined that the facility failed to ensure that a resident receiving dialysis services received medications according to physician orders and failed to ensure monitoring of a dialysis fistula site for 1 of 1 resident reviewed for dialysis in a final sample of 12 residents (Resident Identifier is #11). Findings include: Review on 1/17/24 of Resident #11's January 2024 Medication Administration Record (MAR) revealed the following physician's order: Hydralazine HCL [Hydrochloric Acid] oral tablet 100 mg [milligrams] give 1 tablet by mouth three times a day for Hypertension, start date 12/28/23. Review revealed that the times for administration were 8:00 a.m., 2:00 p.m., and 8:00 p.m. […]

  • No harm, potential for more than minimal, isolatedF756Jan 18, 2024

    Based on interview and record review, it was determined that the pharmacist failed to report irregularities to the facility for 2 out of 7 residents reviewed for drug regimen review in a final sample of 12 residents (Resident Identifiers are #7 and #14). Findings include: Resident #7 Review on 1/17/24 of Resident #7's January 2024 Medication Administration Record (MAR) revealed the following order: Lorazepam oral tablet 0.5 mg [milligrams] give 0.5 mg by mouth every 6 hours as PRN [as needed] for Anxiety, start date 11/27/23. Review on 1/17/24 of Resident #7's medical record revealed that the pharmacist completed Drug Regimen Reviews on 1/17/24, 12/11/23, and 11/27/23 and failed to identify the above PRN psychotropic medication did not have a stop date indicated. […]

  • No harm, potential for more than minimal, isolatedF758Jan 18, 2024

    Based on interview and record review, it was determined that the facility failed to ensure that orders for psychotropic drugs were limited to 14 days and that consents were obtained for the use of psychotropic medications for 2 of 2 residents reviewed for psychotropic/opioid side effects in a final sample of 12 residents reviewed (Resident Identifiers are #7 and #14). Findings include: Resident #7 Review on 1/17/24 of Resident #7's January 2024 Medication Administration Record (MAR) revealed the following order: Lorazepam oral tablet 0.5 mg [milligrams] give 0.5 mg by mouth every 6 hours PRN [as needed] for Anxiety, start date 11/27/23. […]

Read 20 findings in full →The most serious and the most recent: 20 of 39 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 11, 2026Standard1 finding
  • Jan 3, 2025Standard1 finding
  • Jan 18, 2024Standard4 findings
  • Jan 12, 2023Standard7 findings
  • May 19, 2020Infection control1 finding
  • Mar 5, 2020Standard2 findings
  • Jan 2, 2018Standard2 findings
  • Oct 4, 2016Standard2 findings
Show the 5 earlier surveys
  • Oct 22, 2015Standard2 findings
  • Dec 17, 2014Standard4 findings
  • Nov 6, 2013—1 finding
  • Dec 14, 2011—2 findings
  • Sep 22, 2010—10 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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