Nursing homeActive
Alpine Healthcare Center
298 Main Street, Keene, NH 03431603352731185 certified beds · 75 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
21
● 1● 20● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-01-20
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · New Hampshire Health Facilities Administration · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-20 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2025-06-13 | Standard | 160 | CMS-2567 (Care Compare) | — |
| 2024-07-18 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-06-15 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · New Hampshire Health Facilities Administration publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-06Record 305062-20260120-F604
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-06Record 305062-20260120-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-06Record 305062-20260120-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-06Record 305062-20260120-F610
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 305062-20250613-F584
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 305062-20250613-F658
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 305062-20250613-F699
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 305062-20250613-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 305062-20250613-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 305062-20250613-F849
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2025-07-14Record 305062-20250613-F582
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 305062-20240718-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-05Record 305062-20240718-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 305062-20240718-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 305062-20240718-F881
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 305062-20230615-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 305062-20230615-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-12Record 305062-20230615-F698
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 305062-20230615-F758
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 305062-20230615-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-11Record 305062-20230615-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.36
Facility
New Hampshire
National
New Hampshire 0.78 · National 0.69
Total nurse hours per resident day3.14
Facility
New Hampshire
National
New Hampshire 3.90 · National 3.86
Weekend total nurse hours2.82
Facility
New Hampshire
National
New Hampshire 3.47 · National 3.42
Total nursing staff turnover48%
Facility
New Hampshire
National
New Hampshire 44% · National 46%
Registered nurse turnover50%
Facility
New Hampshire
National
New Hampshire 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | New Hampshire | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.2% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.4% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 25.7% | 17.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.4% | 2.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 27.4% | 22.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.1% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 18.5% | 19.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| White Mountain Peak Healthcare LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Black Mountain II LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Pr Nh Holdings LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Rr Nh Holdings LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Wmp Holdco LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| 603 Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bilal, Haris Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castor, Melissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rausman, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stevenson, Sean Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 603 Healthcare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aggcp LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Bilal, Haris Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castor, Melissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goldstein, Avrohom Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Halberstam, Miriam Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Halberstam, Moshe Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kamna Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kansas SNF Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mad Family Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Natr Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nhoc LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Pr Nh Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rarmna Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ratr Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rausman, Philip Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rausman, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rausman, Robert Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rnr Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rr Nh Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stevenson, Sean Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wetr Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wmp Hc LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New Hampshire.
No county cost figures on file for Cheshire.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Langdon Place Of Keene Keene | 1.0 mi | 2026-02-11 | 060 |
| Keene Center, Genesis Healthcare Keene | 2.1 mi | 2026-05-14 | 190 |
| Covenant Living Of Keene Keene | 4.2 mi | 2026-06-04 | 240 |
| Cheshire County Home Westmoreland | 10.1 mi | 2025-09-11 | 070 |
| Applewood Center Winchester | 12.5 mi | 2026-06-26 | 070 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |