★★★★★CMS 5/525 bedsFor-profitMedicaid
- Nurse hours
- 5.26 /day
- Staff turnover
- 27%
- Serious cites
- 0
Langdon Place Of Keene runs 5.26 nurse hours per resident day across its 25 beds, about 36% above the national average, and weekend staffing dips roughly 22% below its own weekday level. That trade-off matters less here because turnover sits at 26.5% against a national 45.8%, a steadier crew than most. The current record shows six deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 11, 2026. It's a for-profit limited liability company, so worth asking how that staffing holds through a full weekend.
★★★★☆CMS 4/520 bedsNon-profit
- Nurse hours
- 5.32 /day
- Staff turnover
- 47%
- Serious cites
- 0
Covenant Living of Keene runs a small household, 20 certified beds, under nonprofit ownership. The staffing numbers are the story here: 5.32 nurse hours per resident day puts it well above the national average, and weekends dip only about 15% below its own weekday coverage, which is a smaller drop than many places show. Turnover sits at 46.9%, roughly in line with the national figure. Inspections in June 2025 turned up 11 deficiencies, none at the harm or jeopardy level, though one was abuse-related. A 4/5 inspection rating and 3/5 on quality measures round out a record that's solid on direct care, less distinguished on clinical outcomes.
★★★☆☆CMS 3/5106 bedsFor-profitMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 34%
- Serious cites
- 0
Keene Center runs about 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekends dip another 13% below its own weekdays. That's the number I'd watch: less coverage on Saturdays and Sundays is when falls and medication issues tend to surface. Turnover sits at 33.8%, better than the 45.8% national figure, so the crew is relatively stable even if it's thin. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2026. Corporate for-profit ownership, mid-range marks on inspections, quality measures, and staffing alike. Nothing alarming here, but the staffing math is the thing to ask about directly.
★☆☆☆☆CMS 1/585 bedsFor-profitMedicaid
- Nurse hours
- 3.14 /day
- Staff turnover
- 48%
- Serious cites
- 0
Alpine Healthcare Center runs 85 beds in Keene under for-profit LLC ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 10% below the home's own weekday numbers, and turnover lands at 47.8%, a bit above the national 45.8%. The inspection record carries 21 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level. CMS gave it one star each for health inspections and staffing, two for quality measures, and the state last visited in June 2025. What stands out is staffing: consistently thin, thinner on weekends, with a workforce cycling through faster than average.