Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Jun 2025
Covenant Living of Keene (Assisted Living and Memory Care)
Nursing Home, Assisted Living, Memory Care & Respite Care · Keene, NH
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Covenant Living of Keene (Assisted Living and Memory Care)
Nursing Home, Assisted Living, Memory Care & Respite Care · Keene, NH
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Overview of Covenant Living of Keene (assisted Living and Memory Care)
Covenant Living of Keene is a nursing care community located at 100 Wyman Road in Keene, New Hampshire. The facility coordinates multiple payment arrangements by accepting private pay alongside traditional options. For visitors, the surrounding suburban area is car-dependent, meaning family members will generally rely on personal vehicles or arranged transportation to reach the property.
The newly established building accommodates up to 61 residents, providing a clinical focus centered on short-term skilled nursing, rehabilitation services, and temporary respite care. Round-the-clock staffing manages this daily routine, delivering an average of 5 hours and 34 minutes of total nursing care per resident each day, with nurse aides providing 4 hours of that total. This high volume of hands-on attention supports post-hospital therapy tracks and chronic disease management.
State records outline the facility’s baseline operational status under New Hampshire health department guidelines. Because this is a newly opened site, early inspection filings show a clean operational start with a cumulative citations-per-inspection rate of zero, indicating full adherence to state safety, documentation, and infection control standards.
Older adults reside in a clinical layout that offers structured wellness programs and dedicated caregiver support groups for visiting family members. The culinary team prepares three meals daily, served in a shared dining area. The weekly routine includes access to various on-campus events, live performances, educational presentations, and community luncheons.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 6th out of 65 homes in New Hampshire for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 6th out of 65 homes in New Hampshire for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 34m per day
Rank #6 / 65Nurse hours — State benchmarkedThis home is ranked 6th out of 65 homes in New Hampshire. Shows adjusted nurse hours per resident per day benchmarked to the New Hampshire average, with a ranking across 65 New Hampshire facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs New Hampshire avg
+30%
Standout metric
Weekend Total Nursing is +12% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
|
4h 0m per day | ▲ 12% State avg: 3h 35m per day · National avg: 3h 27m per day |
61-bed community Rank #84 / 169Bed count — State benchmarkedThis home is ranked 84th out of 169 homes in New Hampshire. Shows this facility's certified or reported bed count compared to other New Hampshire facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation Rank #29 / 130Years in operation — State benchmarkedThis home is ranked 29th out of 130 homes in New Hampshire. Shows how long this facility has been in operation compared to other New Hampshire facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score: 12 / 100 Rank #142 / 229Walk Score — State benchmarkedThis home is ranked 142nd out of 229 homes in New Hampshire. Shows how walkable this facility's neighborhood is compared to the average Walk Score across New Hampshire facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeSupported Residential Care Facility
StatusActive
IssuanceFebruary 1, 2025
CountyCheshire
License Number04575
CMS Certification Number305103
Covenant Living of Keene (Assisted Living and Memory Care) is administered by Jennifer Norris.
Rehabilitation Services
Respite Care
24-Hour Staffing
Dining Options
Events And Activities
Wellness Programs
Activitieslive performances, educational talks, dine-in luncheons, open houses
Specific ProgramsCaregiver Support Groups
Touring HoursMonday-Sunday: 7:00 a.m. – 8:00 p.m.
Health Inspection History
Inspections
Total health citations
11
Rank #28 / 66Health citations — State benchmarkedThis home is ranked 28th out of 66 homes in New Hampshire. Shows this facility's total health deficiency citations benchmarked to the New Hampshire State average, with a ranking across all 66 NH facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
New Hampshire average 14.4
Citations per inspection
3.67
Rank #32 / 66Citations per inspection — State benchmarkedThis home is ranked 32nd out of 66 homes in New Hampshire. Shows average deficiency citations per CMS inspection for this facility versus the New Hampshire mean across 66 facilities with citation data. Lower is better.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
New Hampshire average 3.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 11 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than New Hampshire average
New Hampshire average: 0.2
Serious health citations
0
100% better than New Hampshire average
New Hampshire average: 0.1
Citations history (last 3 years)
Infection Control moderate citation
Jun 25, 2025
Corrected
Pharmacy moderate citation
Jun 25, 2025
Corrected
Care Planning minor citation
Jun 25, 2025
Corrected
Pharmacy moderate citation
Jun 11, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
71
Employees
55
Contractors
16
Staff to resident ratio
0 : 0
100% fewer staff per resident than New Hampshire average
Avg staff/day
17
Average shift
7.4 hours
5% worse than New Hampshire average
Total staff hours (quarter)
11,618
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
9 total: 8 full-time employees and 1 contractor.
9
9 total: 8 full-time employees and 1 contractor.
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 27 CNA Staff are full-time employees. No contractors work on this role.
27
All 27 CNA Staff are full-time employees. No contractors work on this role.
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
16%
1,856 contractor hours this quarter
Speech Language Pathologist: 5
Physical Therapy Assistant: 3
Physical Therapy Aide: 2
Registered Nurse: 1
Respiratory Therapy Technician: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Qualified Social Worker: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 0 | 27 | 3,689 | 92 | 100% | 7.5 |
| Registered Nurse | 8 | 1 | 9 | 1,760 | 91 | 99% | 9.6 |
| Licensed Practical Nurse | 8 | 0 | 8 | 1,324 | 75 | 82% | 8.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,072 | 76 | 83% | 8.1 |
| Speech Language Pathologist | 0 | 5 | 5 | 578 | 74 | 80% | 4.6 |
| Dietitian | 1 | 0 | 1 | 577 | 69 | 75% | 8.4 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Medication Aide/Technician | 7 | 0 | 7 | 495 | 48 | 52% | 8.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 494 | 66 | 72% | 5.3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 436 | 64 | 70% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 381 | 48 | 52% | 7.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 283 | 47 | 51% | 6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 14 | 6 | 7% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 11 | 2 | 2% | 5.5 |
| Qualified Social Worker | 0 | 1 | 1 | 7 | 2 | 2% | 3.3 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
27 Certified Nursing Assistant
% of Days
100%
9 Registered Nurse
% of Days
99%
8 Licensed Practical Nurse
% of Days
82%
2 Clinical Nurse Specialist
% of Days
83%
5 Speech Language Pathologist
% of Days
80%
1 Dietitian
% of Days
75%
1 Administrator
% of Days
67%
7 Medication Aide/Technician
% of Days
52%
3 Physical Therapy Assistant
% of Days
72%
1 Respiratory Therapy Technician
% of Days
70%
1 Nurse Practitioner
% of Days
52%
2 Physical Therapy Aide
% of Days
51%
1 Occupational Therapy Assistant
% of Days
7%
1 Occupational Therapy Aide
% of Days
2%
1 Qualified Social Worker
% of Days
2%
1 Medical Director
% of Days
3%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
19.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
19.2
69% worse than New Hampshire average
New Hampshire average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.9
46% worse than New Hampshire average
New 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
30.6%
Percent of long-stay residents whose need for help with daily activities has increased
30.6%
39% worse than New Hampshire average
New Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
41.4%
Percent of long-stay residents whose ability to move independently worsened
41.4%
104% worse than New Hampshire average
New Hampshire average: 20.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.8%
10% worse than New Hampshire average
New Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
40% worse than New Hampshire average
New Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.1%
Percent of long-stay high risk residents with pressure ulcers
3.1%
31% better than New Hampshire average
New Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.8%
Percent of long-stay residents with a urinary tract infection
6.8%
173% worse than New Hampshire average
New Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
14.7%
Percent of long-stay residents who lose too much weight
14.7%
162% worse than New Hampshire average
New Hampshire average: 5.6%
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 average
New Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.2%
Percent of long-stay residents who received an antipsychotic medication
19.2%
10% worse than New Hampshire average
New 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 average
New Hampshire average: 96.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.8%
12% better than New Hampshire average
New Hampshire average: 83.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
11% better than New Hampshire average
New Hampshire average: 1.6%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.2%
14% better than New Hampshire average
New Hampshire average: 83.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Places of interest near Covenant Living of Keene (Assisted Living and Memory Care)
2.1 miles from city center
Estimated distance in miles from Keene's city center to Covenant Living of Keene (Assisted Living and Memory Care)'s address, calculated via Google Maps.
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Financial Assistance for
Assisted Living in New Hampshire
Covenant Living of Keene (Assisted Living and Memory Care) is located in Keene, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
Frequently Asked Questions about Covenant Living of Keene (Assisted Living and Memory Care)
Is Covenant Living of Keene (Assisted Living and Memory Care) in a walkable area?
Covenant Living of Keene (Assisted Living and Memory Care) has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the license number of Covenant Living of Keene (Assisted Living and Memory Care)?
According to NH state health department records, Covenant Living of Keene (Assisted Living and Memory Care)'s license number is 04575.
Is Covenant Living of Keene (Assisted Living and Memory Care) a government-operated facility?
Covenant Living of Keene (Assisted Living and Memory Care) is a government-operated nursing facility in NH.
Who is the administrator of Covenant Living of Keene (Assisted Living and Memory Care)?
Jennifer Norris is the administrator of Covenant Living of Keene (Assisted Living and Memory Care).
How many beds does Covenant Living of Keene (Assisted Living and Memory Care) have?
Covenant Living of Keene (Assisted Living and Memory Care) has 61 beds.
Are there photos of Covenant Living of Keene (Assisted Living and Memory Care)?
Yes — there is 1 photo of Covenant Living of Keene (Assisted Living and Memory Care) in the photo gallery on this page.
What is the address of Covenant Living of Keene (Assisted Living and Memory Care)?
Covenant Living of Keene (Assisted Living and Memory Care) is located at 100 Wyman Road, Keene, NH 03431.
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