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CMS overall rating
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.
CMS overall rating
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 accepts Medicare, Medicaid, and private pay.
Overview of Langdon Place of Keene
Set on Arch Street in Keene, New Hampshire, Langdon Place of Keene is a 156-bed nursing home that has been part of the Cheshire County community for 25 years. It offers skilled nursing and short-term rehabilitation alongside a dedicated 25-bed unit for residents with Alzheimer’s or dementia. The neighborhood is car-dependent (Walk Score 12), so getting around by foot isn’t realistic here; most visits mean driving in.
Right now the facility is running at 90% occupancy, with 140 of its 156 beds filled. The average stay is short, about 31 days, which fits a home doing meaningful post-acute and rehabilitation work alongside its longer-term nursing and memory care residents. Nursing coverage adds up to 4 hours and 8 minutes per resident each day, spread across registered nurses, licensed practical nurses, and nurse aides.
Residents recovering from surgery or illness have access to on-site rehabilitation services, so therapy doesn’t require a separate trip elsewhere. Jennifer Rousseau administers the facility. State inspection themes here have centered on medication management and staffing credentials.
Coverage-wise, Langdon Place of Keene takes Medicare, Medicaid, and private pay, so families have more than one route to financing care. Looking at the skilled nursing, the rehab services, and the memory care unit, this is a facility built to handle two different kinds of residents at once: people rehabbing after a hospital stay, and those settling in for longer-term nursing or dementia care.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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
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.
Hours per resident per day vs New Hampshire averages
Rank#23 / 63Nurse hours — State benchmarkedThis nursing home is ranked 23rd out of 63 nursing homes we track in New Hampshire for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the New Hampshire average, with a ranking across 63 New Hampshire facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Total nursing care
This nursing home is ranked 23rd out of 63 nursing homes we track 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.
4h 20m
At state avg
This facilityState avg 4h 17m
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 39m
+126% State avg: 44m per day · National avg: 41m per day
LPN / LVNLicensed 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.
45m
Avg State avg: 46m per day · National avg: 52m per day
Nurse AideCertified 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.
1h 55m
−19% State avg: 2h 23m per day · National avg: 2h 20m per day
Weekend Total NursingCombined 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.
3h 23m
Avg State avg: 3h 26m per day · National avg: 3h 26m per day
Physical TherapistHours 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.
5m
+34% State avg: 4m per day · National avg: 4m per day
Weekend RNRegistered 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.
1h 19m
+154% State avg: 31m per day · National avg: 28m per day
1 of 6 metrics below state avg
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.156Rank#9 / 66Bed count — State benchmarkedThis nursing home is ranked 9th out of 66 nursing homes we track in New Hampshire for bed count. 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.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Medium-capacity home
· Offers a balance of services and community atmosphere.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
1year
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.Rank#44 / 64Walk Score — State benchmarkedThis nursing home is ranked 44th out of 64 nursing homes we track in New Hampshire for walk score. 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.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
12/ 100
Residents per day (avg) The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
22
Avg. Length of Stay
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.
31days
About this community
License Details
IssuanceSeptember 1, 2025
CountyCheshire
License Number04774
CMS Certification Number305089
Ownership & Operating Entity
Langdon Place of Keene is administered by Jennifer Rousseau.
Therapy & Rehabilitation
2 services
Rehabilitation Services
Short-Term Rehab
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
Inspection History
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.
Since 2023 · 3 years of dataThese figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability. Includes all inspection records for this property, which could include management/ownership changes.12 deficiencies4 inspections
Inspection Scorecard
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.
Since 2023 vs. New Hampshire state average
Overall vs. NH average
0 Worse
No metrics in this bucket.
2 Better
Metrics better than New Hampshire average:
• Total deficiencies (33% below)
• Deficiencies per inspection (32% below)
Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.
This Facility
NH Average
vs. NH Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.
12
18.0
This facility has 33% fewer total deficiencies than a typical New Hampshire nursing home (12 vs. NH avg 18).↓ 33% better
Deficiencies per inspection Average deficiencies per inspection.
3.0
4.4
This facility has 32% fewer deficiencies per inspection than a typical New Hampshire nursing home (3 vs. NH avg 4.4).↓ 32% better
Inspections State inspections evaluate whether the facility meets health and safety standards.
This Facility
NH Average
vs. NH Avg
Total inspections Combined count of all inspections conducted at this facility.
4
4.0
This facility has total inspections in line with the New Hampshire average (4 vs. NH avg 4).— At avg
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
InspectionsSince 2024 · 2 years of data
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Total health inspections3
State average3.4
Last Health inspection on Feb 2026
Total health citations
6Rank#7 / 64Health citations — State benchmarkedThis nursing home is ranked 7th out of 64 nursing homes we track in New Hampshire for health citations. Shows this facility's total health deficiency citations benchmarked to the New Hampshire State average, with a ranking across all 64 NH facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
State average13.6
Citations per inspection
2Rank#4 / 64Citations per inspection — State benchmarkedThis nursing home is ranked 4th out of 64 nursing homes we track in New Hampshire for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New Hampshire mean across 64 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
State average3.84
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 2 years)
Critical health citations
0
100% better than State average
State average: 0.2
Serious health citations
0
100% better than State average
State average: 0.1
0 critical citationsState average: 0.2
0 serious citationsState average: 0.1
6 moderate citationsState average: 11.6
0 minor citationsState average: 1.7
Citations history (last 2 years)
Infection Control moderate citationFeb 11, 2026
Corrected
Infection Control moderate citationJan 03, 2025
Corrected
Infection Control moderate citationJan 18, 2024
Corrected
Pharmacy moderate citationJan 18, 2024
Corrected
Citations history (last 2 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff70
Employees53
Contractors17
Staff to resident ratio3.50 : 1
91% more staff per resident than New Hampshire average
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 scoreA 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 average
New Hampshire average: 11.4
Functional decline scoreA composite score based on activities of daily living decline, walking ability decline, and incontinence.25.0
8% 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 increased25.0%
14% worse than New Hampshire average
New Hampshire average: 21.9%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury0.0%
100% better than New Hampshire average
New Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers2.8%
39% better than New Hampshire average
New Hampshire average: 4.5%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection0.0%
100% better than New Hampshire average
New Hampshire average: 2.5%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms10.0%
21% worse than New Hampshire average
New Hampshire average: 8.3%
Antipsychotic Use Percent of long-stay residents who received an antipsychotic medication22.2%
28% worse than New Hampshire average
New Hampshire average: 17.4%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine96.3%
In line with New Hampshire average
New Hampshire average: 96.0%
Short-stay resident measures
Above averageNew Hampshire avg: 2.9CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine93.7%
12% better than New Hampshire average
New Hampshire average: 83.8%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication1.3%
20% better than New Hampshire average
New Hampshire average: 1.6%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine99.0%
19% better than New Hampshire average
New Hampshire average: 83.0%
Re-hospitalized after SNF stayPercentage 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%
Emergency department visitsPercentage of short-stay residents who had an outpatient emergency department visit.20.6%
46% worse than New Hampshire average
New Hampshire average: 14.1%
Falls with major injuryPercentage 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%
Ability to care for self at dischargePercentage 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%
Successful return to home or communityRate 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%
Breakdown by payment type
Medicare
46% of new residents, usually for short-term rehab.
Typical stay1 months
Private pay
54% of new residents, often for short stays.
Typical stay7 - 8 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jan 2026)
Total residents20
Medicare
11
55% of residents
Medicaid
3
15% of residents
Private pay or other
6
30% of residents
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.
Financial Trends
Historical financial and operational data for Langdon Place of Keene from 2011–2023, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2023.
Net Patient Income-$1.4M↓ ~$308.8K vs 2022
Payroll Costs$5.3M↑ ~$36.9K vs 2022
Operating Margin-14.6%↓ 2.9pp vs 2022
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Occupancy %
67.2%
64.2%
93.9%
92.5%
96.2%
94.1%
91.6%
85.8%
88.8%
82.6%
84.3%
90.8%
89.9%
Beds
181
181
25
25
25
25
25
25
25
25
25
25
122
Net Income
$535,479
$325,191
$220,190
-$21,884
$761,100
$811,927
$755,127
$830,606
-$434,877
-$827,481
-$1,574,733
-$1,032,797
-$1,053,123
Gross Revenue
$9,973,723
$10,500,943
$4,614,724
$4,514,608
$4,373,825
$4,561,294
$4,777,320
$4,592,046
$4,565,915
$4,589,561
$8,942,130
$9,666,900
$9,919,440
Operating Expenses
$8,039,075
$8,137,794
$8,122,812
$8,300,522
$7,849,641
$8,114,649
$7,983,243
$7,884,721
$9,215,373
$9,785,134
$9,987,927
$10,684,350
$11,187,342
Net Patient Income
$460,262
$258,656
-$4,864,929
-$4,652,771
-$4,293,782
-$4,431,797
-$3,998,620
-$4,064,128
-$5,494,259
-$5,452,177
-$1,701,979
-$1,115,676
-$1,424,517
Net Patient Revenue
$8,499,337
$8,396,450
$3,257,883
$3,647,751
$3,555,859
$3,682,852
$3,984,623
$3,820,593
$3,721,114
$4,332,957
$8,285,948
$9,568,674
$9,762,825
Payroll Costs
$3,722,877
$3,740,977
$3,956,140
$3,909,628
$3,639,287
$3,431,697
$3,115,550
$2,979,733
$3,323,001
$3,562,332
$4,006,533
$5,257,942
$5,294,887
Operating Margin %
5.4%
3.1%
-149.3%
-127.6%
-120.8%
-120.3%
-100.4%
-106.4%
-147.7%
-125.8%
-20.5%
-11.7%
-14.6%
Medicare %
9.0%
9.4%
41.6%
44.2%
26.3%
35.4%
52.5%
58.6%
45.7%
40.2%
37.3%
45.2%
9.9%
Medicaid %
4.7%
5.6%
30.7%
22.2%
29.1%
31.0%
22.7%
20.9%
17.0%
23.5%
22.2%
22.0%
3.6%
Private %
86.3%
85.1%
27.7%
33.6%
44.7%
33.7%
24.8%
20.5%
37.3%
36.3%
40.6%
32.8%
86.4%
Net Patient Revenue/Day
$191
$197
$380
$432
$405
$428
$477
$488
$459
$573
$1,077
$1,155
$244
Cost/Day
$181
$191
$948
$983
$895
$942
$955
$1,007
$1,137
$1,294
$1,298
$1,289
$279
Avg Length of Stay
37.9 days
53.9 days
74.5 days
41.6 days
55.9 days
41.2 days
253.3 days
28.8 days
29.4 days
37.6 days
37.4 days
34.7 days
31.5 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
For-profit
Operated by a business corporation.
Net patient revenueNet 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."
$9.8M
Net patient incomeNet 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."
-$1.4M
For-profit Operated by a business corporation.
Net patient revenueNet 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."
$9.8M Rank#36 / 58Net patient revenue — State benchmarkedThis nursing home is ranked 36th out of 58 nursing homes we track in New Hampshire. Shows this facility's net patient revenue compared to the New Hampshire average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet 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."
-$1.4M
Other incomeMoney 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.
$371.4K
Payroll costsStaff 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#32 / 58Payroll costs — State benchmarkedThis nursing home is ranked 32nd out of 58 nursing homes we track in New Hampshire. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New Hampshire average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$5.3M
54.2% of net patient revenue
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#22 / 58Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 22nd out of 58 nursing homes we track in New Hampshire. Shows payroll as a percentage of net patient revenue versus the New Hampshire average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything 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).
$5.9M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.2M
Certification details
License Number:305085
Owner Name:Michael Johnson
Rural vs. Urban:Rural
County:Cheshire
Type of Control:For-profit — Operated by a business corporation.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
What does this home offer?
Pets Allowed
Who this home usually serves
TYPE OF STAY
Mix 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.
Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 7 - 8 months.
Admissions
283 total
Coverage residents most often arrive under.
Medicare46%
Private pay54%
Medicaid1%
Discharges
270 total
Coverage residents most often leave under.
Medicare44%
Private pay54%
Medicaid2%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Places of interest near Langdon Place of Keene
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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Info below is compiled from CMS reports & the NH Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New Hampshire average is: 52.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NH nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities