Alpine Healthcare Center
Keene, New Hampshire · CCN 305062
13 surveys since 2012, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 53
- Surveys
- 13
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 85
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Cheshire · rural
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 16 for-profit facilities of 66–99 beds in New Hampshire.
Last survey on record
Jan 20, 2026
293 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.14 | 3.41 |
| Registered-nurse hours per resident day | 0.36 | — |
| Annual nurse turnover | 47.8% | 45.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1676.2% | E419.0% | F— |
| No harm, potential for minimal | A— | B14.8% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7613×
Ensure 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.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F5841×
Honor 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.
In the surveyor’s words
From the most serious findings on record at Alpine Healthcare Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF609Jan 20, 2026
Based on interview and record review, the facility failed to ensure that alleged violations of abuse were reported immediately to the State Survey Agency (SSA) for 3 of 3 residents reviewed for abuse. (Resident identifiers are Resident #1, #2 and #3.)Findings include:Resident #1 Interview on 1/20/26 at approximately 11:15 a.m. with Staff D (Licensed Nursing Assistant) revealed that he/she witnessed Staff C (Licensed Nursing Assistant) with Resident #1's back against Staff C's chest and his/her arms around Resident #1. Staff D further revealed that Resident #1's feet were off the ground while Resident #1 was moved to another area. Staff D stated that the incident occurred on or around January 1, 2026 and that he/she reported the incident on 1/14/2026. […]
- No harm, potential for more than minimal, patternF610Jan 20, 2026
Based on interview and record review, the facility failed to ensure that alleged violations of abuse were thoroughly investigated for 2 of 3 residents reviewed for an alleged violation of abuse. (Resident identifiers are Resident #1 and #2.)Findings include:Resident #1 Interview on 1/20/26 at approximately 11:15 a.m. with Staff D (Licensed Nursing Assistant) revealed that he/she witnessed Staff C (Licensed Nursing Assistant) with Resident #1's back against Staff C's chest and his/her arms around Resident #1. Staff D further revealed that Resident #1's feet were off the ground while Resident #1 was moved to another area. Staff D stated that the incident occurred on or around January 1, 2026 and that he/she reported the incident on 1/14/2026. Interview on 1/20/26 at approximately 10:45 a.m. […]
- No harm, potential for more than minimal, patternF881Jul 18, 2024
Based on record review and interview, it was determined that the facility failed to follow an established antibiotic stewardship program and system of monitoring antibiotic use for 3 out of 12 months reviewed (May, June and July 2024). Findings include: Review on 7/18/24 of facility policy titled Antibiotic Stewardship Program, with revised date of 5/23/23, revealed: Policy: .The purpose of the program is to optimize the treatment of infections while reducing the adverse events associated with antibiotic use .3. a. Antibiotic use protocols: .iii. The facility uses the (CDC's [Center for Disease Control and Prevention] NHSN [National Healthcare Safety Network] Surveillance Definitions, updated McGeer criteria or other surveillance tool) to define infections. iv. […]
- No harm, potential for more than minimal, patternF761Jun 15, 2023
Based on observation, interview, facility policy, and review of manufacturers' instructions it was determined that the facility failed to ensure that medications remained in a locked storage area and opened insulins were labeled with a resident identifier and an open/expiration date on 1 out of 4 medication carts observed, and that expired medications were removed from supply and multi-dose vials were labeled with an open/expiration date in 2 out of 2 medication rooms observed (Resident identifier is #27). Findings include: Unit 1 Side Hall Observation on 6/12/23 at approximately 8:25 a.m. to 8:33 a.m. of the medication cart revealed that the cart was unlocked without any staff in the vicinity of the cart. Interview on 6/12/23 at approximately 8:35 a.m. […]
- No harm, potential for more than minimal, patternF812Aug 4, 2022
Based on observation, interview and record review, it was determined that the facility failed to ensure that foods were prepared in accordance with professional standard for food safety in regards to cleanliness of stoves, hoods/vents, can opener and air dry of cups for 1 of 1 kitchen and 1 of 3 kitchenettes observed. Findings include: Observation on 8/2/22 at approximately 8:51 a.m. in the main kitchen with Staff D (Food Service Director) revealed that the range hood had accumulation black debris located on all sides of the hood including the vents. Observation also revealed that dried hard black food-like particles on top and side of the range burner. […]
Read 20 findings in full →The most serious and the most recent: 20 of 53 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 20, 2026Complaint4 findings
- Jun 13, 2025Standard7 findings
- Jul 18, 2024Standard4 findings
- Jun 15, 2023Standard6 findings
- Aug 4, 2022Standard6 findings
- Sep 7, 2021Complaint3 findings
- Jul 2, 2021Standard5 findings
- Nov 22, 2019Standard1 finding
Show the 5 earlier surveys
- Oct 23, 2018Standard6 findings
- Aug 30, 2017Standard1 finding
- Jun 16, 2016Standard1 finding
- May 5, 2015Standard and complaint6 findings
- Mar 1, 2012—3 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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