What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Alpine Healthcare Center | New Hampshire | Photos & Videos

Overview of 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.

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

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.21/day

Overall rating

2/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

2/5

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.

84.4%

TYPE OF STAY

Mostly short-term rehab stays

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

Might be optimal for

Short stays Recovery Medicare-covered care

How we assess these insights Show admissions and discharges

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

Home revenue

$8.5M

Profit

$406.7K

Proprietary home Other

Home revenue

$8,511,669.00

Profit

$406,688.00

Payroll costs

$3.8M

44.8% of revenue

Other operating costs

$4.3M

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

Active

Facility 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

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

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

Compare Nursing Homes around New Hampshire

Colonial Poplin Nursing and Rehabilitation Facility

SNF

NH 03044

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

NH 03801

102

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

NH 03431

18.90

5/5

5.5708

4/5

5/5

2/5

Bedford Hills

SNF

NH 03110

147

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

Alpine Healthcare Center

SNF

NH 03431

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

Colonial Poplin Nursing and Rehabilitation Facility

Type of care: SNF AL

Community: NH 03044

Bed Count: 50

Pets Allowed: No

Operator: WHITE OAK HEALTHCARE AT FREMONT INC

CCN: 305091

Occupancy: 84.0%

Home Revenue: $8,664,888.00

Payroll Costs: $3,619,841.00

Payroll %: 41.8%

Avg Residents/Day: 43.30

Overall Rating: 5/5

Adj Nurse Hours: 3.8111

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 4/5

Cedar Healthcare Center

Type of care: SNF AL

Community: NH 03801

Bed Count: 102

Pets Allowed: No

CCN: 305082

Occupancy: 78.6%

Home Revenue: $11,041,119.00

Payroll Costs: $5,678,115.00

Payroll %: 51.4%

Avg Residents/Day: 84.40

Overall Rating: 5/5

Adj Nurse Hours: 3.2985

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 4/5

Covenant Living of Keene (Assisted Living and Memory Care)

Type of care: SNF AL

Community: NH 03431

Bed Count: 20

Pets Allowed: No

CCN: 305103

Avg Residents/Day: 18.90

Overall Rating: 5/5

Adj Nurse Hours: 5.5708

Health Insp Rating: 4/5

Staffing Rating: 5/5

QM Rating: 2/5

Bedford Hills

Type of care: SNF AL

Community: NH 03110

Bed Count: 147

Pets Allowed: No

Operator: FORRENCE, HEIDI

CCN: 305060

Occupancy: 94.2%

Home Revenue: $25,568,088.00

Payroll Costs: $8,485,429.00

Payroll %: 33.2%

Avg Residents/Day: 135.10

Overall Rating: 3/5

Adj Nurse Hours: 3.3304

Health Insp Rating: 4/5

Staffing Rating: 3/5

QM Rating: 1/5

Number of Fines: 1

Alpine Healthcare Center

Type of care: SNF AL

Community: NH 03431

Bed Count: 85

Pets Allowed: No

Operator: WHITE MOUNTAIN PEAK HEALTHCARE LLC

CCN: 305062

Occupancy: 84.4%

Home Revenue: $8,511,033.00

Payroll Costs: $3,811,930.00

Payroll %: 44.8%

Avg Residents/Day: 73.10

Overall Rating: 2/5

Adj Nurse Hours: 3.2136

Health Insp Rating: 2/5

Staffing Rating: 3/5

QM Rating: 2/5

KEENE, NH 03431

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148

Total Staff

Employees

Contractors

25,623

Total Hours (Quarter)

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

View All Staffing Data

Total Health inspections 3

14% below New Hampshire average

New Hampshire average: 3.5

Last Health inspection on Jun 2025

Total Health citations 17

18% above New Hampshire average

New Hampshire average: 14.4

5.67 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 17 citations

Complaint investigations 0 citations

Breakdown of citations

Critical Health citations 0

100% below New Hampshire average

New Hampshire average: 0.2

Serious Health citations 0

100% below New Hampshire average

New Hampshire average: 0.1

Moderate Health citations 16

Minor Health citations 1

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

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

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

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

Need for Help with Daily Activities Increased 14.2%

35% below New Hampshire average.

Walking Ability Worsened 18.0%

11% below New Hampshire average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 24.3%

10% below New Hampshire average.

Falls with Major Injury 3.1%

32% below New Hampshire average.

High Risk Residents with Pressure Ulcers 3.1%

31% below New Hampshire average.

Urinary Tract Infection 0.4%

84% below New Hampshire average.

Depressive Symptoms 4.7%

43% below New Hampshire average.

Antipsychotic Use 24.8%

42% above New Hampshire average.

Pneumococcal Vaccine 100.0%

4% above New Hampshire average.

Influenza Vaccine 100.0%

2% above New Hampshire average.

Lost Too Much Weight 3.1%

44% below New Hampshire average.

Short-stay resident measures

Pneumococcal Vaccine 96.9%

16% better than New Hampshire average

Antipsychotic medication increase 1.2%

25% better than New Hampshire average

Influenza Vaccine 89.8%

8% better than New Hampshire average

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...

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 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
Total Payroll	$3,275,830	$3,281,343	$4,008,868	$4,427,817	$4,693,823	$4,718,590	$4,664,358	$4,748,411	$3,340,183	$4,389,423	$5,077,334	$4,899,984	$4,619,975
Profit Margin %	6.4%	2.9%	5.2%	5.9%	6.9%	4.2%	0.4%	1.7%	-6.5%	-4.3%	31.5%	14.2%	4.8%
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%
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

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mostly short-term rehab stays

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

Amenities & Lifestyle

Programs & Activities

Compare Nursing Homes around New Hampshire

Places of interest near Alpine Healthcare Center

Calculate Travel Distance to Alpine Healthcare Center

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Specialized Care Beds

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for New Hampshire Seniors

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)

Senior Community Service Employment Program (SCSEP)

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

NH Low and Moderate Income Homeowners Property Tax Relief

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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