Alpine Healthcare Center
298 Main Street, Keene, NH 03431
Alpine Healthcare Center is a nursing home in Keene, New Hampshire. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (603) 352-7311
- Last standard health inspection
- June 13, 2025 (1 year ago)
- Certified beds
- 85
- Residents per day, on average
- 71.9
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Peak Healthcare at Keene LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
More health citations than the New Hampshire average (21 vs 13).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of March 25, 2026
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
4 citations
Health inspection on January 20, 2026
CMS lists this as a complaint inspection.
Citation F0609. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on February 6, 2026.
Citation F0610. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on February 6, 2026.
Citation F0604. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS lists it as corrected on February 6, 2026.
Citation F0607. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on February 6, 2026.
7 citations
Health inspection on June 13, 2025
CMS lists this as a standard inspection.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 14, 2025.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on July 14, 2025.
Citation F0699. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on July 14, 2025.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 14, 2025.
CMS has cited this home for F0761 3 times since 2023.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 14, 2025.
CMS has cited this home for F0812 2 times since 2023.
Citation F0849. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS lists it as corrected on July 14, 2025.
Citation F0582. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on July 14, 2025.
1 citation
Fire safety inspection on June 13, 2025
CMS lists this as a standard inspection.
Citation K0913. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
CMS lists it as corrected on July 17, 2025.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
4 citations
Health inspection on July 18, 2024
CMS lists this as a standard inspection.
Citation F0881. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on August 8, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 13, 2024.
CMS has cited this home for F0689 2 times since 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 5, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 8, 2024.
2 citations
Fire safety inspection on July 18, 2024
CMS lists this as a standard inspection.
Citation K0211. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on September 4, 2024.
Citation K0918. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 4, 2024.
CMS has cited this home for K0918 2 times since 2023.
6 citations
Health inspection on June 15, 2023
CMS lists this as a standard inspection.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on July 11, 2023.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on July 11, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 11, 2023.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on July 12, 2023.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS lists it as corrected on July 11, 2023.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 11, 2023.
4 citations
Fire safety inspection on June 15, 2023
CMS lists this as a standard inspection.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on August 10, 2023.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 10, 2023.
Citation E0039. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on August 10, 2023.
Citation K0363. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on August 10, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- WHITE MOUNTAIN PEAK HEALTHCARE LLC5% or greater direct ownership interest · 100% · since 05/01/2023
- NHOC LLCDirect ownership interest · not applicable · since 11/19/2020
- BLACK MOUNTAIN II LLC5% or greater indirect ownership interest · no percentage provided · since 01/20/2026
- PR NH HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 01/20/2026
- RR NH HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 01/20/2026
- WMP HOLDCO LLC5% or greater indirect ownership interest · no percentage provided · since 11/19/2020
- AGGCP LLCIndirect ownership interest · not applicable · since 01/20/2026
- KAMNA HOLDINGS LLCIndirect ownership interest · not applicable · since 11/19/2020
- WMP HC LLCIndirect ownership interest · not applicable · since 11/19/2020
- GOLDSTEIN, AVROHOMIndirect ownership interest · not applicable · since 01/20/2026
- HALBERSTAM, MIRIAMIndirect ownership interest · not applicable · since 01/20/2026
- HALBERSTAM, MOSHEIndirect ownership interest · not applicable · since 01/20/2026
- 603 HEALTHCARE LLCOperational/managerial control · not applicable · since 08/15/2025
- BILAL, HARISOperational/managerial control · not applicable · since 02/28/2025
- CASTOR, MELISSAOperational/managerial control · not applicable · since 11/19/2020
- RAUSMAN, ROBERTOperational/managerial control · not applicable · since 06/15/2026
- STEVENSON, SEANOperational/managerial control · not applicable · since 01/20/2026
Questions
When was Alpine Healthcare Center last inspected?
CMS lists June 13, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Alpine Healthcare Center have?
CMS lists 21 health citations since June 15, 2023. CMS also calls these deficiencies.
Has Alpine Healthcare Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Alpine Healthcare Center?
Its CMS overall star rating is 1 of 5.
Is Alpine Healthcare Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.