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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 25th out of 57 homes in New Hampshire.| Staff type | Hours / day | vs state avg |
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Total Nursing (Weekend)
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.
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4h 9m per day | ▲ 21% State avg: 3h 26m per day · National avg: 3h 26m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #26 / 55Payroll — state benchmarkedThis home is ranked 26th out of 55 homes in New Hampshire.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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the New Hampshire average: 81.1%
Langdon Place of Keene is administrated by Jennifer Rousseau.
Langdon Place of Keene is located in Keene, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
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.
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These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.8%
12% worse than New Hampshire average
New Hampshire average: 22.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.6%
46% worse than New Hampshire average
New Hampshire average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New Hampshire average
New 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 average
New Hampshire average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.2%
15% better than New Hampshire average
New Hampshire average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
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| Bedford Nursing and Rehabilitation Center |
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Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Bedford | 102 | 76.1% | -6% | 3.05 | -24% | -29% | 0 | 15 | 5.0 | - | 86 | 0 | Woh LLC | $9.4M | $5.6M | 59.6% | 305086 | ||||
| Bedford Hills |
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Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Bedford | 147 | 94.2% | +16% | 3.33 | +19% | -22% | 1 | 8 | 2.0 | 1 | 135 | 0 | Heidi Forrence | $25.6M | $8.5M | 33.2% | 305060 | ||||
| Alpine Healthcare Center |
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Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Keene | 85 | 84.4% | +4% | 3.21 | -52% | -25% | 0 | 17 | 5.7 | - | 73 | 12 | White Mountain Peak Healthcare LLC | $8.5M | $3.8M | 44.8% | 305062 |
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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 90%.
Jennifer Rousseau is the administrator of Langdon Place of Keene.
Langdon Place of Keene has 156 beds.
Yes — there are 4 photos of Langdon Place of Keene in the photo gallery on this page.
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