The soil hydrological properties (HPs) in active layers regulate soil water migration and affect the evolution of permafrost and biogeochemical cycles. There is relatively little understanding of the changes in soil HPs as a result of soil particle-size distribution (PSD) in the permafrost regions of the Qinghai–Tibet Plateau. In this study, different land-cover types, namely alpine wet meadow (AWM), extremely degraded wet meadow (EDWM), alpine meadow (AM), degraded alpine meadow (DAM), alpine steppe (AS), and alpine desert (AD), were used to determine the relationships between soil PSD and HPs. Soil HPs were determined using borehole nuclear magnetic resonance, and soil PSD (0–2 mm) was analyzed using fractal and multifractal theory. The results showed that vegetation degradation caused coarse soil particle accumulation in the root zone, reflected by the soil single-fractal dimension (Dv: 2.12–2.50). The Dv values showed significant positive correlations with soil clay and silt content as well as a negative correlation with sand content. Results from the generalized fractal and singularity spectra suggested an even distribution of soil particles in the root zone of the AWM, AM, and AD sites. Vegetation degradation increased the soil PSD capacity dimension (D0), information dimension (D1), correlation dimension, D1/D0 ratio, and Hölder exponent of order zero. This was indicative of a narrow soil PSD range and non-uniform soil texture in the root zone. Although capillary water dominated the total soil water content in the alpine soils, soil water composition was also dependent on the vegetation type and soil stratigraphic distribution. Soil particle composition and multifractal dimensions were found to be effective parameters for forecasting soil HPs in the non-root zone of alpine soils. However, the presence of vegetation weakens the relationship between soil PSD and HPs. This study contributes to the accurate evaluation of hydrological and biogeochemical cycles in permafrost regions.