Cheshire County, New Hampshire · Nursing home
Alpine Healthcare Center
1 of 5 overall from CMS
298 Main Street, Keene, NH 03431
At a glance
- Overall rating 1 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.14 hours Below the state average of 3.90
- Nursing staff who left in a year 47.8% Above the state average of 44.1%
- Health citations in 3 years 21 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 88.5% of 85 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Alpine Healthcare Center is a 85-bed nursing home in Keene, New Hampshire (Cheshire County). CMS rates it 1 of 5 stars overall as of Aug 2026. It reports 3.14 nurse staffing hours per resident per day, below the New Hampshire average of 3.90. CMS lists no fines in the past three years.
- Certified beds
- 85
- Residents per day (average)
- 75.2
- Certified since
- 1996 (30 yrs)
For profit - Limited Liability company Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Questions to ask Alpine Healthcare Center
Chosen from this home's public data.
- The latest standard inspection (Jun 13, 2025) cited 11 health deficiencies; the New Hampshire average is 3.9. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 47.8%, above the New Hampshire average of 44.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.82 hours per resident on weekends against 3.14 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 New Hampshire average 3.1
- Health inspections 1 of 5 New Hampshire average 2.9
- Staffing 1 of 5 New Hampshire average 3.3
- Quality measures 2 of 5 New Hampshire average 3.2
The vertical line marks the New Hampshire average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.14 h New Hampshire average 3.90
- Nurse aides 2.15 h New Hampshire average 2.34
- Licensed practical nurses 0.64 h New Hampshire average 0.78
- Registered nurses 0.36 h New Hampshire average 0.78
- All staff, weekends 2.82 h New Hampshire average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the New Hampshire average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover47.8%
- New Hampshire average44.1%
- Registered nurse turnover50.0%
- New Hampshire average40.9%
- Administrators who left0
Inspection history
Inspectors cited 21 health deficiencies in the past three years. None was graded as actual harm or immediate jeopardy. 4 followed a complaint investigation.
| Inspection date | Health | Fire safety |
|---|---|---|
| Jun 13, 2025 | 11 | 1 |
| Jul 18, 2024 | 4 | 2 |
| Jun 15, 2023 | 6 | 4 |
New Hampshire homes averaged 3.9 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (21)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 6, 2026)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 6, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 6, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 6, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 14, 2025)
Show 16 more
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 14, 2025)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 14, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 14, 2025)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 14, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 14, 2025)
-
BPotential for minimal harm, pattern
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Jul 14, 2025)
-
EPotential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Aug 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 5, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 8, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jul 11, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 11, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 11, 2023)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 12, 2023)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 11, 2023)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 11, 2023)
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
New Hampshire homes averaged 0.6 fines and $8,016 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Hampshire
- Size42 of 73 by certified beds
- New Hampshire average residents per day81.3
- ChainNone listed
- Resident or family councilResident
- Homes in Cheshire County7
Common questions
What is the CMS star rating for Alpine Healthcare Center?
Alpine Healthcare Center has an overall rating of 1 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 2.
How many beds does Alpine Healthcare Center have?
Alpine Healthcare Center has 85 certified beds. It averages 75.2 residents per day, about 88.5% of its certified beds.
How much nursing care do residents get at Alpine Healthcare Center?
The home reports 3.14 hours of nurse staffing per resident per day, including 0.36 hours from registered nurses. The New Hampshire average is 3.90 hours and 0.78 hours from registered nurses.
Has Alpine Healthcare Center been fined?
CMS lists no fines for this home in the past three years.
Does Alpine Healthcare Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 5 of 5 Langdon Place of Keene 25beds 87.6%in use 5.26nurse hours a day
- 3 of 5 Keene Center, Genesis Healthcare 106beds 76.9%in use 3.33nurse hours a day
- 4 of 5 Covenant Living of Keene 20beds 93.0%in use 5.32nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Cheshire County
Who to call in New Hampshire
These offices serve residents of every nursing home in New Hampshire.
- Long-term care ombudsman Office of the Long-Term Care Ombudsman 1-800-442-5640 A free advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Administration, Health Facility Certification Unit 603-271-9049 The state agency that inspects nursing homes.
New Hampshire staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 305062. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.