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

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

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Nearby Cities:

Westmoreland | Winchester | Jaffrey

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 ServicesResident ConditionsPercent 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: 11-162.5%
ADL Index Range: 6-1025.1%
ADL Index Range: 0-534.2%
Total Percent:61.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.2%
ADL Index Range: 6-106.1%
ADL Index Range: 0-510.2%
Total Percent:17.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-102.2%
ADL Index Range: 0-53.6%
Total Percent:5.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-101.9%
ADL Index Range: 0-54.5%
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 DayReportedExpected
Registered Nurse (RN) Hours2 Hours and 9 Minutes1 Hour and 33 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours41 Minutes53 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 34 Minutes
Total Licensed Nurse Hours2 Hours and 50 Minutes2 Hours and 26 Minutes
Total Nurse Hours5 Hours and 31 Minutes5 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 FacilityNew Hampshire Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious8%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 Bladder12%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Long-Stay Residents Who Lose Too Much Weight6%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores17%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain28%24%
Percent of Short-Stay Residents Who Have Delirium3%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 InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/18/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/18/2009

Environmental

Get Rid of Garbage Properly.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/18/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/07/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/07/2011

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.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/18/2009

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/18/2009
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.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/07/2011

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 ComplaintsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Choose a Doctor to Be the Medical Director.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 09/22/2010
  • Correction Date: 11/01/2010
Choose a Doctor to Be the Medical Director.
  • Complaint Filed: 09/22/2010
  • Correction Date: 11/01/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 09/22/2010
  • Correction Date: 11/01/2010

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 09/22/2010
  • Correction Date: 11/01/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/22/2010
  • Correction Date: 11/01/2010

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.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
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.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
  • Complaint Filed: 09/22/2010
  • Correction Date: 11/01/2010
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Complaint Filed: 09/22/2010
  • Correction Date: 11/01/2010
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.
  • Complaint Filed: 09/22/2010
  • Correction Date: 11/01/2010
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.
  • Complaint Filed: 09/22/2010
  • Correction Date: 11/01/2010
Get Doctor Orders for the Resident's Immediate Care when Admitted.
  • Complaint Filed: 09/22/2010
  • Correction Date: 11/01/2010

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.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 10/17/2008
  • Correction Date: 11/24/2008

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 10/15/2008
  • Correction Date: 12/10/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/15/2008
  • Correction Date: 12/10/2008

Building Construction

Fire-Resistant Interior Walls.
  • Inspection Date: 10/15/2008
  • Correction Date: 12/10/2008

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 10/15/2008
  • Correction Date: 12/10/2008
Properly Protected Cooking Facilities.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/23/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/04/2011

Corridor Walls and Doors

Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 10/15/2008
  • Correction Date: 12/10/2008

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 10/15/2008
  • Correction Date: 12/10/2008

Exits and Egress

Proper Exit Design.
  • Inspection Date: 12/08/2010
  • Correction Date: 04/13/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 10/15/2008
  • Correction Date: 12/10/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/23/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 10/15/2008
  • Correction Date: 12/10/2008

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 11/10/2009
  • Correction Date: 12/23/2009
Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 12/08/2010
  • Correction Date: 04/13/2011
Source: Medicare Nursing Home Compare; Health Facility Administration of New Hampshire - Retrieved 2011