Elder Care Record

New Hampshire › Cheshire County › Keene

Covenant Living of Keene

100 Wyman Rd, Keene, NH 03431

CCN 305103 · Non-profit, corporation · 20 certified beds · chain Covenant Living

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Covenant Living of Keene is a Non-profit, corporation nursing home in Keene, New Hampshire, certified for 20 beds and caring for about 19 residents a day.

CMS gives it 4 of 5 stars overall, above the New Hampshire median of 3; the health inspection rating is 3, staffing 5 and quality measures 3.

Inspectors recorded 6 health deficiencies across the three most recent survey cycles (1, 3, 2 by cycle, most recent first), none at the actual-harm level. That is 30.0 per 100 beds, more than the state median of 13.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 5.3 hours per resident per day (1.8 RN), above the New Hampshire median of 3.6; nursing staff turnover is 46.9%.

6health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
5.3nurse hours per resident per daystate median 3.6
93%occupancy (residents ÷ beds)19 residents a day

Compared with county, state and nation

MeasureThis facilityCheshire Co. medianNew Hampshire medianUS average
Overall star rating4433.0
Health citations, 3 cycles691228.7
Citations per 100 beds30.024.013.126.8
Total nurse hours per resident day5.33.53.63.9
RN hours per resident day1.80.70.70.7
Nursing staff turnover46.9%36.1%43.6%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (7 in the county, 73 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)1
Cycle 23
Cycle 32

Dark bar: this facility. Grey bar: New Hampshire average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2026, 25 Jun 2025.

Severity mix: D ×2 E ×1 F ×1 B ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Jun 2026F0880Provide and implement an infection prevention and control program.FStandard survey24 Jun 2026
25 Jun 2025F0881Implement a program that monitors antibiotic use.EStandard survey10 Jul 2025
25 Jun 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey9 Jul 2025
25 Jun 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.BStandard survey11 Jul 2025
11 Jun 2024F0758Implement 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.DStandard survey27 Jun 2024
11 Jun 2024F0641Ensure each resident receives an accurate assessment.BStandard survey28 Jun 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.32 h
Nurse aides2.64 h
LPN0.86 h
RN1.82 h
Weekend total4.52 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Hampshire average. Turnover: nursing staff 46.9%, RNs 14.3%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNew Hampshire medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay38.5%22.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.8%1.4%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.6%4.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.8%1.2%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay11.1%3.7%4.2%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Chain: Covenant Living (15 facilities).

OrganisationRole in the CMS recordInterestSince
Covenant Living Communities & ServicesOperational/managerial controlNOT APPLICABLE02/08/2022

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Cheshire County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Applewood CenterWinchester7255379.7—15 May 2025
Langdon Place of KeeneKeene25555624.0—11 Feb 2026
Cheshire County HomeWestmoreland15043596.0—11 Sep 2025
Keene Center, Genesis HealthcareKeene106333109.4—14 May 2026
Alpine Healthcare CenterKeene851112124.7—20 Jan 2026
Jaffrey Rehabilitation and Nursing CenterJaffrey831122125.3—21 May 2026

All 7 facilities in Cheshire County

Questions and answers

How many deficiencies has Covenant Living of Keene been cited for?

6 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The New Hampshire median is 12 per facility.

Has Covenant Living of Keene been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Covenant Living of Keene compare?

Reported total nurse staffing is 5.3 hours per resident per day against a New Hampshire median of 3.6 and a national average of 3.9.

Who operates Covenant Living of Keene?

It is part of the Covenant Living chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Covenant Living Communities & Services. Individual owners and managers are not listed on this site.

When was Covenant Living of Keene last inspected?

The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.