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Nursing home report

ALPINE HEALTHCARE CENTER

KEENE, NH · Medicare-certified · 85 beds

Needs attention
For-profit
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.1588 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 3.1588.

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).

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).

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.

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

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.