Nursing HomeInspections

Alpine Healthcare Center

Nursing home in Keene, NH

Medicare & Medicaid certified1★ overall (CMS)

Call (603) 352-7311Send a messageMap ↗

Public-record details

Address
298 Main Street, Keene, NH 03431
Phone
(603) 352-7311
Listed under
For-profit, No fines in 3 years
Medicare CCN
305062
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
85
Average residents per day
75
Ownership
For-profit, limited Liability company
Legal business name
Peak Healthcare at Keene LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 305062. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 13, 2025. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 15, 2023 to Jan 20, 2026): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jan 20, 2026Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 20, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 20, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 20, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 13, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		B
Potential for minimal harm, pattern
Jun 13, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 13, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 13, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 13, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jun 13, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jun 13, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
Jul 18, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 21. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.14 hours
Registered nurse (RN) time per resident per day
0.36 hours
Nurse aide time per resident per day
2.15 hours
Total nurse staffing on weekends
2.82 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Keene

Langdon Place of Keene136 a Arch Street · Keene, NH 03431 · (603) 357-3902 · For-profit6 health citations in 3 inspection cycles · last standard inspection Feb 11, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Covenant Living of Keene100 Wyman Rd · Keene, NH 03431 · (603) 352-3235 · Nonprofit6 health citations in 3 inspection cycles · last standard inspection Jun 4, 2026 · no CMS fines in 3 yrsMedicare-certified4★ overall (CMS)Keene Center, Genesis Healthcare677 Court Street · Keene, NH 03431 · (603) 357-3800 · For-profit10 health citations in 3 inspection cycles · last standard inspection May 14, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)

All 4 in Keene →