Nursing home
Alpine Healthcare Center
298 Main Street, Keene, NH 03431 · Map
For profit - Limited Liability company · 85 certified beds
Alpine Healthcare Center is a Medicare-certified nursing home in Keene, New Hampshire. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.32 hours per resident per day, below the New Hampshire average of 3.88. Its most recent inspection on Jun 13, 2025 cited 11 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Alpine Healthcare Center compares
This facility vs. the New Hampshire and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Hampshire avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.32 | 3.88 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.45 | 0.74 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.22 | 2.39 | 2.34 | below avg |
| Nursing staff turnover | 55.4% | 48.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 4.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 20, 2026 inspection was corrected by February 6, 2026
What inspectors found at Alpine Healthcare Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 20, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 20, 2026 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 20, 2026 · Full report (PDF) - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 20, 2026 · Full report (PDF) - Potential for harm
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 Deficiencies · Jun 13, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Jun 13, 2025 · Full report (PDF) - Minimal
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Jul 18, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 298 Main Street
Keene, NH 03431 - CMS certification #
- 305062
- Ownership
- For profit - Limited Liability company
- Certified beds
- 85
- Avg residents/day
- 72.4
- Provider type
- Medicare and Medicaid
- First certified
- 1996-04-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Alpine Healthcare Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Cheshire Medical Center, Keene. 1.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Langdon Place of Keene, Keene. 1.0 mile away, straight line.
- Nearest home health agency office
- Vna At Hcs Inc, Keene. 3.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 03431 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc Monadnock Dialysis Center, Keene, 1.5 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 03431.
Vna At Hcs, office in Keene, 0.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mary Hitchcock Memorial Hospital, Keene. 1.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Alpine Healthcare Center a good nursing home?
CMS gives Alpine Healthcare Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Alpine Healthcare Center staffed?
Alpine Healthcare Center reports 3.32 total nurse hours per resident per day, compared with the New Hampshire average of 3.88.
Has Alpine Healthcare Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Alpine Healthcare Center have?
Alpine Healthcare Center is certified for 85 beds.