Occupancy rate
84%
In line with New Hampshire averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in New Hampshire
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Alpine Healthcare Center
Nursing Home in New Hampshire
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Alpine Healthcare Center
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Home revenue
$8.5M
Profit
$406.7K
Privately-owned community
Home revenue
$8.5M
Profit
$406.7K
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
Occupancy
In line with New Hampshire averageOccupied beds
72 / 85
Average residents
80 per day
Facility TypeNursing Home
StatusActive
IssuanceOctober 1, 2025
CountyCheshire
License Number04458
CMS Certification Number305062
Alpine Healthcare Center is administrated 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
Specific ProgramsShort & Long Term Care, Medical Care, Rehabilitation therapy, Personal Care, Mental Health and Recovery, Palliative & Hospice Care, Respite Care, Total Parenteral Nutrition (TPN), Discharge Planning
Health Inspection History
Inspections
Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Jun 2025
Total health citations
17
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
0
0
100% better than New Hampshire averageNew Hampshire average: 0.2
Serious Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.1
0 critical citations
0 serious citations
16 moderate citations
1 minor citation
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 13, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 13, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 13, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 13, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 13, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 13, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 13, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 13, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around New Hampshire The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
Filter by care type
Cedar Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Portsmouth
102
78.6%
-3%
3.30
-23%
0
7
2.3
0
84
-
-
-
$11.0M
$5.7M
51.4%
305082
Bedford Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bedford
102
76.1%
-6%
3.05
-29%
0
15
5.0
0
86
-
-
Woh Llc
$9.4M
$5.6M
59.8%
305086
Bedford Hills
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bedford
147
94.2%
+16%
3.33
-22%
1
8
2.0
1
135
-
-
Forrence, Heidi
$25.6M
$8.5M
33.2%
305060
Alpine Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Keene
85
84.4%
+4%
3.21
-25%
0
17
5.7
0
73
-
-
White Mountain Peak Healthcare Llc
$8.5M
$3.8M
44.8%
305062
Brookdale Spruce Wood
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Durham
80
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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2.1 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
148
Employees
66
Contractors
82
Staff to resident ratio
2.11:1
13% better than New Hampshire averageNew Hampshire average ratio: 1.87:1
Avg staff/day
34
Average shift
8.3 hours
6% better than New Hampshire averageNew Hampshire average: 7.8 hours
Total staff hours (quarter)
25,623
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
33
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
74
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
19.8%
5,061 contractor hours this quarter
Certified Nursing Assistant: 45
Licensed Practical Nurse: 28
Medication Aide/Technician: 2
Physical Therapy Assistant: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Physical Therapy Aide: 1
Staff by category
| 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 |
74 Certified Nursing Assistant
% of Days
100%
33 Licensed Practical Nurse
% of Days
98%
12 Medication Aide/Technician
% of Days
100%
9 Registered Nurse
% of Days
98%
6 Other Dietary Services Staff
% of Days
97%
2 Clinical Nurse Specialist
% of Days
71%
2 Dental Services Staff
% of Days
71%
2 Speech Language Pathologist
% of Days
84%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Dietitian
% of Days
71%
2 Physical Therapy Assistant
% of Days
70%
2 Respiratory Therapy Technician
% of Days
31%
1 Physical Therapy Aide
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
70 residents
Residents by payment source
Medicare
8 residents (11.4%)
Medicaid
39 residents (55.7%)
Private pay or other
23 residents (32.9%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
27% better than New Hampshire averageNew Hampshire average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
19% better than New Hampshire averageNew Hampshire average: 23.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.2%
Percent of long-stay residents whose need for help with daily activities has increased
14.2%
35% better than New Hampshire averageNew Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.0%
Percent of long-stay residents whose ability to move independently worsened
18.0%
11% better than New Hampshire averageNew Hampshire average: 20.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.3%
10% better than New Hampshire averageNew Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
32% better than New Hampshire averageNew Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.1%
Percent of long-stay high risk residents with pressure ulcers
3.1%
31% better than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
84% better than New Hampshire averageNew Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.1%
Percent of long-stay residents who lose too much weight
3.1%
44% better than New Hampshire averageNew Hampshire average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.7%
Percent of long-stay residents who have depressive symptoms
4.7%
43% better than New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
24.8%
Percent of long-stay residents who received an antipsychotic medication
24.8%
42% worse than New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with New Hampshire averageNew Hampshire average: 96.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with New Hampshire averageNew Hampshire average: 98.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.9%
16% better than New Hampshire averageNew Hampshire average: 83.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
25% better than New Hampshire averageNew Hampshire average: 1.6%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.8%
8% better than New Hampshire averageNew Hampshire average: 83.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
$406.7K
↓ ~$778.5K vs 2022
Total Payroll
$4.6M
↓ ~$280.0K vs 2022
Profit Margin
4.8%
↓ 9.4pp vs 2022
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