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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 26th out of 58 homes in New Hampshire. 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 |
|---|---|---|
|
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 9m per day | ▲ 21% State avg: 3h 26m per day · National avg: 3h 26m per day |
Higher than the New Hampshire average: 81.1%Langdon Place of Keene is administrated 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, citation, 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 nursing home (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 nursing home (4 vs. NH avg 5.7).↓ 30% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3 | 4.3 | This facility has 30% fewer deficiencies per inspection than a typical New Hampshire nursing home (3 vs. NH avg 4.3).↓ 30% better |
Inspections
| This Facility | NH Average | vs. NH Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 4 | 4 | This facility has total inspections in line with the New Hampshire average (4 vs. NH avg 4).— At avg |
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% better 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 based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #36 / 58Payroll — State benchmarkedThis home is ranked 36th out of 58 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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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Langdon Place of Keene is located in Keene, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
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MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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| Langdon Place of Keene |
NH 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 | 156 | 89.9% | +11% | 4.14 | +56% | -3% | $0 | 12 | 4.0 | - | 22 | - | 12 | Michael Johnson | $10.3M | $6.6M | 64% | 305085 | ||||
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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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Concord | 52 | 52.1% | -36% | 4.85 | -8% | +13% | $46.1k | 16 | 5.3 | - | 69 | - | 43 | Joyce Higgins | $11.1M | $7.6M | 68.8% | 305063 | ||||
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NH 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Exeter (Hampton Road) | 81 | 30.9% | -62% | 3.34 | -19% | -22% | $28.9k | 12 | 3.0 | 1 | 25 | - | 28 | Sunbridge Goodwin Nursing Home LLC | $11.2M | $5.2M | 46.3% | 305064 | ||||
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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. | Manchester (Hanover Hill) | 124 | 93.5% | +15% | 3.46 | +23% | -19% | $8.5k | 10 | 3.3 | 1 | 116 | A+ | 59 | Theodore Lee | $21.1M | $10.8M | 51.1% | 305009 |
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 2 photos of Langdon Place of Keene in the photo gallery on this page.
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