Alpine Healthcare Center

Q: Is Alpine Healthcare Center in a walkable area?

Alpine Healthcare Center has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.

Q: What is the license number of Alpine Healthcare Center?

According to NH state health department records, Alpine Healthcare Center's license number is 04458.

Q: What is the occupancy rate at Alpine Healthcare Center?

Alpine Healthcare Center's occupancy is 84%.

Q: Does Alpine Healthcare Center operate as a for-profit or non-profit?

Alpine Healthcare Center is registered as a for-profit in NH.

Q: Who is the administrator of Alpine Healthcare Center?

Melissa Castor is the administrator of Alpine Healthcare Center.

Q: How many beds does Alpine Healthcare Center have?

Alpine Healthcare Center has 85 beds.

Q: Are there photos of Alpine Healthcare Center?

Yes — there are 2 photos of Alpine Healthcare Center in the photo gallery on this page.

Nursing Home, Hospice Care, Palliative Care & Respite Care · Keene, NH

CMS overall rating

298 Main St, Keene, NH 03431 View map

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Alpine Healthcare Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Alpine Healthcare Center accepts Medicare, Medicaid, and private pay.

Overview of Alpine Healthcare Center

Alpine Healthcare Center is an 85-bed skilled nursing facility owned by White Mountain Peak Healthcare in Keene, New Hampshire. The facility manages several financial paths by accepting Medicare, Medicaid, and private pay options. For visitors, the surrounding suburban area is car-dependent with limited sidewalk connections, meaning family members will generally need a vehicle to run daily errands or travel to the property.

Stays average around 211 days, pointing to an operational footprint centered heavily on extended long-term care alongside short-term post-acute recovery tracks. This steady demand keeps the building functioning at an 84 percent occupancy level. Daily operations are backed by 3 hours and 13 minutes of total nursing care per resident each day, utilizing an around-the-clock team of registered nurses, licensed practical nurses, and nurse aides who handle physical therapy, mental health recovery, total parenteral nutrition, and hospice services.

State files show a history of inspection surveys that have focused on medication tracking, restraint use, and infection control protocols. Oversight records from the health department indicate that the facility has implemented corrective measures to resolve these earlier tracking gaps, and the building maintains an overall cumulative citations-per-inspection rate of zero.

Interested individuals can expect private and semi-private rooms equipped with individual climate control, building-wide Wi-Fi, and a security system designed for residents with cognitive needs. The kitchen coordinates meals to fulfill standard nutritional requirements, served daily in a communal dining room.

Facility Direct Line (603) 352-7311 info@alpine-hc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to New Hampshire state averages

Total nursing care / resident

3h 13m per day

This facility New Hampshire avg (4h 17m per day)

vs New Hampshire avg

-25%

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	23m per day	▼ 47% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	37m per day	▼ 20% State avg: 46m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 9m per day	▼ 10% State avg: 2h 23m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 50m per day	▼ 18% State avg: 3h 26m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 77% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	20m per day	▼ 36% State avg: 31m per day · National avg: 28m per day

Capacity and availability

211 days

85-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 12 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

84%

Similar to the New Hampshire average: 81.1%

Occupied beds

72 / 85

Average occupied beds in New Hampshire homes 80 beds

Facility TypeNursing Home

StatusActive

IssuanceOctober 1, 2025

CountyCheshire

License Number04458

CMS Certification Number305062

Alpine Healthcare Center is administered by Melissa Castor.

Rehabilitation Services

Respite Care

Doctor on Staff

24-Hour Staffing

Spacious Private And Semi-Private Rooms

Dining Room

Security System For Residents With Cognitive Deficits

Comfortable Common And Lounge Areas

Computer With Internet Access

Complimentary Wi-Fi

Housekeeping & Laundry

Telephone

Mail And Newspaper Service

Fully Air Conditioned With Individual Climate Control

Pharmaceutical Delivery Service

Activity Room

Since 2023 · 3 years of data 22 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. New Hampshire state average

Overall vs. NH average

Latest Inspection January 20, 2026 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NH Average	vs. NH Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	22	17	This facility has 29% more total deficiencies than a typical New Hampshire assisted living residence (22 vs. NH avg 17).↑ 29% worse
Deficiencies per year Average deficiencies per year since 2023.	7.3	5.7	This facility has 28% more deficiencies per year than a typical New Hampshire assisted living residence (7.3 vs. NH avg 5.7).↑ 28% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

January 20, 2026 complaint investigation found 4 deficiencies including failure to properly use restraints, report and investigate abuse, and provide staff abuse training and screening.
June 13, 2025 routine inspection cited 7 deficiencies including unsafe environment, expired medications, missed wound care, and incomplete hospice care plans.
July 18, 2024 routine inspection had 5 deficiencies but no immediate jeopardy or harm-level citations were noted.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

New Hampshire average 3.5

Last Health inspection on Jun 2025

Total health citations

New Hampshire average 14.4

Citations per inspection

5.67

New Hampshire average 3.99

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 17 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)

Critical health citations

100% better than New Hampshire average

New Hampshire average: 0.2

Serious health citations

100% better than New Hampshire average

New Hampshire average: 0.1

0 critical citations New Hampshire average: 0.2

0 serious citations New Hampshire average: 0.1

16 moderate citations New Hampshire average: 12

1 minor citation New Hampshire average: 2

Citations history (last 3 years)

Administration moderate citation Jun 13, 2025

Corrected

Nutrition moderate citation Jun 13, 2025

Corrected

Pharmacy moderate citation Jun 13, 2025

Corrected

Quality of Care moderate citation Jun 13, 2025

Corrected

Total staff 116

Employees 73

Contractors 43

Staff to resident ratio 1.66 : 1

10% fewer staff per resident than New Hampshire average

Avg staff/day 34

Average shift 8.2 hours

5% better than New Hampshire average

Total staff hours (quarter) 25,792

Nursing staff breakdown

9.3 hours

9.1 hours

7.8 hours

Contractor staffing

2,260 contractor hours this quarter

Licensed Practical Nurse: 19 Certified Nursing Assistant: 16 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 1 Registered Nurse: 1 Speech Language Pathologist: 1 Qualified Social Worker: 1 Physical Therapy Aide: 1

Staff by category


Certified Nursing Assistant	33	16	49	10,916	92	100%	7.8
Medication Aide/Technician	10	0	10	3,837	92	100%	10
Licensed Practical Nurse	9	19	28	3,673	92	100%	9.1
Registered Nurse	8	1	9	2,092	92	100%	9.3
Other Dietary Services Staff	5	0	5	1,646	91	99%	7.5
Administrator	1	0	1	528	66	72%	8
RN Director of Nursing	1	0	1	528	66	72%	8
Dietitian	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	528	66	72%	8
Physical Therapy Assistant	0	1	1	454	66	72%	6.9
Mental Health Service Worker	1	0	1	320	40	43%	8
Dental Services Staff	2	0	2	297	26	28%	7.4
Speech Language Pathologist	0	1	1	280	62	67%	4.5
Respiratory Therapy Technician	0	3	3	105	25	27%	4.2
Clinical Nurse Specialist	1	0	1	39	6	7%	6.5
Qualified Social Worker	0	1	1	19	12	13%	1.6
Physical Therapy Aide	0	1	1	2	2	2%	1

% of Days 7%

1 Qualified Social Worker

% of Days 13%

1 Physical Therapy Aide

% of Days 2%

View All Staffing Data in Keene

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 8.3

27% better than New Hampshire average

New Hampshire average: 11.4

Functional decline score 18.8

19% better than New Hampshire average

New Hampshire average: 23.2

Long-stay resident measures

Below average New Hampshire avg: 2.7

Need for Help with Daily Activities Increased 14.2%

35% better than New Hampshire average

New Hampshire average: 21.9%

Walking Ability Worsened 18.0%

11% better than New Hampshire average

New Hampshire average: 20.3%

Low Risk Residents with Bowel/Bladder Incontinence 24.3%

10% better than New Hampshire average

New Hampshire average: 27.1%

Falls with Major Injury 3.1%

32% better than New Hampshire average

New Hampshire average: 4.6%

High Risk Residents with Pressure Ulcers 3.1%

31% better than New Hampshire average

New Hampshire average: 4.5%

Urinary Tract Infection 0.4%

84% better than New Hampshire average

New Hampshire average: 2.5%

Lost Too Much Weight 3.1%

44% better than New Hampshire average

New Hampshire average: 5.6%

Depressive Symptoms 4.7%

43% better than New Hampshire average

New Hampshire average: 8.3%

Antipsychotic Use 24.8%

42% worse than New Hampshire average

New Hampshire average: 17.4%

Pneumococcal Vaccine 100.0%

In line with New Hampshire average

New Hampshire average: 96.0%

Influenza Vaccine 100.0%

In line with New Hampshire average

New Hampshire average: 98.0%

Hospitalizations per 1,000 days 2.36

43% worse than New Hampshire average

New Hampshire average: 1.65

ED visits per 1,000 days 2.51

32% worse than New Hampshire average

New Hampshire average: 1.90

Short-stay resident measures

Significantly below average New Hampshire avg: 2.9

Pneumococcal Vaccine 96.9%

16% better than New Hampshire average

New Hampshire average: 83.8%

Antipsychotic medication increase 1.2%

25% better than New Hampshire average

New Hampshire average: 1.6%

Influenza Vaccine 89.8%

8% better than New Hampshire average

New Hampshire average: 83.0%

Re-hospitalized after SNF stay 23.6%

7% worse than New Hampshire average

New Hampshire average: 22.1%

Emergency department visits 15.3%

9% worse than New Hampshire average

New Hampshire average: 14.1%

Falls with major injury 0.0%

100% better than New Hampshire average

New Hampshire average: 0.8%

Ability to care for self at discharge 25.0%

53% worse than New Hampshire average

New Hampshire average: 53.7%

Successful return to home or community 50.0%

In line with New Hampshire average

New Hampshire average: 50.6%

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

Total residents 70

Medicare

11.4% of residents

Medicaid

55.7% of residents

Private pay or other

32.9% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Alpine Healthcare Center from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 84.4% ↓ 0.7pp vs 2022

Net Patient Income $406.1K ↑ ~$39.1K vs 2022

Payroll Costs $4.3M ↓ ~$293.7K vs 2022

Operating Margin 4.3% ↑ 0.5pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	90.6%	93.1%	88.8%	92.9%	94.6%	92.2%	91.2%	88.8%	80.5%	74.1%	80.0%	85.1%	84.4%
Beds	85	85	85	85	85	85	85	85	85	85	85	85	85
Net Income	$606,305	$287,532	$509,696	$610,570	$740,895	$436,089	$47,173	$175,236	-$418,098	-$353,702	$2,240,890	$1,185,212	$406,688
Gross Revenue	$9,412,607	$9,863,507	$9,730,705	$10,303,256	$10,772,041	$10,352,467	$10,841,830	$10,479,363	$6,425,039	$8,219,328	$7,108,476	$8,348,205	$8,511,033
Operating Expenses	$7,158,237	$6,994,181	$7,072,787	$7,442,335	$7,718,880	$7,646,567	$7,973,127	$7,719,130	$5,539,355	$7,802,395	$8,930,368	$9,120,989	$8,939,903
Net Patient Income	$594,464	$274,553	$509,616	$606,310	$734,904	$430,846	$45,116	$175,236	-$418,098	-$353,702	-$33,129	$366,912	$406,052
Net Patient Revenue	$7,752,701	$7,268,734	$7,582,403	$8,048,645	$8,453,784	$8,077,413	$8,018,243	$7,894,366	$5,121,257	$7,448,693	$8,897,239	$9,487,901	$9,345,955
Payroll Costs	$3,275,830	$3,281,343	$3,315,399	$3,629,953	$3,438,119	$3,580,151	$3,193,577	$3,210,143	$2,168,307	$2,953,464	$4,587,198	$4,626,814	$4,333,110
Operating Margin %	7.7%	3.8%	6.7%	7.5%	8.7%	5.3%	0.6%	2.2%	-8.2%	-4.8%	-0.4%	3.9%	4.3%
Medicare %	15.9%	10.4%	16.1%	17.2%	18.9%	17.8%	18.0%	17.7%	13.9%	14.9%	23.9%	15.4%	9.9%
Medicaid %	65.1%	67.2%	68.4%	68.2%	64.7%	63.5%	64.3%	71.2%	71.9%	67.5%	58.3%	70.3%	73.6%
Private %	19.0%	22.4%	15.4%	14.7%	16.4%	18.7%	17.7%	11.2%	14.2%	17.6%	17.8%	14.3%	16.5%
Net Patient Revenue/Day	$276	$251	$275	$279	$288	$282	$283	$286	$306	$366	$359	$360	$357
Cost/Day	$255	$242	$257	$258	$263	$267	$282	$280	$330	$383	$360	$346	$341
Avg Length of Stay	165.4 days	147.0 days	121.8 days	107.6 days	108.0 days	108.2 days	116.0 days	132.5 days	132.0 days	101.8 days	166.5 days	191.2 days	211.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$9.3M

Net patient income

$406.1K

For-profit Operated by a single business entity.

Net patient revenue

$9.3M

Net patient income

$406.1K

Other income

$636

Payroll costs

$4.3M 46.4% of net patient revenue

Other operating costs

$4.6M

Total costs

$8.9M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (52% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 52%

Private pay 28%

Medicaid 20%

Coverage residents most often leave under.

Medicare 27%

Private pay 32%

Medicaid 41%

2.1 miles from city center Estimated distance in miles from Keene's city center to Alpine Healthcare Center's address, calculated via Google Maps.

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Choices for Independence

NH Medicaid CFI Waiver

Age 65+ or disabled

General 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).

Small state; rural access emphasis.

Benefits

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

Age 60+

General New Hampshire resident, or caregiver.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Primarily referral-based; limited direct funding.

Benefits

Care coordination Respite (up to 5 days/year) Transportation (~5 trips/month)

Old Age Assistance (OAA)

New Hampshire Old Age Assistance

Age 65+

General 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).

Automatic Medicaid eligibility; estate recovery applies.

Benefits

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

Age —

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.

13 ServiceLink locations; rural/low-income priority.

Benefits

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

Age 65+ or disabled

General 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).

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

New Hampshire Fuel Assistance Program (FAP)

New Hampshire Fuel Assistance Program

Age 60+ prioritized

General 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.

Administered by 5 CAP agencies; covers oil, gas, electric, wood.

Benefits

Heating aid ($300-$1,200/season) Weatherization Emergency fuel ($450 max)

VA Aid and Attendance (A&A) and Housebound Benefits

New Hampshire VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General 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

High veteran demand in rural/urban areas.

Benefits

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

Age 65+ prioritized

General 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.

Refundable relief (~$100-$500/year); annual application.

Benefits

Tax relief (~$100-$500/year) to offset housing costs Indirectly aiding care funding

Is Alpine Healthcare Center in a walkable area?

Alpine Healthcare Center has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Alpine Healthcare Center?

According to NH state health department records, Alpine Healthcare Center's license number is 04458.

What is the occupancy rate at Alpine Healthcare Center?

Alpine Healthcare Center's occupancy is 84%.

Does Alpine Healthcare Center operate as a for-profit or non-profit?

Alpine Healthcare Center is registered as a for-profit in NH.

Who is the administrator of Alpine Healthcare Center?

Melissa Castor is the administrator of Alpine Healthcare Center.

How many beds does Alpine Healthcare Center have?

Alpine Healthcare Center has 85 beds.

Are there photos of Alpine Healthcare Center?

Yes — there are 2 photos of Alpine Healthcare Center in the photo gallery on this page.

Guides for Better Senior Living

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Alpine Healthcare Center

Overview of Alpine Healthcare Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Alpine Healthcare Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

49 Certified Nursing Assistant

10 Medication Aide/Technician

28 Licensed Practical Nurse

9 Registered Nurse

5 Other Dietary Services Staff

1 Administrator

1 RN Director of Nursing

1 Dietitian

1 Nurse Practitioner

1 Physical Therapy Assistant

1 Mental Health Service Worker

2 Dental Services Staff

1 Speech Language Pathologist

3 Respiratory Therapy Technician

1 Clinical Nurse Specialist

1 Qualified Social Worker

1 Physical Therapy Aide

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Alpine Healthcare Center

Calculate Travel Distance to Alpine Healthcare Center

Financial Assistance for Assisted Living in New Hampshire

Choices for Independence

NH ServiceLink Aging and Disability Resource Center

Old Age Assistance (OAA)

New Hampshire Family Caregiver Program (via NFCSP)

Medicare Savings Program (MSP)

New Hampshire Fuel Assistance Program (FAP)

VA Aid and Attendance (A&A) and Housebound Benefits

NH Low and Moderate Income Homeowners Property Tax Relief

Guides for Better Senior Living

Financial Assistance for
Assisted Living in New Hampshire