ALPINE HEALTHCARE CENTER in Keene, NH has a 1-star overall rating, with 1-star health inspection, 2-star staffing, and 2-star quality ratings. It has the lowest overall rating, reported nurse staffing below the federal benchmark (3.16 vs 4.1 hours per resident per day), no fines in the last 24 months, and recent inspection concerns involving abuse/neglect reporting, response to alleged violations, and antibiotic-use monitoring.
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 3.1588.
Staffing detail
Registered nurses
0.39
Licensed practical nurses
0.61
Nurse aides
2.16
Weekend nursing
2.83
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 46%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
28.9%25.6%Improving
Residents with a fall causing major injury
3.4%0%Improving
Residents with pressure ulcers (bedsores)
3.4%0%Improving
Residents with a urinary tract infection
1.8%0%Improving
Residents who lost too much weight
5.9%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.8%32.1%Worsening
Residents whose ability to walk got worse
13.5%29.1%Worsening
Long-stay residents on antianxiety or sleep medication
20.8%17.2%Improving
Short-stay residents newly given an antipsychotic
—3.7%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19%36.3%Worsening
Residents with depressive symptoms
3.9%19.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
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
94.8%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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
74.4 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.