Occupancy rate
90%
In line with New Hampshire averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Nursing Home
Langdon Place of Keene
Langdon Place of Keene delivers expert short-term rehabilitation and skilled nursing plus specialized Alzheimer’s and dementia memory care in a dedicated 25-bed unit focused on personalized, compassionate recovery and resident-centered support. It offers a vibrant lifestyle for seniors, encouraging social engagement and active living. The facility has been proudly serving the community for 25 years.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
156
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
90.6%
Residents per day (avg)
20
Occupancy rate
90.6%
Residents per day (avg)
20
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
42% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
58% of new residents, often for short stays.
Typical stay
5 - 6 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$10.7M
Operating loss
-$1.9M
Privately-owned community
Operated by a business corporation.
Home revenue
$10,744,704.00
Operating loss
$-1,907,027.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.7M
156-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
About this community
Occupancy
In line with New Hampshire averageOccupied beds
140 / 156
Average residents
80 per day
License details
Facility type
Supported Residential Care Facility
Status
Active
Issuance
September 1, 2025
Expiration
August 31, 2026
County:
Cheshire
Additional licensing details
License number:
04774
CMS Certification Number:
305089
Ownership & operating entity
Langdon Place of Keene is administrated by JENNIFER ROUSSEAU.
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
Programs & Activities
Specific Programs
Short-Term Rehab, Senior Living, Memory Care
Health Inspection History
Inspections
Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Feb 2025
Total health citations
6
Citations per inspection
2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 6 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.2
Serious Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.1
0 critical citations
0 serious citations
6 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Feb 07, 2025
Corrected
Nutrition moderate citation
Feb 07, 2025
Corrected
Pharmacy moderate citation
Feb 07, 2025
Corrected
Infection Control moderate citation
Mar 13, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around New Hampshire
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
Bedford Nursing and Rehabilitation Center
-24%
-29%
-6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NH 03110
102
WOH LLC
76.1%
$9,354,620.00
$5,594,937.00
59.8%
85.90
3.0465
-
15
-
-24%-29%-6%
Bedford Hills
+19%
-22%
+16%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NH 03110
147
FORRENCE, HEIDI
94.2%
$25,568,088.00
$8,485,429.00
33.2%
135
3.3304
1
8
1
+19%-22%+16%
Langdon Place of Keene
-25%
+18%
+11%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NH 03431
124
OBY, KATHLEEN
89.9%
$10,665,374.00
$4,508,089.00
42.3%
22
5.0507
-
6
-
-25%+18%+11%
Alpine Healthcare Center
-52%
-25%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NH 03431
85
WHITE MOUNTAIN PEAK HEALTHCARE LLC
84.4%
$8,511,033.00
$3,811,930.00
44.8%
73
3.2136
-
17
-
-52%-25%+4%
Brookdale Spruce Wood
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NH 03824
80
-
-
-
-
-
-
-
-
-
-
-
-
Bedford Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
NH 03110
Bed Count:
102
Operator:
WOH LLC
CCN:
305086
Occupancy:
76.1%
Home Revenue:
$9,354,620.00
Payroll Costs:
$5,594,937.00
Payroll %:
59.8%
Avg Residents/Day:
85.90
Overall Rating:
Adj Nurse Hours:
3.0465
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
15
RN share vs State Avg:
-24%
-24%
Staffing vs State Avg:
-29%
-29%
Occupancy vs State Avg:
-6%
-6%
Bedford Hills
Type of care:
SNF
AL
Community:
NH 03110
Bed Count:
147
Operator:
FORRENCE, HEIDI
CCN:
305060
Occupancy:
94.2%
Home Revenue:
$25,568,088.00
Payroll Costs:
$8,485,429.00
Payroll %:
33.2%
Avg Residents/Day:
135
Overall Rating:
Adj Nurse Hours:
3.3304
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
8
Severe Citations:
1
RN share vs State Avg:
+19%
+19%
Staffing vs State Avg:
-22%
-22%
Occupancy vs State Avg:
+16%
+16%
Langdon Place of Keene
Type of care:
SNF
AL
Community:
NH 03431
Bed Count:
124
Operator:
OBY, KATHLEEN
CCN:
305089
Occupancy:
89.9%
Home Revenue:
$10,665,374.00
Payroll Costs:
$4,508,089.00
Payroll %:
42.3%
Avg Residents/Day:
22
Overall Rating:
Adj Nurse Hours:
5.0507
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
6
RN share vs State Avg:
-25%
-25%
Staffing vs State Avg:
+18%
+18%
Occupancy vs State Avg:
+11%
+11%
Alpine Healthcare Center
Type of care:
SNF
AL
Community:
NH 03431
Bed Count:
85
Operator:
WHITE MOUNTAIN PEAK HEALTHCARE LLC
CCN:
305062
Occupancy:
84.4%
Home Revenue:
$8,511,033.00
Payroll Costs:
$3,811,930.00
Payroll %:
44.8%
Avg Residents/Day:
73
Overall Rating:
Adj Nurse Hours:
3.2136
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
RN share vs State Avg:
-52%
-52%
Staffing vs State Avg:
-25%
-25%
Occupancy vs State Avg:
+4%
+4%
Places of interest near Langdon Place of Keene
2.1 miles from city center
Keene, NH 03431
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
95
Total Staff
65
Employees
30
Contractors
11,736
Total Hours (Quarter)
17
Avg Staff/Day
7.6
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 8.4 | Yes |
| Licensed Practical Nurse | 19 | 8.7 | Yes |
| Certified Nursing Assistant | 58 | 7.1 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
86 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
3 staff
8hs shift avg
Therapy Services ⓘ
0 staff
0hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
4 staff
3.9hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
8.4%
of total hours from contractors
987 contractor hours this quarter
Licensed Practical Nurse: 7
Registered Nurse: 2
Certified Nursing Assistant: 21
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 37 | 21 | 58 | 4,760 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 12 | 7 | 19 | 2,236 | 91 | 100% | 8.7 |
| Registered Nurse | 7 | 2 | 9 | 2,112 | 91 | 100% | 8.4 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 520 | 65 | 71% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 301 | 60 | 66% | 4.1 |
| Dietitian | 1 | 0 | 1 | 248 | 67 | 74% | 3.7 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
24 residents
Residents by payment source
Medicare
13 residents (54.2%)
Medicaid
2 residents (8.3%)
Private pay or other
9 residents (37.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.5
37% worse than New Hampshire averageNew Hampshire average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.3
39% worse than New Hampshire averageNew Hampshire average: 23.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
35.0%
Percent of long-stay residents whose need for help with daily activities has increased
35.0%
60% worse than New Hampshire averageNew Hampshire average: 21.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.6%
9% worse than New Hampshire averageNew Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
8.0%
Percent of long-stay residents experiencing one or more falls with major injury
8.0%
76% worse than New Hampshire averageNew Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.6%
Percent of long-stay high risk residents with pressure ulcers
3.6%
20% better than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
13.0%
Percent of long-stay residents with a urinary tract infection
13.0%
422% worse than New Hampshire averageNew Hampshire average: 2.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.0%
Percent of long-stay residents who received an antipsychotic medication
4.0%
77% better than New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with New Hampshire averageNew Hampshire average: 96.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.0%
12% better than New Hampshire averageNew Hampshire average: 83.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
123% worse than New Hampshire averageNew Hampshire average: 1.6%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
15% better than New Hampshire averageNew Hampshire average: 83.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Langdon Place of Keene based on CMS SNF Cost Reports.
Occupancy Rate
90.6%
↑ 22.3pp vs 2022
Net Income
-$1,907,027
↓ ~$137K vs 2022
Total Payroll
$7,093,974
↑ ~$315K vs 2022
Profit Margin
-17.9%
↓ 0.4pp vs 2022
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