New Hampshire › Cheshire County › Keene
Alpine Healthcare Center
298 Main Street, Keene, NH 03431
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 85 beds, Alpine Healthcare Center serves Keene in Cheshire County, New Hampshire and has taken Medicare and Medicaid residents since 1996.
CMS gives it 1 of 5 stars overall, below the New Hampshire median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (11, 4, 6 by cycle, most recent first), none at the actual-harm level. That is 24.7 per 100 beds, more than the state median of 13.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.1 hours per resident per day (0.4 RN), close to the New Hampshire median of 3.6; nursing staff turnover is 47.8%.
Compared with county, state and nation
| Measure | This facility | Cheshire Co. median | New Hampshire median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 9 | 12 | 28.7 |
| Citations per 100 beds | 24.7 | 24.0 | 13.1 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.5 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 47.8% | 36.1% | 43.6% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (7 in the county, 73 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Hampshire average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Jun 2025, 18 Jul 2024.
Severity mix: D ×16 E ×4 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 6 Feb 2026 |
| 20 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 6 Feb 2026 |
| 20 Jan 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 6 Feb 2026 |
| 20 Jan 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 6 Feb 2026 |
| 13 Jun 2025 | F0584 | 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. | D | Standard survey | 14 Jul 2025 |
| 13 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 Jul 2025 |
| 13 Jun 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 14 Jul 2025 |
| 13 Jun 2025 | F0761 | 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. | D | Standard survey | 14 Jul 2025 |
| 13 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 14 Jul 2025 |
| 13 Jun 2025 | F0849 | 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. | D | Standard survey | 14 Jul 2025 |
| 13 Jun 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 14 Jul 2025 |
| 18 Jul 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 8 Aug 2024 |
| 18 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 13 Aug 2024 |
| 18 Jul 2024 | F0761 | 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. | D | Standard survey | 5 Aug 2024 |
| 18 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Aug 2024 |
| 15 Jun 2023 | F0761 | 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. | E | Standard survey | 11 Jul 2023 |
| 15 Jun 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 Jul 2023 |
| 15 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Jul 2023 |
| 15 Jun 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 12 Jul 2023 |
| 15 Jun 2023 | F0758 | 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. | D | Standard survey | 11 Jul 2023 |
| 15 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 11 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Hampshire average. Turnover: nursing staff 47.8%, RNs 50.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Hampshire median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 27.4% | 22.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.4% | 4.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.9% | 17.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.7% | 16.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Peak Healthcare At Keene Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| White Mountain Peak Healthcare LLC | 5% or greater direct ownership interest | 100% | 05/01/2023 |
| Nhoc LLC | Direct ownership interest | NOT APPLICABLE | 11/19/2020 |
| Pr Nh Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/20/2026 |
| Rr Nh Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 01/20/2026 |
| Wmp Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/19/2020 |
| Aggcp LLC | Indirect ownership interest | NOT APPLICABLE | 01/20/2026 |
| Kamna Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 11/19/2020 |
| Wmp Hc LLC | Indirect ownership interest | NOT APPLICABLE | 11/19/2020 |
| 603 Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 08/15/2025 |
| 603 Healthcare LLC | Adp of the snf | NOT APPLICABLE | 04/23/2026 |
| Kansas SNF Holdings LLC | Adp of the snf | NOT APPLICABLE | 11/19/2020 |
| Pr Nh Holdings LLC | Adp of the snf | NOT APPLICABLE | 01/20/2026 |
| Rarmna Holdings LLC | Adp of the snf | NOT APPLICABLE | 11/19/2020 |
| Rnr Holdings LLC | Adp of the snf | NOT APPLICABLE | 11/19/2020 |
| Rr Nh Holdings LLC | Adp of the snf | NOT APPLICABLE | 01/20/2026 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cheshire County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Applewood Center | Winchester | 72 | 5 | 5 | 3 | 7 | 9.7 | — | 15 May 2025 |
| Langdon Place of Keene | Keene | 25 | 5 | 5 | 5 | 6 | 24.0 | — | 11 Feb 2026 |
| Cheshire County Home | Westmoreland | 150 | 4 | 3 | 5 | 9 | 6.0 | — | 11 Sep 2025 |
| Covenant Living of Keene | Keene | 20 | 4 | 3 | 5 | 6 | 30.0 | — | 4 Jun 2026 |
| Keene Center, Genesis Healthcare | Keene | 106 | 3 | 3 | 3 | 10 | 9.4 | — | 14 May 2026 |
| Jaffrey Rehabilitation and Nursing Center | Jaffrey | 83 | 1 | 1 | 2 | 21 | 25.3 | — | 21 May 2026 |
All 7 facilities in Cheshire County
Questions and answers
How many deficiencies has Alpine Healthcare Center been cited for?
21 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The New Hampshire median is 12 per facility.
Has Alpine Healthcare Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Alpine Healthcare Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a New Hampshire median of 3.6 and a national average of 3.9.
Who operates Alpine Healthcare Center?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include White Mountain Peak Healthcare LLC, Nhoc LLC and Pr Nh Holdings LLC. Individual owners and managers are not listed on this site.
When was Alpine Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 20 Jan 2026; the most recent standard health survey was 13 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.