Federal inspection record · CMS data as of October 1, 2026
Alpine Healthcare Center
298 Main Street, Keene, NH · (603) 352-7311
- Certified beds
- 85
- Residents per day
- 72
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1996
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Hampshire.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Alpine Healthcare Center carries 41 inspection points. That is fewer than 15% of New Hampshire's 72 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Hampshire: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–15 pts
- 3★ 15–23 pts
- 2★ 23–40 pts
- 1★ over 40 pts
Bars show every rated home in New Hampshire by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care5D
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Freedom from Abuse, Neglect, and Exploitation4E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pharmacy Service4E
- D
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
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
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
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.
Resident Rights2D
- D
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.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nutrition and Dietary2D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Administration1D
- D
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.
Inspection history
2025-06-13
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-07-18
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-06-15
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 14 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 14 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 58% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.7 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 100.0% | 97.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts worse | 97.4% | 97.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.5 pts better | 0.0% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.6 pts better | 13.2% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts better | 1.7% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts worse | 21.0% | 19.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.5 pts worse | 25.4% | 17.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.7 pts worse | 26.5% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.7 pts worse | 26.0% | 22.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.3% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 0.4% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.6 pts worse | 31.0% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts better | 0.9% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 94.4% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1 pts worse | 14.0% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.3 pts worse | 33.1% | 21.8% | 23.4% |
·
Who owns and runs it
33 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| White Mountain Peak Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| 603 Healthcare LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| 603 Healthcare LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Aggcp LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Bilal, Haris | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Bilal, Haris | Adp Of The SNF · Individual | 0% | 3 facilities |
| Black Mountain Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Castor, Melissa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Castor, Melissa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Goldstein, Avrohom | Indirect Ownership Interest · Individual | 0% | 18 facilities |
| Halberstam, Miriam | Indirect Ownership Interest · Individual | 0% | 15 facilities |
| Halberstam, Moshe | Indirect Ownership Interest · Individual | 0% | 17 facilities |
| Kamna Holdings LLC | Indirect Ownership Interest · Organization | 0% | 15 facilities |
| Kansas SNF Holdings LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Mad Family Holdings LLC | Adp Of The SNF · Organization | 0% | 31 facilities |
| Natr Trust | Adp Of The SNF · Organization | 0% | 31 facilities |
| Nhoc LLC | Direct Ownership Interest · Organization | 0% | 3 facilities |
| Pr Nh Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Pr Nh Holdings LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Rarmna Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Ratr Trust | Adp Of The SNF · Organization | 0% | 30 facilities |
| Rausman, Philip | Adp Of The SNF · Individual | 0% | 7 facilities |
| Rausman, Robert | Corporate Officer · Individual | 0% | 8 facilities |
| Rausman, Robert | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Rausman, Robert | Adp Of The SNF · Individual | 0% | 8 facilities |
| Rnr Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Rr Nh Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Rr Nh Holdings LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Stevenson, Sean | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Stevenson, Sean | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Wetr Trust | Adp Of The SNF · Organization | 0% | 30 facilities |
| Wmp Hc LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Wmp Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3D
- C
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Smoke2D
- D
Provide properly protected cooking facilities.
- C
Install corridor and hallway doors that block smoke.
Egress1C
- C
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness1C
- C
Conduct testing and exercise requirements.
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Other homes nearby
-
Langdon Place Of Keene
Keene, NH · 603 Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 22 min
- Fines
- $0
-
Keene Center, Genesis Healthcare
Keene, NH · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 15 min
- Fines
- $0
-
Covenant Living Of Keene
Keene, NH · Covenant Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 28 min
- Fines
- $0