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Nursing Facility

Town Hall Estates Keene, Inc.

Owned by: Non profit - Corporation

Safety Pulse

AI-GENERATED FAMILY INSIGHTS

  • Inadequate care planning: Care plans were not developed within the required timeframe post-assessment, potentially leading to delayed or inappropriate care.

  • Compromised Resident Rights: The facility failed to fully honor resident rights to dignity, self-determination, and communication, raising concerns about resident autonomy and quality of life.

  • Deficient Infection Control: Lack of an effectively implemented infection prevention and control program poses a significant risk to resident health and safety, increasing vulnerability to infections.

Note: This summary is generated from recently documented safety inspections and citations.

Regional Context

This Facility26
Keene AVERAGE10.4

150% more violations than city average

Source: 3-year federal inspection history (CMS.gov)

Quick Stats

26Total Violations
126Certified Beds
Safety Grade
F
75/100 Score
F RATED
Safety Audit Result
Legal Consultation Available

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Violation History

CITATION DATEJanuary 1, 2026
F-TAG: 0760

Ensure that residents are free from significant medication errors.

Ensure that residents are free from significant medication errors.

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0558

Reasonably accommodate the needs and preferences of each resident.

Reasonably accommodate the needs and preferences of each resident.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0880

Provide and implement an infection prevention and control program.

Provide and implement an infection prevention and control program.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Honor the resident's right to organize and participate in resident/family groups in the facility.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

PASARR screening for Mental disorders or Intellectual Disabilities

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0692

Provide enough food/fluids to maintain a resident's health.

Provide enough food/fluids to maintain a resident's health.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0558

Reasonably accommodate the needs and preferences of each resident.

Reasonably accommodate the needs and preferences of each resident.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0641

Ensure each resident receives an accurate assessment.

Ensure each resident receives an accurate assessment.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0880

Provide and implement an infection prevention and control program.

Provide and implement an infection prevention and control program.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0583

Keep residents' personal and medical records private and confidential.

Keep residents' personal and medical records private and confidential.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0730

Observe each nurse aide's job performance and give regular training.

Observe each nurse aide's job performance and give regular training.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Scope & Severity (CMS Alpha)
Potential for Harm

Regional Safety Benchmarking

City Performance (Keene)AVG: 12.4

Outperforming city safety markers

"Comparative analysis is essential for identifying systemic neglect. Our benchmarks are updated monthly using raw CMS files."

Critical Evidence

Full Evidence Dossier

Documented history of neglect citations, staffing failures, and ownership risk profiles. Perfect for families, legal preparation, or professional due diligence.

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Open Guide
Source: CMS.gov / Medicare.gov
Dataset Sync: Feb 2026
Audit ID: NH-AUDIT-54BBC3CB