All states › New Hampshire › Keene › Alpine Healthcare Center
298 Main Street Keene, NH 03431 · Cheshire County
All 4 nursing homes in Keene, NH (3 take Medicaid)
CMS certification number 305062 · See this home on Medicare Care Compare
Is Alpine Healthcare Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Alpine Healthcare Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the New Hampshire average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.23 hours per resident per day at Alpine Healthcare Center, below the New Hampshire median of 3.66 (US median: 3.72). About 0.45 of those hours are from registered nurses. On weekends it falls to 2.83 hours, 13% below its all-week average. 50.8% of nursing staff left within a year (New Hampshire median 43%).
About this nursing home
Paying for care at Alpine Healthcare Center: Medicare and Medicaid
Alpine Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New Hampshire's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 13, 2025 and found 7 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 21 citations at Alpine Healthcare Center across 4 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 20 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (5) and freedom from abuse, neglect, and exploitation (4). The most serious was cited under the CMS rule to "timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities" (tag F0609, level E, January 20, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.
January 20, 2026 · 4 citations · includes complaint inspection
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
June 13, 2025 · 7 citations
DHonor 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.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care or services that was trauma informed and/or culturally competent.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
BGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
July 18, 2024 · 4 citations
EImplement a program that monitors antibiotic use.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
DProvide and implement an infection prevention and control program.
June 15, 2023 · 6 citations
EEnsure 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.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DImplement 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Questions to ask on a tour of Alpine Healthcare Center
- CMS cited the home under its abuse and neglect rules on January 20, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
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Location
Hospitals near Alpine Healthcare Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.7 mi
Cheshire Medical Center KeeneEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 34m for patients treated and sent home
- 15.1 mi
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15.7 mi
Brattleboro Memorial Hospital BrattleboroEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 51m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Alpine Healthcare Center › All nursing homes in Keene ›
Compare Alpine Healthcare Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Langdon Place of Keene · Keene · 5 stars · 1.0 mi
- Covenant Living of Keene · Keene · 4 stars · 4.2 mi
- Keene Center, Genesis Healthcare · Keene · 3 stars · 2.1 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.