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

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)

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.

Jan 20, 2026E · 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, 2026E · 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, 2026D · 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

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).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityNew Hampshire averageU.S. average

Total nurse staffing (hours per resident per day)

3.06

4.11

3.95

Registered Nurse hours

0.35

0.82

0.69

Weekend total nurse staffing

2.74

3.67

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

Full visit checklist →

Print visit checklist

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

Compare this facility with the 3 closest →

All facilities in Keene →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Alpine Healthcare Center

298 Main Street, Keene, NH 03431 · (603) 352-7311

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?"
☐ "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?"

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)