LANGDON PLACE OF KEENE NURSING
The information listed below provides an in-depth look into the type and quality of care offered at Langdon Place of Keene Nursing. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
LANGDON PLACE OF KEENE NURSING
136 A ARCH STREET
KEENE, NH 03431
(603) 357-3902
136 A ARCH STREET
KEENE, NH 03431
(603) 357-3902
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
88%Number of Residents and Certified Beds
- Residents: 22
- Certified Beds: 25
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- Part of a Continuing Care Retirement Community (CCRC)
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Langdon Place of Keene Nursing. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 2.5% |
| ADL Index Range: 6-10 | 25.1% |
| ADL Index Range: 0-5 | 34.2% |
| Total Percent: | 61.7% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 1.2% |
| ADL Index Range: 6-10 | 6.1% |
| ADL Index Range: 0-5 | 10.2% |
| Total Percent: | 17.6% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 2.2% |
| ADL Index Range: 0-5 | 3.6% |
| Total Percent: | 5.7% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 6-10 | 1.9% |
| ADL Index Range: 0-5 | 4.5% |
| Total Percent: | 6.4% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 6-10 - Signs of depression | 1.9% |
| ADL Index Range: 6-10 - No Signs of depression | 1.8% |
| Total Percent: | 3.7% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 15-16 - No Signs of depression | 0.8% |
| ADL Index Range: 11-14 - No Signs of depression | 0.5% |
| ADL Index Range: 6-10 - No Signs of depression | 1.2% |
| ADL Index Range: 0-1 - No Signs of depression | 0.1% |
| Total Percent: | 2.7% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 2-5 - Less restorative nursing | 1.9% |
| ADL Index Range: 0-1 - Less restorative nursing | 0.1% |
| Total Percent: | 2.0% |
Rating Details For Langdon Place of Keene Nursing
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 2 Hours and 9 Minutes | 1 Hour and 33 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 41 Minutes | 53 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 40 Minutes | 2 Hours and 34 Minutes |
| Total Licensed Nurse Hours | 2 Hours and 50 Minutes | 2 Hours and 26 Minutes |
| Total Nurse Hours | 5 Hours and 31 Minutes | 5 Hours |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for New Hampshire are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | New Hampshire Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 94% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 8% | 18% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 12% | 6% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 6% | 7% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 2% | 4% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 10% | 8% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 8% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 90% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 17% | 11% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 28% | 24% |
| Percent of Short-Stay Residents Who Have Delirium | 3% | 2% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/09/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
|  |  |
Set Up or Keep a Group of People to Review and Ensure Quality.
|  |  |
Environmental
Get Rid of Garbage Properly.
| | |
Pharmacy Service
Make Sure That Residents Are Safe from Serious Medication Errors.
| | |
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Resident Assessment
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
| | |
Resident Rights
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
| | |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Langdon Place of Keene Nursing, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Administration
Post Nurse Staffing Information.
| |  |
Choose a Doctor to Be the Medical Director.
| | |
Keep Accurate and Appropriate Medical Records.
| | |
Keep Accurate and Appropriate Medical Records.
| | |
Choose a Doctor to Be the Medical Director.
| | |
Environmental
Have a Program to Keep Infection from Spreading.
| | |
Keep All Essential Equipment Working Safely.
| | |
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Pharmacy Service
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
Properly Mark Drugs and Other Similar Products.
| | |
Make Sure That Residents Are Safe from Serious Medication Errors.
| | |
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Give Professional Services That Follow Each Resident's Written Care Plan.
| | |
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
| | |
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
| | |
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
| | |
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Resident Assessment
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| | |
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
| | |
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
| | |
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
| | |
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
| | |
Get Doctor Orders for the Resident's Immediate Care when Admitted.
| | |
Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
| | |
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| | |
Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Langdon Place of Keene Nursing had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 12/08/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| | |
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
Fire-Resistant Interior Walls.
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Building Service Equipment
Properly Protected Cooking Facilities.
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Properly Protected Cooking Facilities.
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Properly Protected Cooking Facilities.
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Corridor Walls and Doors
Signs That State That Exit Doors Are to Be Kept Closed.
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Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
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Exits and Egress
Proper Exit Design.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
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Proper Stairway Enclosures and Vertical Shafts.
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Source: Medicare Nursing Home Compare; Health Facility Administration of New Hampshire - Retrieved 2011
