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Other Senior care options in Keene:

Best Assisted Living in Keene, NH

Reviewed by Dr. Jordan Weiss
Updated Dec 2025

Sources: CMS Centers for Medicare and Medicaid Services, and New Hampshire Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Keene, New Hampshire.

Watch this Video to see Keene's Top-rated Senior Communities
Avg. Monthly cost: $6,000
National average: $5,600
Monthly cost range: $5,500–$8,100
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6

Compare Assisted Living around Keene

The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.

Click column headers to sort
American House Keene
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Keene
144
Facility 144
NH AVG 108
Rank #18 / 170
Yes
59
Facility 59
NH AVG 28
Rank #42 / 229
Studio / 1 Bed / 2 Bed
-
Facility -
NH AVG
Hilary Seifer
The Prospect-Woodward Health Center at Hillside Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Keene
-
Facility -
NH AVG 108
No
7
Facility 7
NH AVG 28
Rank #170 / 229
1 Bed / Studio
-
Facility -
NH AVG
-
Emerald House
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Keene (Harper Acres)
10
Facility 10
NH AVG 108
Rank #146 / 170
No
95
Facility 95
NH AVG 28
Rank #3 / 229
Private Rooms
1
Facility 1
NH AVG
Rank #28 / 124
Jewel P Wilson
Cedarcrest INC
Keene
281Jesse J Hayston
Covenant Living Of Keene
NH
Keene
200Karyn J Miner
Langdon Place Of Keene
NH
Keene
251Michael Johnson
Live Free Recovery Services LLC
Keene
241Evan S Johns
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 The Prospect-woodward Health Center at Hillside Village

The Prospect-Woodward Health Center at Hillside is an outstanding community in Keene, NH, that offers assisted living. The community’s welcoming environment and cozy living spaces provide older adults with a place to spend their golden years with ease. Here, daily living activities and household tasks are also taken care of around the clock, ensuring residents have a hassle-free lifestyle.

Focusing on residents’ leisure and wellness, recreational activities and light exercises are conducted. Here, residents have a delightful dining experience with well-balanced meals prepared to meet their dietary needs and preferences. The community is a great option for those aiming to maintain their independence in retirement, especially with its top-notch services.

Contact The Prospect-Woodward Health Center at Hillside Village

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

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
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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.