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Alpine Healthcare Center

Nursing Home Facility

298 Main Street, Keene, NH 03431

Nursing Home Care Hospice Care Respite Care Senior Living
Alpine Healthcare Center

Westwood Center offers skilled nursing and rehabilitation therapy to adults of all ages who need short - or long-term care as well as specialized care for individuals with Alzheimer's disease. We also provide respite care for people whose primary, at home caregiver is temporarily unavailable.

Operated by Genesis HealthCare, which runs 507 communities in our directory.

Alpine Healthcare Center is licensed for 85 beds, about typical for the area, where senior care communities in Keene average about 72 beds.

Federal reporting puts occupancy at about 88% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Keene average about 3.0 stars. Its most recent standard health inspection was in June 2025 and recorded 11 deficiencies.

Residents receive about 3.1 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Communities in Keene average about 3.9 hours. Nursing staff turnover over the past year was about 48%.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 21 problems at Alpine Healthcare Center. None of them caused harm to a resident. 4 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

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

    Inspected January 2026, after a complaint. Corrected by February 6, 2026.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected January 2026, after a complaint. Corrected by February 6, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected January 2026, after a complaint. Corrected by February 6, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected January 2026, after a complaint. Corrected by February 6, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected June 2025. Corrected by July 14, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected June 2025. Corrected by July 14, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected June 2025. Corrected by July 14, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected June 2025. Corrected by July 14, 2025.

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  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

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

    Inspected June 2025. Corrected by July 14, 2025.

  • Could cause more than minimal harm, one or a few residents Administration

    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.

    Inspected June 2025. Corrected by July 14, 2025.

  • Minimal harm or the potential for it, a pattern Resident Rights

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

    Inspected June 2025. Corrected by July 14, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Alpine Healthcare Center offers nursing home care, hospice care, respite care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 85
  • Occupancy 88%
  • Nursing hours per resident/day 3.1
  • Annual staff turnover 48%
  • Last health inspection June 2025

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