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Nursing homeFAID #7810

Alpine Healthcare Center

298 MAIN STREET, KEENE, NH, 03431
(603) 352-7311
85 licensed beds

CMS rates Alpine Healthcare Center 1 out of 5 overall. Federal inspectors issued 28 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
85
CMS facility ID
305062
Care type
Nursing home
County
Cheshire
Facility name
Alpine Healthcare Center
Street address
298 MAIN STREET
City / state / ZIP
Keene, NH 03431
Phone
(603) 352-7311

About this facility — Alpine Healthcare Center

Alpine Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Keene, New Hampshire. It is licensed for 85 beds — close to the median for skilled nursing facilities in New Hampshire (94 beds).

It is one of 9 senior care facilities in Keene and 73 skilled nursing facilities across New Hampshire. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Alpine Healthcare Center 28 times across 7 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Registered owners & officers

White Mountain Peak Healthcare Llc
Direct owner — 100% stake — since 2023
603 Healthcare Llc
Operational control · Additional disclosable party — since 2025
Aggcp Llc
Indirect owner — since 2026
Bilal, Haris
Operational control · Additional disclosable party — since 2025
Black Mountain Ii Llc
Indirect owner — since 2026
Castor, Melissa
Operational control · Additional disclosable party — since 2020
Goldstein, Avrohom
Indirect owner — since 2026
Halberstam, Miriam
Indirect owner — since 2026
Halberstam, Moshe
Indirect owner — since 2026
Kamna Holdings Llc
Indirect owner — since 2020
Kansas Snf Holdings Llc
Additional disclosable party — since 2020
Mad Family Holdings Llc
Additional disclosable party — since 2020
Natr Trust
Additional disclosable party — since 2020
Nhoc Llc
Direct owner — since 2020
Pr Nh Holdings Llc
Indirect owner · Additional disclosable party — since 2026
Rarmna Holdings Llc
Additional disclosable party — since 2020
Ratr Trust
Additional disclosable party — since 2020
Rausman, Philip
Additional disclosable party — since 2026
Rausman, Robert
Officer · Operational control · Additional disclosable party — since 2026
Rnr Holdings Llc
Additional disclosable party — since 2020
Rr Nh Holdings Llc
Indirect owner · Additional disclosable party — since 2026
Stevenson, Sean
Governing body · Operational control — since 2026
Wetr Trust
Additional disclosable party — since 2026
Wmp Hc Llc
Indirect owner — since 2020
Wmp Holdco Llc
Indirect owner — since 2020

Regulatory standing

Licensed / certified since
1996-04-01
CMS overall rating
1 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-06-13
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$325 per day (≈ $9,880/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 10% Medicare · 17% private/other
Occupancy
84% (fiscal year 2023)
Vs. state median
28% below the NH median of $451/day — full state cost breakdown

Services & coverage

Licensed beds
85
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-01-20Health inspectionComplaint-triggered4 citations
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2026-02-06
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2026-02-06
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-02-06
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-02-06
2025-06-13Health inspection7 citations
F-0582
B · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-07-14
F-0584
D · No harm found
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 2025-07-14
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-14
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-07-14
F-0761
D · No harm found
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 2025-07-14
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-14
F-0849
D · No harm found
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 2025-07-14
5 earlier / fire-safety inspections (17 citations)
2024-07-18Health inspection4 citations
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-13
F-0761
D · No harm found
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 2024-08-05
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-08
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-08-08
2023-06-15Health inspection6 citations
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-11
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-11
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-07-12
F-0758
D · No harm found
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 2023-07-11
F-0761
E · No harm found
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 2023-07-11
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-11
2025-06-13Fire-safety inspection1 citation
K-0913
C · No harm found
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
Corrected 2025-07-17
2024-07-18Fire-safety inspection2 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-04
K-0918
C · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-04
2023-06-15Fire-safety inspection4 citations
E-0039
C · No harm found
Conduct testing and exercise requirements.
Corrected 2023-08-10
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2023-08-10
K-0363
C · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-08-10
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-10
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 305062.

Quality of care & staffing

How it compares in New Hampshire.
Inspection citations, 3 years
28
More than 74% of nursing homes in the state
State median: 21
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
3.2
Higher than 18% of nursing homes in the state
State median: 3.7
Nursing staff turnover, annual
51%
Higher than 70% of nursing homes in the state
State median: 43%

Resident outcomes

On 20 federal quality measures, this facility does better than the New Hampshire average on 9 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased26.0%22.3%13.5%Worse than state
Lose too much weight1.7%5.2%5.1%Better than state
With a catheter inserted and left in their bladder1.3%0.9%0.7%Worse than state
With a urinary tract infection0.4%2.2%1.5%Better than state
Have depressive symptoms13.2%15.8%13.5%Better than state
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury0.0%4.5%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%97.7%93.7%Near state average
Ability to walk independently worsened26.5%15.8%12.7%Worse than state
Received an antianxiety or hypnotic medication21.0%19.1%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine97.4%97.8%95.3%Near state average
With pressure ulcers0.9%4.3%4.5%Better than state
With new or worsened bowel or bladder incontinence31.0%25.4%18.3%Worse than state
Received an antipsychotic medication25.4%17.9%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.321.721.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days1.671.881.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine94.4%87.1%82.3%Near state average
Newly received an antipsychotic medication0.0%1.2%1.5%Better than state
Were rehospitalized after a nursing home admission33.1%21.8%23.4%Worse than state
Had an outpatient emergency department visit14.0%13.0%11.8%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0761 3 inspections. 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.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • K-0918 2 inspections. Have generator or other power source capable of supplying service within 10 seconds.

What its owners also hold

  • Kamna Holdings Llc has an ownership stake on file at 15 nursing homes, averaging 2.7 of 5 on CMS's overall rating.
  • Rr Nh Holdings Llc has an ownership stake on file at 11 nursing homes, averaging 3.3 of 5 on CMS's overall rating.
  • Pr Nh Holdings Llc has an ownership stake on file at 11 nursing homes, averaging 3.3 of 5 on CMS's overall rating.
  • Black Mountain Ii Llc has an ownership stake on file at 4 nursing homes, averaging 2.5 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in New Hampshire

  • Licensing: New Hampshire Department of Health and Human Services, Health Facilities Administration
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Cheshire Medical Center, about 1.7 miles. CMS rating 4 of 5.
  • Brattleboro Memorial Hospital, about 16 miles. CMS rating 3 of 5.
  • Monadnock Community Hospital, about 17 miles. CMS rating 2 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 28 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered