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C
Below Standard

KEENE CENTER, GENESIS HEALTHCARE

677 COURT STREET · KEENE, NH 03431

6033573800 · For profit - Corporation

106 beds82.7 residents114 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

KEENE CENTER, GENESIS HEALTHCARE receives an overall staffing grade of C (Below Standard). With 3.2089 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6207 HPRD, below the recommended 0.75. It is 0.69 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.17% compared to weekdays. The facility has low agency staff usage (5.88% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2089 HPRD — needs 0.27 more hours per resident per day.
⚠️RN staffing (0.6207 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2089hrs/resident/day▼ 0.69
CMS benchmark: 3.48
RN HPRD
0.6207hrs/resident/day▼ 0.06
Recommended: 0.75
Weekend Drop-off
19.17%
3.3927 weekday → 2.7424 weekend
Agency Staff
5.88%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.587hrs/resident/day
Direct care aides
LPN HPRD
0.7782hrs/resident/day
Licensed practical nurses
Consistency
0.3683std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Cheshire County Average-0.75 HPRD
3.96
03.21 HPRD
vs. New Hampshire State Average-0.75 HPRD
3.96
03.21 HPRD
vs. National Average-0.69 HPRD
3.90
03.21 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
KEENE CENTER, GENESIS HEALTHCARE ★
KEENE · This facility
—
C
3.20890.6207★★☆☆☆
LANGDON PLACE OF KEENE
KEENE
1.1 mi
A+
5.00951.9236★★★☆☆
ALPINE HEALTHCARE CENTER
KEENE
2.1 mi
C
3.32480.4549★☆☆☆☆
COVENANT LIVING OF KEENE
KEENE
2.2 mi
A
4.75951.6881★★★★★
CHESHIRE COUNTY HOME
WESTMORELAND
8.7 mi
B
4.52090.661★★★★☆
APPLEWOOD CENTER
WINCHESTER
13.9 mi
C
3.36660.6131★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
20
Total Deficiencies
$0
Fines Assessed
Apr 8, 2025Health
2 deficiencies cited
▼
Apr 19, 2024Health
3 deficiencies cited
▼
Nov 16, 2023Health
3 deficiencies cited
▼
Jun 12, 2023Health
6 deficiencies cited
▼
May 24, 2023Health
2 deficiencies cited
▼
Feb 21, 2023Health
4 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.