Worth Considering
2
Facilities graded B or better with zero fines
Best Nursing Homes in Keene, New Hampshire
2 of 4 nursing homes in Keene (50%) meet our strict criteria. The New Hampshire statewide average is 29%.
2 recommended · 2 caution · 0 avoid · data
City Average
3.3
★
+0.00 vs state
Total Beds
236
across 4 facilities
High Risk Facilities
0
0 Grade F
$0 in combined fines
Zero Fines
4
/4
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 2?
The nursing home market in Keene, New Hampshire, is adequate, with 50% of the four facilities recommended. Families should consider COVENANT LIVING OF KEENE, the top-rated facility, as there are no fines reported, ensuring a stable care environment.
Exceptional (Grade A, Trust Score 90+)
- 1 COVENANT LIVING OF KEENE (90) — Covenant Living of Keene shines with a stellar 5★ CMS rating and an impressive Trust Score of 90/100. As a non-profit facility, it prioritizes community-focused care, ensuring a supportive environment with no fines and a Grade A performance across the board.
Strong (Grade B+, Trust Score 80-89)
- 2 LANGDON PLACE OF KEENE (80) — Langdon Place of Keene offers a solid B+ grade and a 4★ CMS rating, reflecting its commitment to quality care. With a Trust Score of 80/100 and no fines, it's a reliable choice for those seeking comfort and attentive service in a for-profit setting.
The other 2 Keene facilities didn't qualify — 0 carry Grade D or F ratings.
Recommended
Covenant Living of Keene shines with a stellar 5★ CMS rating and an impressive Trust Score of 90/100. As a non-profit facility, it prioritizes community-focused care, ensuring a supportive environment with no fines and a Grade A performance across the board.
Langdon Place of Keene offers a solid B+ grade and a 4★ CMS rating, reflecting its commitment to quality care. With a Trust Score of 80/100 and no fines, it's a reliable choice for those seeking comfort and attentive service in a for-profit setting.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Emergency Fallback
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Keene Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 3.3 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
What Disqualified the Other 2?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Low-scoring facilities
- 2 Scored below B — Trust Scores under 70
- Caution group
- 2 Had good grades but fines disqualified them
Questions Keene Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Keene's city average is 3.3 stars
-
2
"Have you received any fines in the past 3 years?"
0 of 4 Keene facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Keene avg is 0 min
-
4
"What were your most recent inspection findings?"
Keene facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Keene, NH are recommended?
2 of 4 nursing homes in Keene (50%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Keene "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Keene?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.