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Nursing HomeMedicaid Investigative

Alpine Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

298 Main Street, Keene, NH 0343185 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 32 Google reviews

5
4
3
2
1
Alpine Healthcare Center Nursing Home in Keene, NH — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (11 vs median 3.0)
  • High staff turnover (55%)

Bottom 25% in NH · Below recommended RN staffing · No penalties on record

Source: Medicare data

What this means for your family

Alpine Healthcare Center has a dedicated staff that excels in compassionate, long-term, and memory care, making it a strong option for families prioritizing emotional support. However, you should be vigilant regarding administrative communication and staffing levels; we recommend asking specifically about their call-light response protocols and how they handle insurance and billing disputes.

Google Reviews

Google Reviews

32 reviews on Google
Alpine Healthcare Center receives highly polarized feedback, with many families praising the compassionate, attentive staff while others report severe lapses in care and professionalism. While recent reviews highlight improvements in cleanliness and a caring environment, critical concerns regarding understaffing, slow response times, and administrative errors persist.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean6.0ActivitiesN/AMeds2.0Memory8.0Comms3.0Value2.0

Strengths

  • Compassionate and caring nursing staff
  • Supportive end-of-life care
  • Clean, well-maintained facility environment
  • Responsive to family needs during difficult times

Concerns

  • Understaffing and slow call light response times (mentioned by 2 reviewers)
  • Poor administrative communication and billing errors (mentioned by 2 reviewers)
  • Unprofessional staff behavior (personal phone/computer use) (mentioned by 2 reviewers)
  • Inadequate or poor quality food (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.52018(2)4.42019(5)1.02024(3)4.22025(11)3.82026(12)

Distribution · 33 analyzed

5
17
4
6
3
0
2
1
1
9

How They Respond to Reviews

80%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you are quite active in responding to feedback online; what is your process for keeping families updated and resolving administrative or billing concerns once a resident moves in?
  • 2Given the current staffing levels, what is your facility's protocol for ensuring call lights are answered promptly, especially during evening or weekend shifts?
  • 3Could you walk me through how you monitor and improve the quality of meals served, as we want to ensure our loved one maintains a healthy and enjoyable diet?
  • 4With the current focus on enhancing medication management, what specific steps are in place to ensure accuracy and timely administration for residents?
  • 5What measures are you taking to ensure that staff remain fully engaged and professional while on the floor, particularly regarding the use of personal devices during their shifts?
  • 6Can you share how you balance the need for high-quality clinical care with the goal of providing a warm, compassionate environment for residents during their daily activities?

Personalized based on this facility's data


Key Review Excerpts

The one constant in his life is the unfailing compassion of the Alpine staff at all levels. From those who constantly wipe up the floors and other surfaces, to the laundry staff, to the hands-on care givers, to fellow residents.

Memory care family member · 2025★★★★

My mother was treated very well at Alpine. The caregivers were very attentive to her needs, especially when we all knew it was nearing the end of her life.

Long-term resident's family · 2026★★★★

I observed a staff member at the nurses' station using a work computer for personal, inappropriate content while call bells were going off and unanswered.

Visitor · 2026☆☆☆☆
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
52%
Registered nurses for medical care
Total Nursing
3.16hrs
77%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

10

measures

Worse Than Avg

2

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
15.4%
NH
17.8%
Cheshire
15.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.0%
Mixed vs Avgs
Here
23.0%
US
14.4%
NH
21.8%
Cheshire
28.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
19.4%
NH
26.3%
Cheshire
27.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.0%
Mixed vs Avgs
Here
23.0%
US
15.3%
NH
18.7%
Cheshire
26.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NH
96.9%
Cheshire
95.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility12.4%
Mixed vs Avgs
Here
12.4%
US
12.1%
NH
12.1%
Cheshire
18.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.2%
Better than Avg
Here
96.2%
US
81.8%
NH
86.5%
Cheshire
85.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.8%
Better than Avg
Here
89.8%
US
79.7%
NH
83.0%
Cheshire
86.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Mixed vs Avgs
Here
1.7%
US
1.6%
NH
1.4%
Cheshire
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Well above state avg (4.0)
4 complaint-triggered

Families recently filed complaints about resident protection and restraint use, resulting in four serious deficiencies in January 2026 that remain under correction plans. The facility shows recurring problems with medication management across multiple surveys and safety hazards. While past deficiencies from 2023-2025 have been corrected, the recent complaint-triggered findings about abuse prevention and resident safety represent concerning patterns that families should discuss directly with staff.

Jan 20, 2026Complaint
4
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Jun 13, 2025Routine
8
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0913Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure operating rooms are properly protected and written records are maintained and available for inspection.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Jul 18, 2024Routine
6
0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Minimal · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Jun 15, 2023Routine
10
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0363Minimal · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Alpine Healthcare Center

Organization Type

for profit

Ownership & Management

Owners

White Mountain Peak Healthcare LLC

Owner · Organization

100%

Aggcp LLC

Owner (parent company) · Organization

Wmp Holdco LLC

Owner (parent company) · Organization

Key personnel

Margulies, ZishaW-2 Managing EmployeeMargulies, ZishaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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