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 | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★★ 4 of 5 |
| Long-stay quality | Not rated (CMS footnote 2: not enough data to calculate a rating) |
| 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: 4.44. Lower turnover is generally better. Source: CMS Provider Information (Oct 1, 2026). “n/r” = not reported.
Inspections and penalties
Show all 6 citations, newest first
Inspection Feb 11, 2026 · 1 citation
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Inspection Jan 3, 2025 · 1 citation
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Inspection Jan 18, 2024 · 4 citations
Quality of Life and Care Deficiencies: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
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 | 0.0% | 4.5% | Lower |
| Long-stay residents with pressure ulcers | 16.3% | 4.3% | Lower |
| Long-stay residents who received an antipsychotic medication | Not reported (CMS footnote 9) | 17.9% | Lower |
| Long-stay residents who lose too much weight | 0.0% | 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 | Not reported (CMS footnote 9) | 22.3% | Lower |
| Long-stay residents whose ability to walk independently worsened | Not reported (CMS footnote 9) | 15.8% | Lower |
| Long-stay residents with depressive symptoms | Not reported (CMS footnote 9) | 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 | Not reported (CMS footnote 9) | 97.8% | Higher |
| Short-stay residents who newly received an antipsychotic medication | 0.8% | 1.2% | Lower |
| Short-stay residents assessed and appropriately given the seasonal flu vaccine | 96.6% | 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 - Limited Liability company. Legal business name: KEENE SNF OPCO LLC.
Part of 603 Healthcare (7 facilities nationally). Chain average CMS overall rating: 3.6.
Owners and operators reported to CMS (7)
5% or greater direct ownership interest
- Black Mountain Peak Healthcare, LLC
5% or greater indirect ownership interest
- Pr NH Holdings LLC
- Rr NH Holdings LLC
Operational/managerial control
- 603 Healthcare LLC
- Johnson, Michael
- Kasschau, Michael
- Stevenson, Sean
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
Langdon Place of Keene
136 a Arch Street
Keene, NH 03431 (Cheshire County)
(603) 357-3902
- CMS Certification Number (CCN): 305085
- Certified for Medicare and Medicaid since 1997
- Inside a hospital: N
- Continuing care retirement community: N
- Resident and family council: Resident
- 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
Alpine Healthcare Center, Keene · about 1.0 mi · CMS overall: ★★★★★ 1 of 5
Keene Center, Genesis Healthcare, Keene · about 1.1 mi · CMS overall: ★★★★★ 3 of 5
Covenant Living of Keene, Keene · about 3.2 mi · CMS overall: ★★★★★ 4 of 5
Cheshire County Home, Westmoreland · about 9.4 mi · CMS overall: ★★★★★ 5 of 5
Applewood Center, Winchester · about 13.1 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 5.36 nurse staff hours per resident per day here; how has staffing changed recently?
- What changed after the most recent inspection (Feb 11, 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?