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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 48th out of 58 homes in New Hampshire for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 27m per day | ▼ 39% 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.
| 39m per day | ▼ 15% 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 13m per day | ▼ 7% 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 49m 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 | ▼ 75% 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.
| 19m per day | ▼ 39% State avg: 31m per day · National avg: 28m per day |
Similar to the New Hampshire average: 81.1%Alpine Healthcare Center is administrated by Melissa Castor.
In New Hampshire, the Department of Health and Human Services, Health Facilities Administration is responsible for the unannounced inspection and licensing of all residential care and nursing facilities.
This scorecard compares key inspection, citation, 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
| 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 nursing home (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 nursing home (7.3 vs. NH avg 5.7).↑ 28% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New Hampshire average 3.5
Last Health inspection on Jun 2025
New Hampshire average 14.4
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.
100% better than New Hampshire averageNew Hampshire average: 0.2
100% better than New Hampshire averageNew Hampshire average: 0.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
10% fewer staff per resident than New Hampshire average
5% better than New Hampshire average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
9 total: 8 full-time employees and 1 contractor.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
28 total: 9 full-time employees and 19 contractors.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
49 total: 33 full-time employees and 16 contractors.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,260 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
18.0%
11% better than New Hampshire averageNew Hampshire average: 20.3%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
3.1%
31% better than New Hampshire averageNew Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
0.4%
84% better than New Hampshire averageNew Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
3.1%
44% better than New Hampshire averageNew Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
4.7%
43% better than New Hampshire averageNew Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
24.8%
42% worse than New Hampshire averageNew Hampshire average: 17.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with New Hampshire averageNew Hampshire average: 96.0%
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%
Number of hospitalizations per 1,000 long-stay resident days.
2.36
43% worse than New Hampshire averageNew Hampshire average: 1.65
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.51
32% worse than New Hampshire averageNew Hampshire average: 1.90
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.9%
16% better than New Hampshire averageNew Hampshire average: 83.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
25% better than New Hampshire averageNew Hampshire average: 1.6%
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%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.6%
7% worse than New Hampshire averageNew Hampshire average: 22.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.3%
9% worse than New Hampshire averageNew Hampshire average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New Hampshire averageNew Hampshire average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
25.0%
53% worse than New Hampshire averageNew Hampshire average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.0%
In line with New Hampshire averageNew Hampshire average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
52% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
70Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Alpine Healthcare Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #48 / 58Payroll — State benchmarkedThis home is ranked 48th out of 58 homes in New Hampshire for payroll. Shows total annual staff payroll benchmarked to the New Hampshire average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
Add your location
Alpine Healthcare Center is located in KEENE, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
| Havenwood |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Concord | 159
Facility
159
NH AVG
71
Rank
#11 / 169 | 68.9% | -15% | 5.73 | +8% | +34% | $0 | 6 | 2.0 | - | 67 | A+ |
23
Facility
23
NH AVG
31
Rank
#115 / 229 | Tracy Judd | $31.5M | $15.7M | 49.8% | 305016 | ||||
| Presidential Oaks |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Concord | 52
Facility
52
NH AVG
71
Rank
#95 / 169 | 52.1% | -36% | 4.85 | -8% | +13% | $46.1k | 16 | 5.3 | - | 69 | - |
43
Facility
43
NH AVG
31
Rank
#72 / 229 | Joyce Higgins | $11.1M | $7.6M | 68.8% | 305063 | ||||
| Exeter 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Exeter (Hampton Road) | 81
Facility
81
NH AVG
71
Rank
#63 / 169 | 30.9% | -62% | 3.34 | -19% | -22% | $28.9k | 12 | 3.0 | 1 | 25 | - |
28
Facility
28
NH AVG
31
Rank
#104 / 229 | Sunbridge Goodwin Nursing Home LLC | $11.2M | $5.2M | 46.3% | 305064 | ||||
| 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
Facility
85
NH AVG
71
Rank
#58 / 169 | 84.4% | +4% | 3.21 | -39% | -25% | $0 | 17 | 5.7 | - | 73 | - |
12
Facility
12
NH AVG
31
Rank
#142 / 229 | White Mountain Peak Healthcare LLC | $8.5M | $4.6M | 54.3% | 305062 | ||||
| Hanover Hill Health Care 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. | Manchester (Hanover Hill) | 124
Facility
124
NH AVG
71
Rank
#22 / 169 | 93.5% | +15% | 3.46 | +23% | -19% | $8.5k | 10 | 3.3 | 1 | 116 | A+ |
59
Facility
59
NH AVG
31
Rank
#42 / 229 | Theodore Lee | $21.1M | $10.8M | 51.1% | 305009 |
Alpine Healthcare Center has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NH state health department records, Alpine Healthcare Center's license number is 04458.
Alpine Healthcare Center's occupancy is 84%.
Melissa Castor is the administrator of Alpine Healthcare Center.
Alpine Healthcare Center has 85 beds.
Yes — there are 2 photos of Alpine Healthcare Center in the photo gallery on this page.
Alpine Healthcare Center is located at 298 MAIN ST.
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