Best Assisted Living in Keene, NH

Why trust this guide? Our editorial team analyzed 3 assisted living communities in Keene, NH using NH Dept. of Health & Human Services (DHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in NH
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Last updated
We analyzed These are the facilities in Keene, NH our team has analyzed — not a count of every assisted living provider in Keene, NH.
3 homes
Other senior care options in Keene:

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Info below is compiled from the NH Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Number of years the company has been in operation.
A named contact for the facility. Hover the name to see their role — Administrator (state administrator of record or facility-provided administrator), Nursing Director, Medical Director, or Staff. The most authoritative available is shown.
Emerald House
AL
Keene (Harper Acres)
10
Facility 10
NH AVG 53
Rank #93 / 116
No
95
Facility 95
NH AVG 37
Rank #1 / 119
Private Rooms
1
Facility 1
NH AVG 7
Rank #21 / 100
Jewel P Wilson
American House Keene
AL
IL
MC
RC
Keene
144
Facility 144
NH AVG 53
Rank #4 / 116
Yes
59
Facility 59
NH AVG 37
Rank #26 / 119
Studio / 1 Bed / 2 Bed-Hilary Seifer
Maplewood Assisted Living
AL
IL
MC
Westmoreland
40
Facility 40
NH AVG 53
Rank #66 / 116
No
2
Facility 2
NH AVG 37
Rank #118 / 119
-
1
Facility 1
NH AVG 7
Rank #21 / 100
Christine Gowen, RN

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other NH assisted living community we track that reports that metric, not just the 3 analyzed for Keene. See how we rank facilities

Overview of Emerald House

Emerald House is a blissful assisted living community in Keene, NH, that provides assistance with daily living activities. Here, residents have more time to do the things they love, as housekeeping and laundry services are also provided. Accessible accommodations and fun gathering spaces are also provided in a friendly setting, ensuring residents feel at ease during their stay.

A variety of recreational activities, engaging programs, and fitness classes are conducted to promote social engagement and an active lifestyle. Transportation services are also provided to help residents travel with ease. With its high-quality services and welcoming atmosphere, residents will surely have the finest retirement experience.

Contact Emerald House

Overview of American House Keene

American House Keene, located in Keene, NH, is a senior living community which offers independent living accommodations and amenities, as well as assisted living services. Their independent living program provides residents with a worry free and maintenance free lifestyle through a variety of services and amenities. This includes housekeeping and laundry services, daily trash pickup, and personal transportation services.

Additionally, this pet friendly community also offers other conveniences and amenities within the apartments and the community. Their restaurant-style dining offers chef-prepared meals that satisfies both the taste buds and the body, and their full sized refrigerator, stove, and dishwasher in the apartments, ensures that if residents crave for something they personally prepare, they have the basic tools to create it.

Contact American House Keene

Overview of Maplewood Assisted Living

Maplewood Assisted Living offers assisted living, independent living, and memory care in Westmoreland, NH. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident maintains a private living space; independent living provides private living with community services and no daily care; memory care provides a secured setting with supervision for someone at risk of wandering. Having these care levels in one community may be a good fit for a resident whose needs could grow over time without requiring a move to a different community.

With 40 beds, Maplewood Assisted Living is a smaller community where staff and residents can get to know each other. Raised community gardens give residents an outdoor place to garden, while the full hair salon and nail salon provide on-site grooming services. Rn Christine Gowen serves as the administrator, and the community has a spiritual sanctuary for religious services.

Contact Maplewood Assisted Living

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Keene at a glance

Avg Walk Score: 52/ 100The average Walk Score across facilities in Keene, NH. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 65The average licensed bed capacity across facilities in Keene, NH. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in Keene, NH

What's the difference between assisted living and memory care in New Hampshire?

Assisted living in New Hampshire supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in New Hampshire?

Assisted living in New Hampshire is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does New Hampshire Medicaid cover assisted living?

New Hampshire Medicaid does not directly pay room-and-board for assisted living, but most states (including New Hampshire) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 3 assisted living facilities in Keene, NH. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Keene, NH?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Keene, NH, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Keene, NH?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.