State average 3.5
Last Health inspection on Jan 2025
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.
Langdon Place of Keene is administered by Jennifer Rousseau.
State average 3.5
Last Health inspection on Jan 2025
State average 14.4
State 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.
State average: 0.2
State average: 0.1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,860 contractor hours this quarter
| 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.
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)
Residents 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.
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.
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.
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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 to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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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.
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Care Types in This Table
AL (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.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 52.5% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RiverWoods Exeter | NH AL IL MC SNF | Exeter (Perkins Hill) | 66
Facility
66
NH AVG
69
Rank
#74 / 164 | - | - | - | - | +55% | - | $0
Facility
$0
NH AVG
$36.9k
Rank
#1 / 65 | 10
Facility
10
NH AVG
14.4
Rank
#21 / 65 | 3.3
Facility
3.3
NH AVG
4.0
Rank
#24 / 65 | - | 3 | - | - | Deborah Riddell | $44.4MFiscal year ending 06/2024
Facility
$44.4MFiscal year ending 06/2024
NH AVG
$13.2M
Rank
#1 / 59 | $22.5MFiscal year ending 06/2024
Facility
$22.5MFiscal year ending 06/2024
NH AVG
$6.9M
Rank
#1 / 59 | 50.7%Fiscal year ending 06/2024
Facility
50.7%Fiscal year ending 06/2024
NH AVG
52.5%
Rank
#29 / 59 | 305049 | |||
| Cedar Healthcare Center | NH AL HOS PC RC SNF | Portsmouth | 102
Facility
102
NH AVG
69
Rank
#40 / 164 |
87.2%
Facility
87.2%
NH AVG
82.2
Rank
#25 / 51 | +6% | 3.24
Facility
3.24
NH AVG
4.28
Rank
#43 / 64 | +38% | -24% | $0
Facility
$0
NH AVG
$36.9k
Rank
#1 / 65 | 7
Facility
7
NH AVG
14.4
Rank
#13 / 65 | 2.3
Facility
2.3
NH AVG
4.0
Rank
#9 / 65 | - | 89 | - |
80
Facility
80
NH AVG
37
Rank
#19 / 190 | - | $11.3MFiscal year ending 12/2023
Facility
$11.3MFiscal year ending 12/2023
NH AVG
$13.2M
Rank
#29 / 59 | $6.3MFiscal year ending 12/2023
Facility
$6.3MFiscal year ending 12/2023
NH AVG
$6.9M
Rank
#23 / 59 | 55.9%Fiscal year ending 12/2023
Facility
55.9%Fiscal year ending 12/2023
NH AVG
52.5%
Rank
#18 / 59 | 305082 | ||||
| St Francis Rehab and Nursing Center | NH IL PC RC SNF | Laconia | 51
Facility
51
NH AVG
69
Rank
#96 / 164 |
89.2%
Facility
89.2%
NH AVG
82.2
Rank
#15 / 51 | +9% | 4.50
Facility
4.50
NH AVG
4.28
Rank
#19 / 64 | +7% | +5% | $0
Facility
$0
NH AVG
$36.9k
Rank
#1 / 65 | 4
Facility
4
NH AVG
14.4
Rank
#2 / 65 | 4.0
Facility
4.0
NH AVG
4.0
Rank
#35 / 65 | - | 46 | - |
4
Facility
4
NH AVG
37
Rank
#176 / 190 | - | $6.8MFiscal year ending 03/2024
Facility
$6.8MFiscal year ending 03/2024
NH AVG
$13.2M
Rank
#50 / 59 | $4.5MFiscal year ending 03/2024
Facility
$4.5MFiscal year ending 03/2024
NH AVG
$6.9M
Rank
#40 / 59 | 65.9%Fiscal year ending 03/2024
Facility
65.9%Fiscal year ending 03/2024
NH AVG
52.5%
Rank
#7 / 59 | 305070 | ||||
| Langdon Place of Keene | NH AL MC SNF | Keene | 156
Facility
156
NH AVG
69
Rank
#9 / 164 | - | - | 4.33
Facility
4.33
NH AVG
4.28
Rank
#23 / 64 | +56% | +1% | $0
Facility
$0
NH AVG
$36.9k
Rank
#1 / 65 | 12
Facility
12
NH AVG
14.4
Rank
#31 / 65 | 4.0
Facility
4.0
NH AVG
4.0
Rank
#35 / 65 | - | 22 | - |
12
Facility
12
NH AVG
37
Rank
#141 / 190 | Michael Johnson | $9.8MFiscal year ending 12/2023
Facility
$9.8MFiscal year ending 12/2023
NH AVG
$13.2M
Rank
#37 / 59 | $5.3MFiscal year ending 12/2023
Facility
$5.3MFiscal year ending 12/2023
NH AVG
$6.9M
Rank
#32 / 59 | 54.2%Fiscal year ending 12/2023
Facility
54.2%Fiscal year ending 12/2023
NH AVG
52.5%
Rank
#22 / 59 | 305085 | ||||
| Covenant Living of Keene (Assisted Living and Memory Care) | NH AL MC RC SNF | Keene | 61
Facility
61
NH AVG
69
Rank
#81 / 164 | - | - | 6.27
Facility
6.27
NH AVG
4.28
Rank
#1 / 64 | -1% | +47% | $0
Facility
$0
NH AVG
$36.9k
Rank
#1 / 65 | 11
Facility
11
NH AVG
14.4
Rank
#27 / 65 | 3.7
Facility
3.7
NH AVG
4.0
Rank
#31 / 65 | - | 19 | - |
12
Facility
12
NH AVG
37
Rank
#141 / 190 | - | - | - | - | 305103 |
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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