Alpine Healthcare Center
Keene, Cheshire County, New Hampshire · CCN 305062 · For-profit (LLC) · not part of a chain
CMS rates Alpine Healthcare Center 1 of 5 overall as of August 2026. 85 certified beds, 75 residents a day on average. 21 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 3 / 1 of 5 |
Staffing
| Total nurse staffing | 3.1424 hours per resident per day |
|---|---|
| Registered nurses | 0.35848 hours per resident per day |
| Weekend total | 2.8162 hours per resident per day |
| Nursing staff turnover | 47.8% (registered nurses 50%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-20 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-06 |
| 2026-01-20 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-06 |
| 2026-01-20 complaint survey |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-06 |
| 2026-01-20 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-06 |
| 2025-06-13 | 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-14 |
| 2025-06-13 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-14 |
| 2025-06-13 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-14 |
| 2025-06-13 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-14 |
| 2025-06-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-14 |
| 2025-06-13 | 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. Administration Deficiencies · tag F0849 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-14 |
| 2025-06-13 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2025-07-14 |
| 2024-07-18 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-13 |
| 2024-07-18 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-05 |
| 2024-07-18 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2023-06-15 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-11 |
| 2023-06-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-11 |
| 2023-06-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-11 |
| 2023-06-15 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-12 |
| 2023-06-15 | 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-11 |
| 2023-06-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-11 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| White Mountain Peak Healthcare LLC Organization | 5% or greater direct ownership interest | 100% | 2023-05-01 |
| Black Mountain II LLC Organization | 5% or greater indirect ownership interest | — | 2026-01-20 |
| Pr Nh Holdings LLC Organization | 5% or greater indirect ownership interest | — | 2026-01-20 |
| Rr Nh Holdings LLC Organization | 5% or greater indirect ownership interest | — | 2026-01-20 |
| Wmp Holdco LLC Organization | 5% or greater indirect ownership interest | — | 2020-11-19 |
| 603 Healthcare LLC Organization | adp of the snf | — | 2026-04-23 |
| Kansas Snf Holdings LLC Organization | adp of the snf | — | 2020-11-19 |
| Mad Family Holdings LLC Organization | adp of the snf | — | 2020-11-19 |
| Natr Trust Organization | adp of the snf | — | 2020-11-19 |
| Pr Nh Holdings LLC Organization | adp of the snf | — | 2026-01-20 |
| Rarmna Holdings LLC Organization | adp of the snf | — | 2020-11-19 |
| Ratr Trust Organization | adp of the snf | — | 2020-11-19 |
| Rnr Holdings LLC Organization | adp of the snf | — | 2020-11-19 |
| Rr Nh Holdings LLC Organization | adp of the snf | — | 2026-01-20 |
| Wetr Trust Organization | adp of the snf | — | 2026-01-20 |
| Nhoc LLC Organization | direct ownership interest | — | 2020-11-19 |
| Aggcp LLC Organization | indirect ownership interest | — | 2026-01-20 |
| Kamna Holdings LLC Organization | indirect ownership interest | — | 2020-11-19 |
| Wmp Hc LLC Organization | indirect ownership interest | — | 2020-11-19 |
| 603 Healthcare LLC Organization | operational/managerial control | — | 2025-08-15 |
| Bilal, Haris Individual | adp of the snf | — | 2025-04-09 |
| Castor, Melissa Individual | adp of the snf | — | 2025-04-09 |
| Rausman, Philip Individual | adp of the snf | — | 2026-01-20 |
| Rausman, Robert Individual | adp of the snf | — | 2026-01-20 |
| Rausman, Robert Individual | corporate officer | — | 2026-01-20 |
| Goldstein, Avrohom Individual | indirect ownership interest | — | 2026-01-20 |
| Halberstam, Miriam Individual | indirect ownership interest | — | 2026-01-20 |
| Halberstam, Moshe Individual | indirect ownership interest | — | 2026-01-20 |
| Stevenson, Sean Individual | managing control - governing body | — | 2026-01-20 |
| Bilal, Haris Individual | operational/managerial control | — | 2025-02-28 |
| Castor, Melissa Individual | operational/managerial control | — | 2020-11-19 |
| Rausman, Robert Individual | operational/managerial control | — | 2026-06-15 |
| Stevenson, Sean Individual | operational/managerial control | — | 2026-01-20 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Alpine Healthcare Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Cheshire County.