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Nursing home report

ALPINE HEALTHCARE CENTER

KEENE, NH · Medicare-certified · 85 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

ALPINE HEALTHCARE CENTER in Keene, NH has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings and 2-star quality measures. Its reported nurse staffing is 3.14 hours per resident per day, below the federal benchmark of 4.1, and it has no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.1424 hrs/resident/day

Quality measures

Last inspection: January 20, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1424.

Staffing detail

Registered nurses
0.36
Licensed practical nurses
0.64
Nurse aides
2.15
Weekend nursing
2.82

Hours per resident per day.

Total staff turnover: 48%
Registered nurse turnover: 50%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

25.5%27.7%Worsening

Residents with a fall causing major injury

1.4%0%Improving

Residents with pressure ulcers (bedsores)

2.8%1.1%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

3.3%3.2%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

14.5%30.6%Worsening

Residents whose ability to walk got worse

17.5%34.6%Worsening

Long-stay residents on antianxiety or sleep medication

15.4%24.2%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%1.4%Worsening

Residents with new or worsening incontinence

21.3%28.3%Worsening

Residents with depressive symptoms

3.1%8.6%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

89.8%

Short-stay residents given the pneumonia vaccine

97%100%Improving

What the inspectors found

The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 609 — 42 CFR §483.12 — S/S: E

The home failed to respond appropriately to all reported abuse or neglect concerns. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 610 — 42 CFR §483.12 — S/S: E

The home failed to monitor antibiotic use properly. Cited July 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 881 — 42 CFR §483.80 — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited June 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited January 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 604 — 42 CFR §483.12 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Operator & ownership

Recent ownership change · Nov 19, 2020

Now operated by Alpine Healthcare Center, previously Westwood Center.

Ownership
For profit - Limited Liability company
Occupancy
75.2 residents on an average day (88% of 85 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.