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Alpine Healthcare Center
298 Main Street, Keene, NH 03431 (opens Google Maps) · Cheshire County · (603) 352-7311· 85 certified beds · avg 75 residents/day · certified since Apr 1, 1996 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
1/5
Health inspection rating (on-site)
inspected Jun 13, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.06
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint F-0609
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint F-0610
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint F-0604
View all 21 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 20, 2026 | E · Potential for more than minimal harm, pattern | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Jan 20, 2026 | E · Potential for more than minimal harm, pattern | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| Jan 20, 2026 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint · F-0604 |
| Jan 20, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849 |
| Jun 13, 2025 | B · Potential for minimal harm, pattern | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Jul 18, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jul 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jun 15, 2023 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jun 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Jun 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jun 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Jun 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Jun 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
All citationsSerious citations (G–L)
2023
All citations: 6
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 7 | 0 | D |
| 2026 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNew Hampshire averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.06
New Hampshire average: 4.11
U.S. average: 3.95
Registered Nurse hours
This facility: 0.35
New Hampshire average: 0.82
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.74
New Hampshire average: 3.67
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.06 | 4.11 | 3.95 | bottom 15% in New Hampshire; bottom 16% in the U.S. |
| Registered Nurse hours | 0.35 | 0.82 | 0.69 | bottom 1% in New Hampshire; bottom 15% in the U.S. |
| Weekend total nurse staffing | 2.74 | 3.67 | 3.50 | bottom 15% in New Hampshire; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.55 | 0.48 | bottom 7% in New Hampshire; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 47.8 | 44.1 | 45.8 | bottom 30% in New Hampshire; bottom 42% in the U.S. |
| RN turnover (%) | 50.0 | 40.9 | 42.9 | bottom 29% in New Hampshire; bottom 39% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.14, RN 0.36, weekend 2.82.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.14 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Alpine Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aggcp LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/20/2026 |
| Black Mountain II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 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 |
| Nhoc LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 11/19/2020 |
| 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 |
| White Mountain Peak Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2023 |
| WMP HC LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/19/2020 |
| WMP Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/19/2020 |
| 603 Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/15/2025 |
| 603 Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/23/2026 |
| Bilal, Haris | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/28/2025 |
| Bilal, Haris | Individual | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Castor, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/19/2020 |
| 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 |
Showing 20 of 33 parties CMS has on file for this facility; 13 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the New Hampshire midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 33 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Langdon Place of Keene | 1.0 mi | Keene, NH | ★★★★★ | 5/5 | |
| Keene Center, Genesis Healthcare | 2.1 mi | Keene, NH | ★★★☆☆ | 3/5 | |
| Covenant Living of Keene | 4.2 mi | Keene, NH | ★★★★☆ | 3/5 | |
| Cheshire County Home | 10.1 mi | Westmoreland, NH | ★★★★☆ | 3/5 | |
| Applewood Center | 12.5 mi | Winchester, NH | ★★★★★ | 5/5 | |
| Pine Heights at Brattleboro Center for Nursing & R | 15.6 mi | Brattleboro, VT | ★★★★★ | 4/5 | |
| Thompson House Nursing Home | 15.7 mi | Brattleboro, VT | ★☆☆☆☆ | 1/5 | SFF |
| Jaffrey Rehabilitation and Nursing Center | 15.9 mi | Jaffrey, NH | ★☆☆☆☆ | 1/5 | |
| Vernon Green Nursing Home | 16.3 mi | Vernon, VT | ★★★☆☆ | 2/5 | abuse |
| Pheasant Wood Center | 17.3 mi | Peterborough, NH | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 305062.