Before you decide: this page is information, not medical advice or a recommendation. Confirm current availability, services, Medicare/Medicaid acceptance, pricing and licensing directly with the home and the state. Data shown is from CMS files dated Oct 1, 2026; things may have changed since.
At a glance
| Overall | ★★★★★ 3 of 5 |
|---|---|
| Health inspections | ★★★★★ 3 of 5 |
| Staffing | ★★★★★ 3 of 5 |
| Quality measures | ★★★★★ 3 of 5 |
| Long-stay quality | ★★★★★ 2 of 5 |
| Short-stay quality | ★★★★★ 4 of 5 |
Source: CMS Provider Information, Oct 1, 2026. NH homes average 3.0 overall (72 rated). How the ratings work.
Editorial note: a star rating is one signal. CMS itself says ratings can't capture everything, such as specialty care or how easy it is for family to visit.
Staffing
Hours of nursing care per resident per day, as reported by the home to CMS through payroll-based data. Higher is generally better when comparing homes; it is an average, not the number of staff present at any moment.
CMS case-mix adjusted total nurse hours: 3.15. Lower turnover is generally better. Source: CMS Provider Information (Oct 1, 2026). “n/r” = not reported.
Inspections and penalties
Show all 10 citations, newest first
Inspection May 14, 2026 · 5 citations
Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies: PASARR screening for Mental disorders or Intellectual Disabilities
Pharmacy Service Deficiencies: Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies: Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Resident Rights Deficiencies: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspection Apr 8, 2025 · 2 citations
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Environmental Deficiencies: Keep all essential equipment working safely.
Inspection Apr 19, 2024 · 3 citations
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies: Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies: Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
CMS lists no fines or payment denials for this home in the current penalties file.
Letters A–L are CMS scope and severity codes; J–L is immediate jeopardy, G–I actual harm. How to read inspection results. Sources: CMS Health Deficiencies, CMS Penalties (Oct 1, 2026). Full reports: Medicare Care Compare.
Quality measures
Selected clinical measures CMS reports from resident assessments, averaged over four quarters (2025Q3-2026Q2). Each is a percentage of residents; the last column says which direction is better.
| Measure | This home | NH average | Better if |
|---|---|---|---|
| Long-stay residents with one or more falls with major injury | 4.7% | 4.5% | Lower |
| Long-stay residents with pressure ulcers | 5.7% | 4.3% | Lower |
| Long-stay residents who received an antipsychotic medication | 15.2% | 17.9% | Lower |
| Long-stay residents who lose too much weight | 1.8% | 5.2% | Lower |
| Long-stay residents with a urinary tract infection | 0.0% | 2.2% | Lower |
| Long-stay residents whose need for help with daily activities increased | 29.1% | 22.3% | Lower |
| Long-stay residents whose ability to walk independently worsened | 23.8% | 15.8% | Lower |
| Long-stay residents with depressive symptoms | 40.2% | 15.8% | Lower |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | Lower |
| Long-stay residents assessed and appropriately given the seasonal flu vaccine | 100.0% | 97.8% | Higher |
| Short-stay residents who newly received an antipsychotic medication | 1.9% | 1.2% | Lower |
| Short-stay residents assessed and appropriately given the seasonal flu vaccine | 82.4% | 85.7% | Higher |
Source: CMS MDS Quality Measures (Oct 1, 2026). “Not reported” is not zero; footnote codes are explained in the CMS data dictionary. Only one snapshot is stored, so no trend is shown.
Ownership
Ownership type: For profit - Corporation. Legal business name: 677 COURT STREET OPERATIONS LLC.
Part of Genesis Healthcare (183 facilities nationally). Chain average CMS overall rating: 2.4.
Owners and operators reported to CMS (13)
5% or greater direct ownership interest
- Genesis NH Holdings LLC
5% or greater indirect ownership interest
- Fc-Gen Operations Investment LLC
- Gen Operations I LLC
- Gen Operations II LLC
- Genesis Healthcare Inc
- Genesis Healthcare LLC
- Genesis Holdings LLC
- Genesis Operations LLC
- Ghc Holdings LLC
- Sun Healthcare Group Inc
- Whitman, Arnold
Operational/managerial control
- Johnson, Michael
- Pitts, Leslie
Sources: CMS Provider Information, CMS Ownership (Oct 1, 2026). Shows direct/indirect ownership interests and operational control; directors, officers and managing employees are on Care Compare.
Contact and identifiers
Keene Center, Genesis Healthcare
677 Court Street
Keene, NH 03431 (Cheshire County)
(603) 357-3800
- CMS Certification Number (CCN): 305051
- Certified for Medicare and Medicaid since 1995
- Inside a hospital: N
- Continuing care retirement community: N
- Resident and family council: Both
- Sprinklers in all required areas: Yes
We do not book appointments or check bed availability. Call the home directly. Data refreshed Nov 11, 2026. Something wrong? Request a correction.
Map © OpenStreetMap contributors, using CMS coordinates.
Nearby alternatives
Langdon Place of Keene, Keene · about 1.1 mi · CMS overall: ★★★★★ 5 of 5
Alpine Healthcare Center, Keene · about 2.1 mi · CMS overall: ★★★★★ 1 of 5
Covenant Living of Keene, Keene · about 2.2 mi · CMS overall: ★★★★★ 4 of 5
Cheshire County Home, Westmoreland · about 8.7 mi · CMS overall: ★★★★★ 5 of 5
Applewood Center, Winchester · about 13.9 mi · CMS overall: ★★★★★ 5 of 5
Straight-line distance between CMS coordinates. All homes in Keene · Cheshire County
Questions to ask this home
- How many nurses and aides work days, nights and weekends, and how many residents does each aide care for?
- CMS reports 3.25 nurse staff hours per resident per day here; how has staffing changed recently?
- What changed after the most recent inspection (May 14, 2026)? Ask to see the report and plan of correction.
- Does the home accept Medicare and/or Medicaid for the type of stay you need, and is a bed available?