Alpine Healthcare Center
298 Main Street · Keene, NH · 03431 · 6033527311
85 certified beds For profit - Limited Liability company
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.83 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (21 in the current record)
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Potential for harm · D January 20, 2026 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 20, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 20, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 20, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 13, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 14, 2025 · Resident Rights
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Potential for harm · D June 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected July 14, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected July 14, 2025 · Pharmacy Service
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Potential for harm · D June 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 14, 2025 · Nutrition and Dietary
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Potential for harm · D June 13, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected July 14, 2025 · Administration
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No harm found · B June 13, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 14, 2025 · Resident Rights
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Potential for harm · D July 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 13, 2024 · Quality of Life and Care
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Potential for harm · D July 18, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 5, 2024 · Pharmacy Service
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Potential for harm · D July 18, 2024
Provide and implement an infection prevention and control program.
Corrected August 8, 2024 · Infection Control
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Potential for harm · E July 18, 2024
Implement a program that monitors antibiotic use.
Corrected August 8, 2024 · Infection Control
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Potential for harm · D June 15, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 11, 2023 · Quality of Life and Care
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Potential for harm · D June 15, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 11, 2023 · Quality of Life and Care
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Potential for harm · D June 15, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 12, 2023 · Quality of Life and Care
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Potential for harm · D June 15, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 11, 2023 · Pharmacy Service
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Potential for harm · E June 15, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected July 11, 2023 · Pharmacy Service
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Potential for harm · D June 15, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 11, 2023 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305062 · certified since April 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.