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C

62/100

Average

Alpine Healthcare Center

298 Main Street, Keene, NH 03431

CMS 1/5 stars #7 of 7 in Cheshire County (603) 352-7311
Certified beds
85
Occupancy
88%
Ownership
For-profit
Accepts
Medicare + Medicaid

Our read on Alpine Healthcare Center

Alpine Healthcare Center runs 85 beds in Keene under for-profit LLC ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 10% below the home's own weekday numbers, and turnover lands at 47.8%, a bit above the national 45.8%. The inspection record carries 21 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level. CMS gave it one star each for health inspections and staffing, two for quality measures, and the state last visited in June 2025. What stands out is staffing: consistently thin, thinner on weekends, with a workforce cycling through faster than average.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing8/30Stability9/15Outcomes5/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.06 total nurse hours per resident per day (national median 3.77)
  • →0.36 RN hours per resident per day
  • →Weekend staffing drops 10% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →48% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.14 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.36 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.82 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover47.80%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: June 13, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Alpine Healthcare Center

What is the ElderGrade for Alpine Healthcare Center? +

Alpine Healthcare Center holds an ElderGrade of C (62 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Alpine Healthcare Center? +

Residents receive an average of 3.14 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Alpine Healthcare Center been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Alpine Healthcare Center accept Medicaid? +

Yes, Alpine Healthcare Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.