Alpine Healthcare Center

Name: Alpine Healthcare Center
Address: 298 MAIN STREET, Keene, NH, 03431, US
Telephone: 6033527311

298 Main Street, Keene, NH 03431 · Cheshire County · 85 certified beds · avg 75 residents/day · certified since Apr 1, 1996

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.06

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 self-reported quality measures.

All citations in the current public record (21)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 20, 2026	E · Potential for harm, repeated	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
Jan 20, 2026	E · Potential for harm, repeated	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
Jan 20, 2026	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint
Jan 20, 2026	D · Potential for harm, one-off	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
Jun 13, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 13, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jun 13, 2025	D · Potential for harm, one-off	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.
Jun 13, 2025	D · Potential for harm, one-off	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.
Jun 13, 2025	D · Potential for harm, one-off	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.
Jun 13, 2025	D · Potential for harm, one-off	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.
Jun 13, 2025	B · Minimal risk, repeated	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.
Jul 18, 2024	E · Potential for harm, repeated	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.
Jul 18, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 18, 2024	D · Potential for harm, one-off	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.
Jul 18, 2024	D · Potential for harm, one-off	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.
Jun 15, 2023	E · Potential for harm, repeated	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.
Jun 15, 2023	D · Potential for harm, one-off	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.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jun 15, 2023	D · Potential for harm, one-off	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.
Jun 15, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 7).

Year	Citations	Worst severity that year
2023	6	E
2024	4	E
2025	7	D
2026	4	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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Who owns this facility

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

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

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

Compare this facility with the 3 closest →

All facilities in Keene →

Facility data as of CMS processing date 2026-08-01. CCN 305062.

The Care File

Visit checklist — Alpine Healthcare Center

298 Main Street, Keene, NH 03431 · 6033527311

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 305062 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)