nursing home in Keene, NH
Alpine Healthcare Center
298 Main Street, Keene, NH 03431 · (603) 352-7311
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Alpine Healthcare Center at a glance
Alpine Healthcare Center is a 85-bed for-profit nursing home in Keene, New Hampshire (Cheshire County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the New Hampshire average of 3.
Residents receive about 3.1 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (June 13, 2025) found 11 health citations. The New Hampshire average is 4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 47.8% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 85
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 1, 1996
- Resident/family council
- Resident
- County
- Cheshire County
- CMS Certification Number
- 305062
Ratings
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.14 hrs | 3.90 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.36 hrs | 0.78 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.15 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.82 hrs | 3.47 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 47.8% | 44.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 50% | 40.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 4 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 0 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 41 | 24.6 | 80.6 | Better |
Penalties
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $7,928 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 85 | 100 | 107 | |
| Average residents per day | 75 | 81 | 86 | |
| Occupancy | 88.5% | 81.4% | 80.9% |
Long-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.4% | 4.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.2% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 25.7% | 17.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 2.1% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 27.4% | 22.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 27.9% | 17.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.1% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 13.1% | 13.7% | 12.8% | Average |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 18.5% | 19% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 29.9% | 25.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 97.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 89.8% | 83% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.5% | 86.8% | 82% | Better |
Inspection citations
State inspectors cited this home for 21 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 20, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected February 6, 2026 |
| January 20, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected February 6, 2026 |
| January 20, 2026 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected February 6, 2026 |
| January 20, 2026 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected February 6, 2026 |
| June 13, 2025 Fire safety | Ensure operating rooms are properly protected and written records are maintained and available for inspection. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0913 | C No harm, widespread | Corrected July 17, 2025 |
| June 13, 2025 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 13, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 13, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 13, 2025 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 13, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 13, 2025 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected July 14, 2025 |
| June 13, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | B No harm, pattern | Corrected July 14, 2025 |
| July 18, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected September 4, 2024 |
| July 18, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | C No harm, widespread | Corrected September 4, 2024 |
| July 18, 2024 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 18, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 5, 2024 |
| July 18, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 13, 2024 |
| July 18, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 8, 2024 |
| June 15, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected August 10, 2023 |
| June 15, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected August 10, 2023 |
| June 15, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected August 10, 2023 |
| June 15, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | C No harm, widespread | Corrected August 10, 2023 |
| June 15, 2023 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected July 11, 2023 |
| June 15, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected July 12, 2023 |
| June 15, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 11, 2023 |
| June 15, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 11, 2023 |
| June 15, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected July 11, 2023 |
| June 15, 2023 Standard | Implement 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected July 11, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| WHITE MOUNTAIN PEAK HEALTHCARE LLC Organization | 5% or greater direct ownership interest | 100% | 05/01/2023 |
| BLACK MOUNTAIN II LLC Organization | 5% or greater indirect ownership interest | — | 01/20/2026 |
| PR NH HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 01/20/2026 |
| RR NH HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 01/20/2026 |
| WMP HOLDCO LLC Organization | 5% or greater indirect ownership interest | — | 11/19/2020 |
| 603 HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 04/23/2026 |
| BILAL, HARIS Individual | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| CASTOR, MELISSA Individual | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| KANSAS SNF HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| MAD FAMILY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| NATR TRUST Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| PR NH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 01/20/2026 |
| RARMNA HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| RATR TRUST Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| RAUSMAN, PHILIP Individual | adp of the snf | NOT APPLICABLE | 01/20/2026 |
| RAUSMAN, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/20/2026 |
| RNR HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/19/2020 |
| RR NH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 01/20/2026 |
| WETR TRUST Organization | adp of the snf | NOT APPLICABLE | 01/20/2026 |
| RAUSMAN, ROBERT Individual | corporate officer | NOT APPLICABLE | 01/20/2026 |
| NHOC LLC Organization | direct ownership interest | NOT APPLICABLE | 11/19/2020 |
| AGGCP LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/20/2026 |
| GOLDSTEIN, AVROHOM Individual | indirect ownership interest | NOT APPLICABLE | 01/20/2026 |
| HALBERSTAM, MIRIAM Individual | indirect ownership interest | NOT APPLICABLE | 01/20/2026 |
| HALBERSTAM, MOSHE Individual | indirect ownership interest | NOT APPLICABLE | 01/20/2026 |
| KAMNA HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/19/2020 |
| WMP HC LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/19/2020 |
| STEVENSON, SEAN Individual | managing control - governing body | NOT APPLICABLE | 01/20/2026 |
| 603 HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 08/15/2025 |
| BILAL, HARIS Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| CASTOR, MELISSA Individual | operational/managerial control | NOT APPLICABLE | 11/19/2020 |
| RAUSMAN, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 06/15/2026 |
| STEVENSON, SEAN Individual | operational/managerial control | NOT APPLICABLE | 01/20/2026 |
Other nursing homes near Alpine Healthcare Center
Langdon Place of Keene
136 A Arch Street, Keene, NH 03431 · 1 mi
For-profit · 25 beds · Part of 603 Healthcare
- CMS high performer
★★★★★5Much above averageKeene Center, Genesis Healthcare
677 Court Street, Keene, NH 03431 · 2.1 mi
For-profit · 106 beds · Part of Genesis Healthcare
★★★★★3AverageCovenant Living of Keene
100 Wyman Rd, Keene, NH 03431 · 4.2 mi
Non-profit · 20 beds · Part of Covenant Living
★★★★★4Above average- ★★★★★4Above average
Applewood Center
8 Snow Road, Winchester, NH 03470 · 12.5 mi
For-profit · 72 beds · Part of Genesis Healthcare
- CMS high performer
★★★★★5Much above averagePine Heights at Brattleboro Center for Nursing & R
187 Oak Grove Avenue, Brattleboro, VT 05301 · 15.6 mi
For-profit · 80 beds · Part of National Health Care Associates
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Alpine Healthcare Center's rating?
Alpine Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for New Hampshire nursing homes is 3 stars.
How many inspection citations did Alpine Healthcare Center receive?
Its most recent standard health inspection found 11 citations, compared with a New Hampshire average of 4. Every citation is listed on this page with its severity.
Does Alpine Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Alpine Healthcare Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Alpine Healthcare Center and how do I contact it?
Alpine Healthcare Center is at 298 Main Street, Keene, NH 03431. Phone: (603) 352-7311.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.