21 Roxbury Plz, Keene, NH 03431
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Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Alpine Healthcare Center
Keene, New HampshireMedicare inspection record
About Alpine Healthcare Center
Alpine Healthcare Center brings comprehensive skilled nursing and rehabilitation services to Keene, New Hampshire families. Our dedicated care team focuses on recovery, healing, and helping residents regain independence through personalized treatment plans and therapeutic services.
Community at a glance
Capacity
85 residents
Location
Keene, NH
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
298 MAIN STREET, Keene, New Hampshire 03431
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on June 13, 2025, state inspectors cited 11 health deficiencies (the New Hampshire average is 4.0).
Nurses and nurse aides spend 3 hours 9 minutes with each resident a day, below the New Hampshire average of 3 hours 54 minutes.
Medicare has not fined Alpine Healthcare Center in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 9 minutesBelow the New Hampshire average |
| Registered nurse time per resident, per day | 22 minutesBelow the New Hampshire average |
| Nursing staff who left in the past year | 48%Above the New Hampshire average |
Inspections
15 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 20, 2026 · Complaint investigation · 4 citations
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 6, 2026Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 6, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 6, 2026Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 6, 2026
June 13, 2025 · Standard inspection · 7 citations
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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 14, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 14, 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 14, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 14, 2025Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 14, 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.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jul 14, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Minimal harm or risk, a pattern (level B)Resident RightsCorrected Jul 14, 2025
July 18, 2024 · Standard inspection · 4 citations+
Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Aug 8, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Aug 8, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 5, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 13, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Peak Healthcare at Keene LLC
- Medicare-certified beds
- 85
- Average residents per day
- 75
- Accepts
- Medicare and Medicaid
- First certified
- April 1, 1996
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 305062
Location
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298 MAIN STREETKeene, NH 03431
12 other communities within 10 miles
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197 WATER ST, Keene, NH 03431
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Questions about Alpine Healthcare Center
How did Alpine Healthcare Center do on its last inspection?+
State inspectors visited on June 13, 2025 and cited 11 health deficiencies, 4 of them from complaint investigations. The New Hampshire average is 4.0.
How much nursing care does each resident get at Alpine Healthcare Center?+
Nurses and aides spend 3 hours 9 minutes with each resident per day, including 22 minutes from registered nurses. 48% of nursing staff left over the past year.
Has Alpine Healthcare Center been fined by Medicare?+
Medicare's records show no fines against Alpine Healthcare Center in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.