Nursing HomeInspections

Keene Center, Genesis Healthcare

Nursing home in Keene, NH

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
677 Court Street, Keene, NH 03431
Phone
(603) 357-3800
Listed under
For-profit, No fines or payment denials in 3 years
Medicare CCN
305051
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
106
Average residents per day
86
Ownership
For-profit, corporation
Legal business name
677 Court Street Operations LLC
Chain
Genesis Healthcare (183 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 305051. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 14, 2026. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 19, 2024 to May 14, 2026): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 14, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		B
Potential for minimal harm, pattern
May 14, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 14, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 14, 2026Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
May 14, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Apr 8, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 8, 2025Keep all essential equipment working safely.
Environmental		D
Potential for more than minimal harm, isolated
Apr 19, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 19, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 19, 2024Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.25 hours
Registered nurse (RN) time per resident per day
0.67 hours
Nurse aide time per resident per day
1.83 hours
Total nurse staffing on weekends
2.77 hours
Nursing staff turnover (yearly)
39%
RN turnover (yearly)
25%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Keene

Langdon Place of Keene136 a Arch Street · Keene, NH 03431 · (603) 357-3902 · For-profit6 health citations in 3 inspection cycles · last standard inspection Feb 11, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)
Covenant Living of Keene100 Wyman Rd · Keene, NH 03431 · (603) 352-3235 · Nonprofit6 health citations in 3 inspection cycles · last standard inspection Jun 4, 2026 · no CMS fines in 3 yrsMedicare-certified4★ overall (CMS)
Alpine Healthcare Center298 Main Street · Keene, NH 03431 · (603) 352-7311 · For-profit21 health citations in 3 inspection cycles · last standard inspection Jun 13, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)

All 4 in Keene →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error