361 COURT ST, Keene, NH 03431
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Medicare-certifiedSkilled Nursing
Keene Center, Genesis Healthcare
Keene, New HampshireMedicare inspection record
About Keene Center, Genesis Healthcare
KEENE CENTER, GENESIS HEALTHCARE provides skilled nursing and rehabilitation services tailored to each resident's recovery goals. Our experienced care team in Keene, New Hampshire supports patients through post-acute care with compassion and clinical expertise, helping them regain independence and return home stronger.
Community at a glance
Capacity
106 residents
Location
Keene, NH
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
677 COURT STREET, Keene, New Hampshire 03431
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 14, 2026, state inspectors cited 5 health deficiencies (the New Hampshire average is 4.0).
Nurses and nurse aides spend 3 hours 20 minutes with each resident a day, below the New Hampshire average of 3 hours 54 minutes.
Medicare has not fined Keene Center, Genesis Healthcare in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 20 minutesBelow the New Hampshire average |
| Registered nurse time per resident, per day | 41 minutesBelow the New Hampshire average |
| Nursing staff who left in the past year | 34%Below the New Hampshire average |
1 administrator has left the home in the past year.
Inspections
10 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 14, 2026 · Standard inspection · 5 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 4, 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 locked compartments, separately locked, compartments for controlled drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 18, 2026Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 16, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 18, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Minimal harm or risk, a pattern (level B)Resident RightsCorrected Jun 18, 2026
April 8, 2025 · Standard inspection · 2 citations
Keep all essential equipment working safely.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected May 13, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 30, 2025
April 19, 2024 · Standard inspection · 3 citations+
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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 9, 2024Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 3, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 8, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- 677 Court Street Operations LLC
- Medicare-certified beds
- 106
- Average residents per day
- 82
- Accepts
- Medicare and Medicaid
- First certified
- June 1, 1995
- Part of a chain
- Genesis Healthcare, 184 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 305051
Location
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677 COURT STREETKeene, NH 03431
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Questions about Keene Center, Genesis Healthcare
How did Keene Center, Genesis Healthcare do on its last inspection?+
State inspectors visited on May 14, 2026 and cited 5 health deficiencies. The New Hampshire average is 4.0.
How much nursing care does each resident get at Keene Center, Genesis Healthcare?+
Nurses and aides spend 3 hours 20 minutes with each resident per day, including 41 minutes from registered nurses. 34% of nursing staff left over the past year.
Has Keene Center, Genesis Healthcare been fined by Medicare?+
Medicare's records show no fines against Keene Center, Genesis Healthcare in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.