Keene Center, Genesis Healthcare

677 Court Street, Keene, NH 03431 · (603) 357-3800 · For profit - Corporation · 106 certified beds

No fines on recordMedicare & MedicaidCertified since 1995Avg 86.0 residents/day

Data as of: CMS nursing home files updated Oct 1, 2026 (CMS processing date Oct 1, 2026), retrieved Nov 11, 2026. Hospitals: CMS file updated Jul 22, 2026. All sources.

CMS star ratings

★★★
CMS overall star rating. NH homes average 3.0 (72 rated homes).
Health inspections
3/5
Staffing
3/5
Quality measures
3/5
Long-stay quality
2/5
Short-stay quality
4/5

Source: CMS Provider Information. Footnote codes: CMS data dictionary.

Location & turnover

Map © OpenStreetMap contributors. Approximate coordinates from CMS.

38.7%nursing staff turnover
25.0%RN turnover
1administrators who left

NH averages: nursing staff turnover 43.4%, RN turnover 40.5%. Source: CMS Provider Information.

Staffing: hours of care per resident per day

This home reports 3.25 total nurse staff hours per resident per day. The NH average is 3.87.

Reported by the facility to CMS (Payroll-Based Journal) This home NH average of 72 homes
Show staffing by role (RN, LPN, aide, weekend)
Total nurse staff
3.25 hrs (this home)3.87 hrs (NH average)
Registered nurse (RN)
0.67 hrs (this home)0.78 hrs (NH average)
LPN
0.75 hrs (this home)0.76 hrs (NH average)
Nurse aide
1.83 hrs (this home)2.32 hrs (NH average)
Weekend total
2.77 hrs (this home)3.43 hrs (NH average)

CMS also publishes case-mix adjusted total nurse hours: 3.15. Source: CMS Provider Information.

Inspections & penalties

5health deficiencies, most recent rating cycle (standard inspection May 14, 2026)
10health citations listed by CMS since Apr 19, 2024
0at immediate-jeopardy level (J–L)
Show all 10 citations, newest first

Inspection May 14, 2026 · 5 citations

Severity ECorrected Jun 4, 2026
Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Tag F0812 · standard inspection
Severity DCorrected Jun 18, 2026
Resident Assessment and Care Planning Deficiencies: PASARR screening for Mental disorders or Intellectual Disabilities
Tag F0645 · standard inspection
Severity DCorrected Jun 18, 2026
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.
Tag F0761 · standard inspection
Severity DCorrected Jun 16, 2026
Nutrition and Dietary Deficiencies: Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Tag F0810 · standard inspection
Severity BCorrected Jun 18, 2026
Resident Rights Deficiencies: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Tag F0628 · standard inspection

Inspection Apr 8, 2025 · 2 citations

Severity DCorrected Apr 30, 2025
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Tag F0880 · standard inspection
Severity DCorrected May 13, 2025
Environmental Deficiencies: Keep all essential equipment working safely.
Tag F0908 · standard inspection

Inspection Apr 19, 2024 · 3 citations

Severity DCorrected May 8, 2024
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Tag F0658 · standard inspection
Severity DCorrected May 3, 2024
Pharmacy Service Deficiencies: Ensure medication error rates are not 5 percent or greater.
Tag F0759 · standard inspection
Severity DCorrected May 9, 2024
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.
Tag F0761 · standard inspection

CMS lists no fines or payment denials for this home in the current penalties file.

Severity letters are CMS scope/severity codes A–L. Later letters are more serious or widespread; J–L means immediate jeopardy to resident health or safety. Sources: CMS Health Deficiencies, CMS Penalties. Full reports: Medicare Care Compare (CCN 305051).

Ownership & details

Legal business name: 677 COURT STREET OPERATIONS LLC. Ownership type: For profit - Corporation. Resident/family council: Both. Sprinklers in all required areas: Yes.

Part of Genesis Healthcare (183 facilities). Chain average overall rating: 2.4.

Source: CMS Provider Information. CMS Certification Number (CCN): 305051.

Other nursing homes in Keene

Langdon Place of Keene136 a Arch Street · 25 certified beds · 5.36 nurse staff hrs/resident/day · fines: 0
★★★★★ overall
Covenant Living of Keene100 Wyman Rd · 20 certified beds · 5.46 nurse staff hrs/resident/day · fines: 0
★★★★ overall
Alpine Healthcare Center298 Main Street · 85 certified beds · 3.23 nurse staff hrs/resident/day · fines: 0
★ overall

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