All states › New Hampshire › Keene › Keene Center, Genesis Healthcare
677 Court Street Keene, NH 03431 · Cheshire County
All 4 nursing homes in Keene, NH (3 take Medicaid)
CMS certification number 305051 · See this home on Medicare Care Compare
Is Keene Center, Genesis Healthcare a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Keene Center, Genesis Healthcare as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the New Hampshire average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.25 hours per resident per day at Keene Center, Genesis Healthcare, below the New Hampshire median of 3.66 (US median: 3.72). About 0.67 of those hours are from registered nurses. On weekends it falls to 2.77 hours, 15% below its all-week average. 38.7% of nursing staff left within a year (New Hampshire median 43%).
About this nursing home
Paying for care at Keene Center, Genesis Healthcare: Medicare and Medicaid
Keene Center, Genesis Healthcare is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New Hampshire's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 14, 2026 and found 5 deficiencies. In total, inspectors issued 10 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 10 citations at Keene Center, Genesis Healthcare across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 9 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were pharmacy service (3) and nutrition and dietary (2). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, May 14, 2026).
May 14, 2026 · 5 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure 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.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
BProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
April 8, 2025 · 2 citations
DProvide and implement an infection prevention and control program.
DKeep all essential equipment working safely.
April 19, 2024 · 3 citations
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
Questions to ask on a tour of Keene Center, Genesis Healthcare
- What do families most often ask you about before moving in?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 3/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 3/5 |
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Location
Hospitals near Keene Center, Genesis Healthcare
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.4 mi
Cheshire Medical Center KeeneEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 34m for patients treated and sent home
- 14.9 mi
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15.6 mi
Brattleboro Memorial Hospital BrattleboroEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 51m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Keene Center, Genesis Healthcare › All nursing homes in Keene ›
Compare Keene Center, Genesis Healthcare with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Langdon Place of Keene · Keene · 5 stars · 1.1 mi
- Cheshire County Home · Westmoreland · 5 stars · 8.7 mi
- Covenant Living of Keene · Keene · 4 stars · 2.2 mi
Other Genesis Healthcare nursing homes in New Hampshire
- Applewood Center · Winchester · 5 stars
- Crestwood Center · Milford · 4 stars
- Exeter Center · Exeter · 3 stars
- Country Village Center, Genesis Healthcare · Lancaster · 3 stars
- Hackett Hill Healthcare Center · Manchester · 2 stars
- Harris Hill Center, Genesis HealthCare · Concord · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 183 Genesis Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.