5/5
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.
5/5
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.
Langdon Place of Keene is a 156-bed Nursing Home at 136A Arch Street, Keene, Cheshire County, New Hampshire. Administrated by Jennifer Rousseau and owned by Kathleen Oby, the facility is licensed (License Number 04774, CMS Certification 305089) with active status issued September 1, 2025, and expiring August 31, 2026. Langdon Place of Keene has served the community for 25 years, offering short-term rehabilitation, skilled nursing care, and a dedicated 25-bed Alzheimer’s and dementia memory care unit.
The facility operates at 90% occupancy with 140 occupied beds out of 156 total. Average census runs 80 residents per day. Medicare admissions, which represent 42% of new residents, typically stay 22 days for short-term rehabilitation. Private pay residents, representing 58% of admissions, typically remain 5 to 6 months. The facility does not accept Medicaid.
Staffing levels exceed state averages. Total nursing hours average 5 hours 3 minutes per resident per day, which is 20% above the New Hampshire average of 4 hours 13 minutes and ranks the facility #11 out of 62 nursing homes in the state. Weekend nursing coverage of 4 hours 45 minutes per resident per day is 38% above the state average. CMS assigns a Staffing Rating of 4/5 stars.
The New Hampshire Department of Health and Human Services, Health Facilities Administration conducted three inspections of the facility. The most recent inspection occurred in February 2025. The facility received 6 citations total across all inspections, which ranks it #5 out of 63 facilities in New Hampshire for lowest total citations. Citations per inspection average 2, which ranks the facility #1 in the state. No critical or serious citations were issued. All six citations were moderate deficiencies: Infection Control (2), Nutrition (1), Pharmacy (1), and other categories (2). All citations were corrected. Infection Control accounted for 33% of cited deficiencies.
CMS ratings are Mixed. Overall Rating: 3/5 stars (NH average 2.9/5). Health Inspection Rating: 3/5 stars (NH average 2.8/5). Staffing Rating: 4/5 stars (NH average 3.2/5). Quality Measures Rating: 2/5 stars (NH average 3.1/5).
The facility is privately operated. Annual revenue is $10.7 million with a reported operating loss of $1.9 million. Payroll costs are $4.5 million, representing 42% of revenue.
Families should ask directly about the discrepancy between strong staffing levels and low citation rates versus the lower Quality Measures rating.
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.
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.
This home is ranked 30th 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 46m per day | ▲ 141% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 4m per day | ▲ 38% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 15m per day | ▼ 6% State avg: 2h 23m per day · National avg: 2h 20m per day |
|
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 2m per day | ▲ 17% State avg: 3h 26m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 9m per day | ▲ 120% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 58m per day | ▲ 88% State avg: 31m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Langdon Place of Keene is administered by Jennifer Rousseau.
In New Hampshire, the Department of Health and Human Services, Health Facilities Administration is responsible for the unannounced inspection and licensing of all residential care and nursing facilities.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NH Average | vs. NH Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 12 | 17 | This facility has 29% fewer total deficiencies than a typical New Hampshire assisted living residence (12 vs. NH avg 17).↓ 29% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 4 | 5.7 | This facility has 30% fewer deficiencies per year than a typical New Hampshire assisted living residence (4 vs. NH avg 5.7).↓ 30% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New Hampshire average 3.5
Last Health inspection on Jan 2025
New Hampshire average 14.4
New Hampshire average 3.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 12 citations resulted from standard inspections.
100% better than New Hampshire averageNew Hampshire average: 0.2
100% better than New Hampshire averageNew Hampshire average: 0.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
90% more staff per resident than New Hampshire average
5% worse than New Hampshire average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 14 RN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursHelps with daily care and mobility.
All 23 CNA Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,860 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 23 | 0 | 23 | 4,605 | 92 | 100% | 7.7 |
| Registered Nurse | 14 | 0 | 14 | 3,140 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 8 | 0 | 8 | 1,725 | 92 | 100% | 7.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 649 | 76 | 83% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 63 | 68% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 457 | 59 | 64% | 7.7 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 437 | 59 | 64% | 6.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 430 | 59 | 64% | 7.3 |
| Dietitian | 1 | 0 | 1 | 403 | 66 | 72% | 6.1 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 302 | 61 | 66% | 4.7 |
| Qualified Social Worker | 0 | 2 | 2 | 37 | 26 | 28% | 1.3 |
| Medication Aide/Technician | 3 | 0 | 3 | 21 | 4 | 4% | 5.2 |
| Medical Director | 0 | 1 | 1 | 5 | 1 | 1% | 5 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.3
19% better than New Hampshire averageNew Hampshire average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.0
8% worse than New Hampshire averageNew Hampshire average: 23.2
Percent of long-stay residents whose need for help with daily activities has increased
25.0%
14% worse than New Hampshire averageNew Hampshire average: 21.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than New Hampshire averageNew Hampshire average: 4.6%
Percent of long-stay high risk residents with pressure ulcers
2.8%
39% better than New Hampshire averageNew Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than New Hampshire averageNew Hampshire average: 2.5%
Percent of long-stay residents who have depressive symptoms
10.0%
21% worse than New Hampshire averageNew Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
22.2%
28% worse than New Hampshire averageNew Hampshire average: 17.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
In line with New Hampshire averageNew Hampshire average: 96.0%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.7%
12% better than New Hampshire averageNew Hampshire average: 83.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
20% better than New Hampshire averageNew Hampshire average: 1.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
19% better than New Hampshire averageNew Hampshire average: 83.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.8%
12% worse than New Hampshire averageNew Hampshire average: 22.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.6%
46% worse than New Hampshire averageNew Hampshire average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New Hampshire averageNew Hampshire average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
78.6%
46% better than New Hampshire averageNew Hampshire average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.2%
15% better than New Hampshire averageNew Hampshire average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
46% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
20Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Langdon Place of Keene from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #43 / 65Payroll — State benchmarkedThis home is ranked 43rd out of 65 homes in New Hampshire for Payroll. Shows total annual staff payroll benchmarked to the New Hampshire average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same 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.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #17 / 65Payroll % — State benchmarkedThis home is ranked 17th out of 65 homes in New Hampshire for Payroll %. Shows payroll as a percentage of revenue versus the New Hampshire average. Well-run New Hampshire facilities typically land around 58–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same 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.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 7 - 8 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.1 miles from city center
Estimated distance in miles from Keene's city center to Langdon Place of Keene's address, calculated via Google Maps.
Add your location
Langdon Place of Keene is located in Keene, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
Langdon Place of Keene has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NH state health department records, Langdon Place of Keene's license number is 04774.
According to NH state health department records, Langdon Place of Keene's license expires on August 31, 2026.
Langdon Place of Keene's occupancy is 89.9%.
Yes, Langdon Place of Keene allows residents to bring their pets.
Langdon Place of Keene is registered as a for-profit in NH.
Jennifer Rousseau is the administrator of Langdon Place of Keene.
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