CCN 305062 · Cheshire County, New Hampshire
Alpine Healthcare Center
298 Main Street, Keene, NH 03431
Alpine Healthcare Center is a 85-bed for-profit nursing home in Keene, New Hampshire, first certified for Medicare or Medicaid in 1996. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 75.2 residents a day, about 89% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 85
- Average residents per day
- 75.2 (88.5% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Peak Healthcare at Keene LLC
- Certified since
- Apr 1, 1996
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | New Hampshire median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 12 at 1, 20 at 2, 7 at 3, 21 at 4, 13 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.14 | 3.64 | 3.68 |
| RN hours per resident per day | 0.36 | 0.72 | 0.58 |
| Weekend nurse hours per resident per day | 2.82 | ||
| Nursing staff turnover | 47.8% | 43.6% | 44.9% |
| Occupancy (residents / beds) | 88.5% | 85.3% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 11 (Jun 13, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Alpine Healthcare Center does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| White Mountain Peak Healthcare LLCOrganization | Direct Ownership Interest | 100% | 05/01/2023 |
| Black Mountain II LLCOrganization | Indirect Ownership Interest | n/a | 01/20/2026 |
| Pr Nh Holdings LLCOrganization | Indirect Ownership Interest | n/a | 01/20/2026 |
| Rr Nh Holdings LLCOrganization | Indirect Ownership Interest | n/a | 01/20/2026 |
| Wmp Holdco LLCOrganization | Indirect Ownership Interest | n/a | 11/19/2020 |
| 603 Healthcare LLCOrganization | Operational / Managerial Control | n/a | 08/15/2025 |
| Bilal, HarisIndividual | Operational / Managerial Control | n/a | 02/28/2025 |
| Castor, MelissaIndividual | Operational / Managerial Control | n/a | 11/19/2020 |
| Rausman, RobertIndividual | Operational / Managerial Control | n/a | 06/15/2026 |
| Stevenson, SeanIndividual | Operational / Managerial Control | n/a | 01/20/2026 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Nov 19, 2020 | Peak Healthcare at Keene LLC | 298 Main Street Operations LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
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