Covenant Living of Keene has a 4-star overall rating, with strong staffing at 5 stars and reported nurse staffing above the federal benchmark (5.32 vs. 4.1 hours per resident per day). Health inspection and quality measures are both 3 stars, with no fines in the last 24 months.
Last inspection: June 4, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3185.
Staffing detail
Registered nurses
1.82
Licensed practical nurses
0.86
Nurse aides
2.64
Weekend nursing
4.52
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 14%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Residents with a fall causing major injury
—2.6%—
Residents with pressure ulcers (bedsores)
—11.1%—
Residents with a urinary tract infection
—2.8%—
Residents who lost too much weight
—0%—
Residents who were physically restrained
—0%—
Residents needing more help with daily activities
—38.5%—
Long-stay residents on antianxiety or sleep medication
—7.4%—
Short-stay residents newly given an antipsychotic
2.1%2.2%No change
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—34.9%—
Residents with depressive symptoms
—0%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the pneumonia vaccine
—100%—
Short-stay residents given the seasonal flu vaccine
—94.2%—
Short-stay residents given the pneumonia vaccine
94.3%100%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2026 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to monitor antibiotic use properly. Cited June 2025 — limited pattern, potential for harm.
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F-Tag 881 — 42 CFR §483.80 — S/S: E
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 756 — 42 CFR §483.45(c) — S/S: D
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited June 2024 — isolated incident, potential for harm.
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F-Tag 758 — 42 CFR §483.45(e) — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited June 2025 — limited pattern, minimal harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: B
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
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STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 6 health deficiencies.
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Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of COVENANT LIVING · 15 homes · 4.4 stars avg
Occupancy
18.6 residents on an average day (93% of 20 beds)
Resident voice
Resident council
Medicare history
Certified for 3 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.