Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
ALPINE HEALTHCARE CENTER
ALPINE HEALTHCARE CENTER is a Nursing Home in New Hampshire
ALPINE HEALTHCARE CENTER is a Nursing Home in New Hampshire
ALPINE HEALTHCARE CENTER
ALPINE HEALTHCARE CENTER is a Nursing Home in New Hampshire
ALPINE HEALTHCARE CENTER is a Nursing Home in New Hampshire
Alpine Healthcare Center is located in Keene, NH, and offers a range of services including short and long-term care, medical care, rehabilitation therapy, and personal care. The facility is equipped with advanced medical equipment and a skilled team dedicated to enhancing the well-being of residents. It also provides palliative and hospice care, as well as respite care for caregivers.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
85
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
84.4%
Residents per day (avg)
73
Occupancy rate
84.4%
Residents per day (avg)
73
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
52% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
28% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Proprietary home
Other
Home revenue
$8.5M
Profit
$406.7K
Proprietary home
Other
Home revenue
$8,511,669.00
Profit
$406,688.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.1M
85-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License Status
ActiveFacility Type
Nursing Home
License Date
October 1, 2025
Additional licensing details
License number:
04458
CMS Certification Number:
305062
County:
Cheshire
Ownership & operating entity
ALPINE HEALTHCARE CENTER is administrated by MELISSA CASTOR.
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Short & Long Term Care, Medical Care, Rehabilitation therapy, Personal Care, Mental Health and Recovery, Palliative & Hospice Care, Respite Care, Total Parenteral Nutrition (TPN), Discharge Planning
Comparison Chart
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.Compare Nursing Homes around New Hampshire
COLONIAL POPLIN NURSING AND REHABILITATION FACILITY
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NH 03044
50
No
WHITE OAK HEALTHCARE AT FREMONT INC
84.0%
$8,664,888.00
$3,619,841.00
41.8%
43.30
5/5
3.8111
5/5
3/5
4/5
-
CEDAR HEALTHCARE CENTER
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NH 03801
102
No
-
78.6%
$11,041,119.00
$5,678,115.00
51.4%
84.40
5/5
3.2985
5/5
3/5
4/5
-
COVENANT LIVING OF KEENE (ASSISTED LIVING AND MEMORY CARE)
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NH 03431
20
No
-
-
-
-
-
18.90
5/5
5.5708
4/5
5/5
2/5
-
BEDFORD HILLS
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NH 03110
147
No
FORRENCE, HEIDI
94.2%
$25,568,088.00
$8,485,429.00
33.2%
135.10
3/5
3.3304
4/5
3/5
1/5
1
ALPINE HEALTHCARE CENTER
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NH 03431
85
No
WHITE MOUNTAIN PEAK HEALTHCARE LLC
84.4%
$8,511,033.00
$3,811,930.00
44.8%
73.10
2/5
3.2136
2/5
3/5
2/5
-
Places of interest near ALPINE HEALTHCARE CENTER
2.1 miles from city center
KEENE, NH 03431
Calculate Travel Distance to ALPINE HEALTHCARE CENTER
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
148
Total Staff
66
Employees
82
Contractors
25,623
Total Hours (Quarter)
34
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 9.9 | No |
| Licensed Practical Nurse | 33 | 8.7 | Yes |
| Certified Nursing Assistant | 74 | 8.3 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
128 staff
8.7hs shift avg
Physicians & Practitioners ⓘ
3 staff
8hs shift avg
Therapy Services ⓘ
7 staff
5.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
7 staff
7.4hs shift avg
Other Services ⓘ
2 staff
7.8hs shift avg
Contractor Analysis
19.8%
of total hours from contractors
5,061 contractor hours this quarter
Medication Aide/Technician: 2
Certified Nursing Assistant: 45
Physical Therapy Assistant: 2
Speech Language Pathologist: 2
Licensed Practical Nurse: 28
Respiratory Therapy Technician: 2
Physical Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 29 | 45 | 74 | 11,399 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 5 | 28 | 33 | 3,103 | 89 | 98% | 8.7 |
| Medication Aide/Technician | 10 | 2 | 12 | 2,962 | 91 | 100% | 10 |
| Registered Nurse | 9 | 0 | 9 | 2,562 | 89 | 98% | 9.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,355 | 88 | 97% | 7.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 888 | 65 | 71% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 738 | 65 | 71% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 522 | 76 | 84% | 6.7 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 463 | 64 | 70% | 6.2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 66 | 28 | 31% | 2.4 |
| Physical Therapy Aide | 0 | 1 | 1 | 5 | 1 | 1% | 4.7 |
Health Inspection History
Source: CMS Health Citations (Jun 2023 – Jun 2025)
3
Inspections
17
Total Citations
0
Critical (J-L)
0
Serious (G-I)
5.67
Citations/Inspection
Jun 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
5
29% of total
Pharmacy Services
4
24% of total
Infection Control
2
12% of total
Resident Rights
2
12% of total
Administration
1
6% of total
Citation Sources
Standard Inspections
17
Complaint Investigations
0
State Comparison (NH)
Citations
17
New Hampshire average: 14.4
Critical Citations
0
New Hampshire average: 0.2
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Jun 13, 2025 | D | Administration | F0849 | Corrected |
| Jun 13, 2025 | D | Nutrition | F0812 | Corrected |
| Jun 13, 2025 | D | Pharmacy | F0761 | Corrected |
| Jun 13, 2025 | D | Quality of Care | F0699 | Corrected |
| Jun 13, 2025 | D | Care Planning | F0658 | Corrected |
| Jun 13, 2025 | B | Resident Rights | F0582 | Corrected |
| Jun 13, 2025 | D | Resident Rights | F0584 | Corrected |
| Jul 18, 2024 | D | Infection Control | F0880 | Corrected |
| Jul 18, 2024 | E | Infection Control | F0881 | Corrected |
| Jul 18, 2024 | D | Pharmacy | F0761 | Corrected |
| Jul 18, 2024 | D | Quality of Care | F0689 | Corrected |
| Jun 15, 2023 | D | Nutrition | F0812 | Corrected |
| Jun 15, 2023 | D | Pharmacy | F0758 | Corrected |
| Jun 15, 2023 | E | Pharmacy | F0761 | Corrected |
| Jun 15, 2023 | D | Quality of Care | F0686 | Corrected |
| Jun 15, 2023 | D | Quality of Care | F0689 | Corrected |
| Jun 15, 2023 | D | Quality of Care | F0698 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: White Oak Healthcare
Resident Census by Payment Source
70
Total Residents
Medicare
8
(11.4%)
ⓘ
Medicaid
39
(55.7%)
ⓘ
Private Pay/Other
23
(32.9%)
ⓘ
Specialized Care Beds
20
Total Specialty Beds
23.5%
of Bed Capacity
20
Alzheimer's / Dementia Beds ⓘ
23.5%
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
8.3
Score
27% better than avg
New Hampshire avg: 11.4
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
18.8
Score
19% better than avg
New Hampshire avg: 23.2
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
14.2%
Lost Too Much Weight
3.1%
Urinary Tract Infection
0.4%
Depressive Symptoms
4.7%
Falls with Major Injury
3.1%
Pneumococcal Vaccine
100.0%
Antipsychotic Use
24.8%
Walking Ability Worsened
18.0%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
3.1%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
24.3%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
96.9%
16% better than avg
New Hampshire: 83.8%
Short-Stay Residents Who Received a New Antipsychotic Medication
1.2%
25% better than avg
New Hampshire: 1.6%
Influenza Vaccine
89.8%
8% better than avg
New Hampshire: 83.0%
Financial Trends
Historical financial and operational data for ALPINE HEALTHCARE CENTER based on CMS SNF Cost Reports.
Occupancy Rate
84.4%
↓ 0.7pp vs 2022
Net Income
$406,688
↓ ~$779K vs 2022
Total Payroll
$4,619,975
↓ ~$280K vs 2022
Profit Margin
4.8%
↓ 9.4pp vs 2022
Loading trend charts...
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Claim What’s Yours: Financial Aid for New Hampshire Seniors
Program
State Program Name
Eligibility
Benefits
Choices for Independence
NH Medicaid CFI Waiver
- General: Age 65+ or disabled, New Hampshire resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- NH Specifics: Small state; rural access emphasis.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home aides.
NH ServiceLink Aging and Disability Resource Center
NH ServiceLink
- General: Age 60+, New Hampshire resident, or caregiver.
- Income Limits: No strict limit; prioritizes low-income.
- Asset Limits: Not applicable.
- NH Specifics: Primarily referral-based; limited direct funding.
- Services: Care coordination, respite (up to 5 days/year), transportation (~5 trips/month).
Old Age Assistance (OAA)
New Hampshire Old Age Assistance
- General: Age 65+, NH resident, US citizen/eligible alien, not in public institution.
- Income Limits (2025): ~$1,063/month (individual, net after deductions); varies by living arrangement.
- Asset Limits: $1,500 (individual), $2,000 (couple).
- NH Specifics: Automatic Medicaid eligibility; estate recovery applies.
- Services: Cash (~$50-$200/month) for living costs (e.g., rent, utilities, care support).
New Hampshire Family Caregiver Program (via NFCSP)
New Hampshire Family Caregiver Program
- General: Caregivers of 60+ needing care or 55+ caregivers of others; NH resident; functional needs (2+ ADLs).
- Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
- Asset Limits: Not assessed; need-based.
- NH Specifics: 13 ServiceLink locations; rural/low-income priority.
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Medicare Savings Program (MSP)
New Hampshire Medicare Savings Program
- General: Age 65+ or disabled, NH resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- NH Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
New Hampshire Fuel Assistance Program (FAP)
New Hampshire Fuel Assistance Program
- General: Age 60+ prioritized, NH resident, low-income household.
- Income Limits (2025): ~$33,614/year (1-person), ~$43,958/year (2-person) (150% FPL).
- Asset Limits: Not assessed; income-focused.
- NH Specifics: Administered by 5 CAP agencies; covers oil, gas, electric, wood.
- Services: Heating aid ($300-$1,200/season), weatherization, emergency fuel ($450 max).
Senior Community Service Employment Program (SCSEP)
New Hampshire SCSEP
- General: Age 55+, unemployed, low-income, NH resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- NH Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
New Hampshire VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, NH resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth limit).
- NH Specifics: High veteran demand in rural/urban areas.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
NH Low and Moderate Income Homeowners Property Tax Relief
New Hampshire Property Tax Relief
- General: Age 65+ prioritized, NH resident, homeowner, paid property taxes.
- Income Limits (2025): ~$47,000/year (individual), ~$60,000/year (couple).
- Asset Limits: Not assessed; home value cap at $750,000.
- NH Specifics: Refundable relief (~$100-$500/year); annual application.
- Services: Tax relief (~$100-$500/year) to offset housing costs, indirectly aiding care funding.
Claim What’s Yours Financial Aid for New Hampshire Seniors
NH Medicaid CFI Waiver
Choices for Independence
Requirements:
General:Age 65+ or disabled, New Hampshire resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025):~$2,829/month (300% FBR, individual).- Asset Limits:$2,000 (individual), $3,000 (couple).
NH Specifics:Small state; rural access emphasis.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home aides.
NH ServiceLink
NH ServiceLink Aging and Disability Resource Center
Requirements:
- General:Age 60+, New Hampshire resident, or caregiver.
- Income Limits:No strict limit; prioritizes low-income.
- Asset Limits:Not applicable.
- NH Specifics:Primarily referral-based; limited direct funding.
Benefits without Contact:
- Services: Care coordination, respite (up to 5 days/year), transportation (~5 trips/month).
New Hampshire Old Age Assistance
Old Age Assistance (OAA)
Requirements:
- General:Age 65+, NH resident, US citizen/eligible alien, not in public institution.
- Income Limits (2025):~$1,063/month (individual, net after deductions); varies by living arrangement.
- Asset Limits:$1,500 (individual), $2,000 (couple).
- NH Specifics:Automatic Medicaid eligibility; estate recovery applies.
Benefits without Contact:
- Services: Cash (~$50-$200/month) for living costs (e.g., rent, utilities, care support).
New Hampshire Family Caregiver Program
New Hampshire Family Caregiver Program (via NFCSP)
Requirements:
- General:Caregivers of 60+ needing care or 55+ caregivers of others; NH resident; functional needs (2+ ADLs).
- Income Limits (2025):Prioritizes ~$24,980/year (individual); no strict cap.
- Asset Limits:Not assessed; need-based.
- NH Specifics:13 ServiceLink locations; rural/low-income priority.
Benefits without Contact:
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
New Hampshire Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, NH resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- NH Specifics:Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
New Hampshire Fuel Assistance Program
New Hampshire Fuel Assistance Program (FAP)
Requirements:
- General:Age 60+ prioritized, NH resident, low-income household.
- Income Limits (2025):~$33,614/year (1-person), ~$43,958/year (2-person) (150% FPL).
- Asset Limits:Not assessed; income-focused.
- NH Specifics:Administered by 5 CAP agencies; covers oil, gas, electric, wood.
Benefits without Contact:
- Services: Heating aid ($300-$1,200/season), weatherization, emergency fuel ($450 max).
New Hampshire SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, NH resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified; income-focused.
- NH Specifics:Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
New Hampshire VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, NH resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (net worth limit).
- NH Specifics:High veteran demand in rural/urban areas.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
New Hampshire Property Tax Relief
NH Low and Moderate Income Homeowners Property Tax Relief
Requirements:
- General:Age 65+ prioritized, NH resident, homeowner, paid property taxes.
- Income Limits (2025):~$47,000/year (individual), ~$60,000/year (couple).
- Asset Limits:Not assessed; home value cap at $750,000.
- NH Specifics:Refundable relief (~$100-$500/year); annual application.
Benefits without Contact:
- Services: Tax relief (~$100-$500/year) to offset housing costs, indirectly aiding care funding.
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