{"schema_version":"1.0.0","facility":{"id":"cms-305103","ccn":"305103","name":"Covenant Living of Keene","source_name":"COVENANT LIVING OF KEENE","facility_types":["skilled_nursing_facility"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"NH","address":{"line1":"100 Wyman Rd","city":"Keene","state":"NH","zip":"03431","county_name":"Cheshire County","county_fips":"33005","county_method":"name_match","ssa_county_code":"020","urban":false},"location":{"lat":42.9689,"lon":-72.335,"method":"cms_published_coordinates"},"phone":"6033523235","certification":{"authority":"CMS","ccn":"305103","program":"Medicare","medicare":true,"medicaid":false,"first_approved":"2023-06-23","certified_beds":20,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/305103"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":20,"avg_residents_per_day":17.9},"ownership_type":"Non profit - Corporation","ownership_class":"non_profit","legal_business_name":"COVENANT LIVING OF KEENE","flags":{"ccrc":true,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":4},"health_inspection":{"value":3},"quality_measures":{"value":2},"long_stay_qm":{"value":1},"short_stay_qm":{"value":4},"staffing":{"value":5},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.55301,"lpn_hprd":0.86171,"rn_hprd":2.04977,"licensed_hprd":2.91148,"total_nurse_hprd":5.46449,"weekend_total_nurse_hprd":4.67605,"weekend_rn_hprd":1.04098,"pt_hprd":0.18393,"nursing_turnover_pct":46.7,"rn_turnover_pct":25,"administrators_left":0,"case_mix_index":1.1693,"case_mix_index_ratio":0.82914,"case_mix_total_nurse_hprd":3.23437,"adjusted_total_nurse_hprd":6.5388,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-06-04","cycle1_deficiencies":1,"cycle1_score":16,"cycle2_date":"2025-06-25","cycle23_deficiencies":3,"cycle23_score":12,"total_weighted_score":15},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-168","cms_chain_id":"168","name":"COVENANT LIVING"},"operator_id":"op-covenant-living-of-keene","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/305103","provenance":[{"source_id":"cms_provider_info","source_record_id":"305103","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=305103&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"305103","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=305103&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2026-06-04","latest_standard_health":"2026-06-04","earliest_date":"2024-06-11","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":14,"health_count":6,"fire_count":8,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":10,"minimal":4},"by_scope_severity":{"F":3,"D":4,"E":3,"B":2,"C":2},"by_concept":{"environment_life_safety":8,"infection_prevention":2,"medication":2,"clinical_care":2},"type_ids":["cms-k0324","cms-k0918","cms-k0291","cms-k0712","cms-f0880","cms-f0881","cms-f0756","cms-f0657","cms-k0353","cms-k0914","cms-f0758","cms-f0641"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":23,"organizations":1,"individuals":22,"not_available":false}},"row":{"id":"cms-305103","ccn":"305103","name":"Covenant Living of Keene","types":["skilled_nursing_facility"],"status":"active","state":"NH","city":"Keene","zip":"03431","county_fips":"33005","county_name":"Cheshire County","address":"100 Wyman Rd","beds":20,"residents":17.9,"ownership":"non_profit","operator_id":"op-covenant-living-of-keene","operator_name":"Covenant Living of Keene","chain_id":"cms-chain-168","chain_name":"Covenant Living","lat":42.9689,"lon":-72.335,"overall":4,"health_rating":3,"staffing_rating":5,"qm_rating":2,"nurse_hprd":5.46,"turnover":46.7,"ccrc":true,"inspections":6,"last_inspection":"2026-06-04","deficiencies":14,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0324","cms-k0918","cms-k0291","cms-k0712","cms-f0880","cms-f0881","cms-f0756","cms-f0657","cms-k0353","cms-k0914","cms-f0758","cms-f0641"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-covenant-living-of-keene","name":"Covenant Living of Keene","legal_name":"COVENANT LIVING OF KEENE","facility_count":1,"states":["NH"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-168","name":"Covenant Living","cms_chain_id":"168","facility_count":16,"states":["CA","CO","CT","FL","IL","MI","MN","NH","OK","TN","WA"],"cms_reported":{"facility_count":16,"avg_overall_rating":4.6,"avg_health_inspection_rating":4.1,"avg_staffing_rating":4.7,"avg_qm_rating":3.8}},"ownership":[{"owner_id":"org-covenant-living-communities-and-services","owner_type":"organization","owner_name":"Covenant Living Communities & Services","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-02-08"},{"owner_type":"individual","owner_name":"Terri Cunliffe","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-05-22","owner_name_raw":"CUNLIFFE, TERRI"},{"owner_type":"individual","owner_name":"Jean Justie","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-09-20","owner_name_raw":"JUSTIE, JEAN"},{"owner_type":"individual","owner_name":"Kathy Buettner","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2020-07-01","owner_name_raw":"BUETTNER, KATHY"},{"owner_type":"individual","owner_name":"Pamela Christensen","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-07-01","owner_name_raw":"CHRISTENSEN, PAMELA"},{"owner_type":"individual","owner_name":"Janet Hoffman","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-07-01","owner_name_raw":"HOFFMAN, JANET"},{"owner_type":"individual","owner_name":"Kurt Kincannon","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-07-01","owner_name_raw":"KINCANNON, KURT"},{"owner_type":"individual","owner_name":"Robert Martin","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-07-01","owner_name_raw":"MARTIN, ROBERT"},{"owner_type":"individual","owner_name":"Jennifer Means","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-07-01","owner_name_raw":"MEANS, JENNIFER"},{"owner_type":"individual","owner_name":"Loann Peterson","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2020-07-01","owner_name_raw":"PETERSON, LOANN"},{"owner_type":"individual","owner_name":"Dixie Reppe","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2020-07-01","owner_name_raw":"REPPE, DIXIE"},{"owner_type":"individual","owner_name":"Todd Slechta","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2022-07-01","owner_name_raw":"SLECHTA, TODD"},{"owner_type":"individual","owner_name":"Andrew Vanover","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-07-01","owner_name_raw":"VANOVER, ANDREW"},{"owner_type":"individual","owner_name":"Janet Creaney","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2020-07-24","owner_name_raw":"CREANEY, JANET"},{"owner_type":"individual","owner_name":"Terri Cunliffe","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2015-05-22","owner_name_raw":"CUNLIFFE, TERRI"},{"owner_type":"individual","owner_name":"Lorene Flewellen","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-04-29","owner_name_raw":"FLEWELLEN, LORENE"},{"owner_type":"individual","owner_name":"Jean Justie","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2020-09-20","owner_name_raw":"JUSTIE, JEAN"},{"owner_type":"individual","owner_name":"Matt Manlove","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2020-07-24","owner_name_raw":"MANLOVE, MATT"},{"owner_type":"individual","owner_name":"Gregg Burdett","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2018-09-17","owner_name_raw":"BURDETT, GREGG"},{"owner_type":"individual","owner_name":"Terri Cunliffe","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2015-05-22","owner_name_raw":"CUNLIFFE, TERRI"},{"owner_type":"individual","owner_name":"Jean Justie","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2020-09-20","owner_name_raw":"JUSTIE, JEAN"},{"owner_type":"individual","owner_name":"Elizabeth Malzahn","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2014-05-22","owner_name_raw":"MALZAHN, ELIZABETH"},{"owner_type":"individual","owner_name":"Karyn Partin","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-14","owner_name_raw":"PARTIN, KARYN"}],"inspections":[{"id":"cms-305103-20260604-fire","ccn":"305103","date":"2026-06-04","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0291","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-30","std":1,"tv":"New"},{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2026-06-30","std":1,"tv":"New"},{"t":"cms-k0712","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-30","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2026-06-30","std":1,"tv":"New"}]},{"id":"cms-305103-20260604-health","ccn":"305103","date":"2026-06-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2026-06-24","std":1}]},{"id":"cms-305103-20250625-fire","ccn":"305103","date":"2025-06-25","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-305103-20250625-health","ccn":"305103","date":"2025-06-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-09","std":1},{"t":"cms-f0881","ss":"E","sl":2,"cs":"corrected","cd":"2025-07-10","std":1},{"t":"cms-f0657","ss":"B","sl":1,"cs":"corrected","cd":"2025-07-11","std":1}]},{"id":"cms-305103-20240611-fire","ccn":"305103","date":"2024-06-11","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-08","std":1,"tv":"New"},{"t":"cms-k0918","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-08","std":1,"tv":"New"},{"t":"cms-k0324","ss":"C","sl":1,"cs":"corrected","cd":"2024-07-08","std":1,"tv":"New"},{"t":"cms-k0914","ss":"C","sl":1,"cs":"corrected","cd":"2024-07-08","std":1,"tv":"New"}]},{"id":"cms-305103-20240611-health","ccn":"305103","date":"2024-06-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-27","std":1},{"t":"cms-f0641","ss":"B","sl":1,"cs":"corrected","cd":"2024-06-28","std":1}]}],"deficiency_types":{"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0914":{"code":"K-0914","title":"Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=305103&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=305103&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=305103&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=305103&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=305103&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=305103&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"NH","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.2,"staffing_rating":3.4,"avg_residents_per_day":81.7,"cycle1_health_deficiencies":4.1,"cycle1_fire_deficiencies":2.6,"nurse_aide_hprd":2.32,"lpn_hprd":0.76,"rn_hprd":0.78296,"licensed_hprd":1.55,"total_nurse_hprd":3.86554,"weekend_total_nurse_hprd":3.42694,"weekend_rn_hprd":0.54,"pt_hprd":0.07,"nursing_turnover_pct":43.4,"rn_turnover_pct":40.5,"administrators_left":0.3,"case_mix_index":1.34397,"fines":0.5,"fine_amount":7668,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"NH","name":"New Hampshire"},"county":{"fips":"33005","name":"Cheshire County"},"zip":"03431","city":"Keene"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":15,"same_site_review":[],"nearby":[{"id":"cms-305051","ccn":"305051","name":"Keene Center, Genesis Healthcare","address":"677 Court Street","city":"Keene","state":"NH","zip":"03431","beds":106,"overall":3,"inspections":6,"last_inspection":"2026-05-14","deficiencies":14,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.6},{"id":"cms-305085","ccn":"305085","name":"Langdon Place of Keene","address":"136 a Arch Street","city":"Keene","state":"NH","zip":"03431","beds":25,"overall":5,"inspections":6,"last_inspection":"2026-02-11","deficiencies":9,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.2},{"id":"cms-305062","ccn":"305062","name":"Alpine Healthcare Center","address":"298 Main Street","city":"Keene","state":"NH","zip":"03431","beds":85,"overall":1,"inspections":7,"last_inspection":"2026-01-20","deficiencies":28,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.7},{"id":"cms-305054","ccn":"305054","name":"Cheshire County Home","address":"201 River Road","city":"Westmoreland","state":"NH","zip":"03467","beds":150,"overall":5,"inspections":6,"last_inspection":"2026-08-21","deficiencies":9,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":10.7}]}}