Alpine Healthcare Center
A nursing home in Keene, New Hampshire 03431
298 Main Street, Keene, New Hampshire 03431. (603) 352-7311.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 11 health citations at the latest inspection cycle New Hampshire average: 4.1
- 3.23 nurse hours per resident per day New Hampshire average: 3.87
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
11 health citations at the latest inspection cycle
The New Hampshire average is 4.1.
Last standard inspection Jun 13, 2025.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
15 citations in 3 months of the last 36. Last cited Jan 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 15 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 4 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jan 20, 2026: complaint inspection4 citations
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
Jun 13, 2025: standard inspection7 citations
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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.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide care or services that was trauma informed and/or culturally competent.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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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.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Jul 18, 2024: standard inspection4 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 1, 1996.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 85 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 4 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.23 nurse hours per resident per day
The New Hampshire average is 3.87.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | New Hampshire average |
|---|---|---|
| Nurse hours per resident per day | 3.23 | 3.87 |
| Of which registered nurses | 0.45 | 0.78 |
| At weekends | 2.83 | 3.43 |
| Nursing staff turnover | 50.8% | 43.4% |
| Registered nurse turnover | 58.3% | 40.5% |
| Administrators who left | 0 | Not given |
Who owns it?
- White Mountain Peak Healthcare LLC owns 99.9% directly since May 1, 2023; Nhoc LLC owns 0.1% directly since Nov 19, 2020.
- 603 Healthcare LLC runs it.
- 17 owners or officers are people: Zisha Margulies (owns 5% or more through other companies, 5.56%); Robert Rausman (owns 5% or more through other companies, 5%); Robert Rausman (corporate officer, 5%); Sean Stevenson (owns 5% or more through other companies, 5%); Philip Rausman (owns 5% or more through other companies, 5%); Avrohom Goldstein (owns a share through other companies, 4.12%); Miriam Halberstam (owns a share through other companies, 0.41%); Moshe Halberstam (owns a share through other companies, 0.41%); Robert Rausman (runs it (operational or managerial control)); Robert Rausman (additional disclosable party (controls, leases property to, or provides services to the home)); Haris Bilal (runs it (operational or managerial control)); Haris Bilal (additional disclosable party (controls, leases property to, or provides services to the home)); Melissa Castor (runs it (operational or managerial control)); Melissa Castor (additional disclosable party (controls, leases property to, or provides services to the home)); Sean Stevenson (runs it (operational or managerial control)); Sean Stevenson (on the governing body (managing control)); Philip Rausman (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| White Mountain Peak Healthcare LLC | Owns 5% or more directly | 99.9% | May 1, 2023 |
| Wmp Holdco LLC | Owns 5% or more through other companies | 99.9% | Nov 19, 2020 |
| Kansas SNF Holdings LLC | Owns 5% or more through other companies | 74.5% | May 1, 2023 |
| Rarmna Holdings LLC | Owns 5% or more through other companies | 24.84% | May 1, 2023 |
| Ratr Trust | Owns 5% or more through other companies | 24.84% | May 1, 2023 |
| Wetr Trust | Owns 5% or more through other companies | 24.83% | May 1, 2023 |
| RNR Holdings LLC | Owns 5% or more through other companies | 24.83% | May 1, 2023 |
| Mad Family Holdings LLC | Owns 5% or more through other companies | 24.83% | May 1, 2023 |
| Natr Trust | Owns 5% or more through other companies | 24.83% | May 1, 2023 |
| Black Mountain II LLC | Owns 5% or more through other companies | 15% | Jan 20, 2026 |
| NZM Holdings LLC | Owns 5% or more through other companies | 6.38% | Jan 20, 2026 |
| Recover-Care Healthcare LLC | Owns 5% or more through other companies | 5.56% | Jan 20, 2026 |
| PR NH Holdings LLC | Owns 5% or more through other companies | 5% | Jan 20, 2026 |
| Rr NH Holdings LLC | Owns 5% or more through other companies | 5% | Jan 20, 2026 |
| Aggcp LLC | Owns a share through other companies | 4.12% | Jan 20, 2026 |
| Kamna Holdings LLC | Owns a share through other companies | 0.82% | Nov 19, 2020 |
| Wmp Hc LLC | Owns a share through other companies | 0.1% | Nov 19, 2020 |
| Nhoc LLC | Owns a share directly | 0.1% | Nov 19, 2020 |
| Wetr Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 20, 2026 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 9, 2025 | |
| PR NH Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 20, 2026 | |
| RNR Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2020 | |
| Rr NH Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 20, 2026 | |
| Kansas SNF Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2020 | |
| Mad Family Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2020 | |
| Rarmna Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2020 | |
| Ratr Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2020 | |
| Natr Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 19, 2020 | |
| 603 Healthcare LLC | Runs it (operational or managerial control) | Aug 15, 2025 | |
| 603 Healthcare LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 23, 2026 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (New Hampshire average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 22.6 miles, this one had the 2nd most health citations at the latest inspection cycle (11; the middle value was 4).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Alpine Healthcare Center This nursing home | 11 | |
| Langdon Place of Keene | 1.0 | 1 |
| Keene Center, Genesis Healthcare | 2.1 | 5 |
| Covenant Living of Keene | 4.2 | 1 |
| Cheshire County Home | 10.1 | 0 |
| Applewood Center | 12.5 | 0 |
| Pine Heights at Brattleboro Center for Nursing & R | 15.6 | 7 |
| Thompson House Nursing Home | 15.7 | 3 |
| Jaffrey Rehabilitation and Nursing Center | 15.9 | 7 |
| Vernon Green Nursing Home | 16.3 | 14 |
| Pheasant Wood Center | 17.3 | 8 |
| Hillsboro House Nursing Home | 22.6 | 3 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.