Best Nursing Homes in New Hampshire

Why trust this guide? Our editorial team analyzed 72 nursing homes in NH using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NH
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Last updated
We analyzed These are the facilities in New Hampshire our team has analyzed — not a count of every nursing home provider in New Hampshire.
72 homes
Other senior care options in New Hampshire:
Avg Overall CMS Rating: 3.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in New Hampshire. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.2/ 5The average Staffing Rating across all CMS-certified nursing homes in New Hampshire. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.9/ 5The average Health Inspection Rating across all CMS-certified nursing homes in New Hampshire. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around New Hampshire

Info below is compiled from CMS reports & 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.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
The ALM Inspection Grade — our own 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating. A dash means we do not publish a grade for that facility: either its public record is too thin to be fair, or we hold nothing for it at all.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New Hampshire average is: 52.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Cedar Healthcare Center
NH
AL
HOS
PC
RC
SNF
Portsmouth
102
Facility 102
NH AVG 102
Rank #29 / 66
87.2%
Facility 87.2%
NH AVG 82.2%
Rank #25 / 51
+6%
3.24
Facility 3.24
NH AVG 4.28
Rank #43 / 63
A+97 / 100 — 13 points above the New Hampshire average for CMS-certified facilities (84/100) +38%-24%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 64
7
Facility 7
NH AVG 14.4
Rank #13 / 64
2.3
Facility 2.3
NH AVG 4.0
Rank #9 / 64
-89-
80
Facility 80
NH AVG 36
Rank #7 / 65
-
$11.3MFiscal year ending 12/2023
Facility $11.3MFiscal year ending 12/2023
NH AVG $13.2M
Rank #29 / 58
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
NH AVG $7.0M
Rank #23 / 58
55.9%Fiscal year ending 12/2023
Facility 55.9%Fiscal year ending 12/2023
NH AVG 52.8%
Rank #18 / 58
305082
Warde Senior Living
NH
AL
IL
PC
RC
SNF
Windham
32
Facility 32
NH AVG 102
Rank #63 / 66
98.8%
Facility 98.8%
NH AVG 82.2%
Rank #3 / 51
+20%
5.20
Facility 5.20
NH AVG 4.28
Rank #10 / 63
A-91 / 100 — 7 points above the New Hampshire average for CMS-certified facilities (84/100) -2%+21%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 64
3
Facility 3
NH AVG 14.4
Rank #2 / 64
1.5
Facility 1.5
NH AVG 4.0
Rank #1 / 64
-32-
36
Facility 36
NH AVG 36
Rank #31 / 65
Nh Catholic Charities Inc
$4.9MFiscal year ending 03/2024
Facility $4.9MFiscal year ending 03/2024
NH AVG $13.2M
Rank #56 / 58
$2.6MFiscal year ending 03/2024
Facility $2.6MFiscal year ending 03/2024
NH AVG $7.0M
Rank #57 / 58
52.5%Fiscal year ending 03/2024
Facility 52.5%Fiscal year ending 03/2024
NH AVG 52.8%
Rank #27 / 58
305043
Maple Leaf Healthcare Center
NH
MC
SNF
Manchester
114
Facility 114
NH AVG 102
Rank #19 / 66
93.7%
Facility 93.7%
NH AVG 82.2%
Rank #8 / 51
+14%
2.81
Facility 2.81
NH AVG 4.28
Rank #58 / 63
A+97 / 100 — 13 points above the New Hampshire average for CMS-certified facilities (84/100) -30%-34%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 64
7
Facility 7
NH AVG 14.4
Rank #6 / 64
2.3
Facility 2.3
NH AVG 4.0
Rank #1 / 64
-107-
49
Facility 49
NH AVG 36
Rank #21 / 65
Nh3 Opco Holdco LLC$10.8M*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$7.1M*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.65.9%*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.305030
St Francis Rehab and Nursing Center
NH
IL
PC
RC
SNF
Laconia
51
Facility 51
NH AVG 102
Rank #54 / 66
89.2%
Facility 89.2%
NH AVG 82.2%
Rank #15 / 51
+9%
4.50
Facility 4.50
NH AVG 4.28
Rank #19 / 63
- +7%+5%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 64
4
Facility 4
NH AVG 14.4
Rank #2 / 64
4.0
Facility 4.0
NH AVG 4.0
Rank #34 / 64
-46-
4
Facility 4
NH AVG 36
Rank #60 / 65
-
$6.8MFiscal year ending 03/2024
Facility $6.8MFiscal year ending 03/2024
NH AVG $13.2M
Rank #49 / 58
$4.5MFiscal year ending 03/2024
Facility $4.5MFiscal year ending 03/2024
NH AVG $7.0M
Rank #39 / 58
65.9%Fiscal year ending 03/2024
Facility 65.9%Fiscal year ending 03/2024
NH AVG 52.8%
Rank #7 / 58
305070
Langdon Place of Keene
NH
AL
MC
SNF
Keene
156
Facility 156
NH AVG 102
Rank #9 / 66
--
4.33
Facility 4.33
NH AVG 4.28
Rank #23 / 63
- +56%+1%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 64
6
Facility 6
NH AVG 14.4
Rank #31 / 64
2.0
Facility 2.0
NH AVG 4.0
Rank #34 / 64
-22-
12
Facility 12
NH AVG 36
Rank #45 / 65
Michael Johnson
$9.8MFiscal year ending 12/2023
Facility $9.8MFiscal year ending 12/2023
NH AVG $13.2M
Rank #36 / 58
$5.3MFiscal year ending 12/2023
Facility $5.3MFiscal year ending 12/2023
NH AVG $7.0M
Rank #32 / 58
54.2%Fiscal year ending 12/2023
Facility 54.2%Fiscal year ending 12/2023
NH AVG 52.8%
Rank #22 / 58
305085
Covenant Living of Keene (Assisted Living and Memory Care)
NH
AL
MC
RC
SNF
Keene
61
Facility 61
NH AVG 102
Rank #47 / 66
--
6.27
Facility 6.27
NH AVG 4.28
Rank #1 / 63
- -1%+47%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 64
11
Facility 11
NH AVG 14.4
Rank #27 / 64
3.7
Facility 3.7
NH AVG 4.0
Rank #30 / 64
-19-
12
Facility 12
NH AVG 36
Rank #45 / 65
----305103
RiverWoods Exeter
NH
AL
IL
MC
SNF
Exeter (Perkins Hill)
66
Facility 66
NH AVG 102
Rank #45 / 66
---- - +55%-
$0
Facility $0
NH AVG $36.9k
Rank #1 / 64
4
Facility 4
NH AVG 14.4
Rank #21 / 64
1.3
Facility 1.3
NH AVG 4.0
Rank #24 / 64
-3--Deborah Riddell
$44.4MFiscal year ending 06/2024
Facility $44.4MFiscal year ending 06/2024
NH AVG $13.2M
Rank #1 / 58
$22.5MFiscal year ending 06/2024
Facility $22.5MFiscal year ending 06/2024
NH AVG $7.0M
Rank #1 / 58
50.7%Fiscal year ending 06/2024
Facility 50.7%Fiscal year ending 06/2024
NH AVG 52.8%
Rank #29 / 58
305049
Mt. Carmel Rehabilitation and Nursing Center
NH
MC
PC
RC
SNF
Manchester
120
Facility 120
NH AVG 102
Rank #16 / 66
89.9%
Facility 89.9%
NH AVG 82.2%
Rank #13 / 51
+9%
4.56
Facility 4.56
NH AVG 4.28
Rank #18 / 63
A+97 / 100 — 13 points above the New Hampshire average for CMS-certified facilities (84/100) -8%+7%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 64
10
Facility 10
NH AVG 14.4
Rank #21 / 64
3.3
Facility 3.3
NH AVG 4.0
Rank #24 / 64
-110A+
81
Facility 81
NH AVG 36
Rank #6 / 65
Joseph Bohunicky
$16.2MFiscal year ending 03/2024
Facility $16.2MFiscal year ending 03/2024
NH AVG $13.2M
Rank #17 / 58
$7.3MFiscal year ending 03/2024
Facility $7.3MFiscal year ending 03/2024
NH AVG $7.0M
Rank #18 / 58
45.2%Fiscal year ending 03/2024
Facility 45.2%Fiscal year ending 03/2024
NH AVG 52.8%
Rank #47 / 58
305067
Rockingham County Nursing Home
NH
AL
MC
SNF
Brentwood
226
Facility 226
NH AVG 102
Rank #4 / 66
62.2%
Facility 62.2%
NH AVG 82.2%
Rank #48 / 51
-24%
5.86
Facility 5.86
NH AVG 4.28
Rank #5 / 63
A-91 / 100 — 7 points above the New Hampshire average for CMS-certified facilities (84/100) -22%+37%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 64
4
Facility 4
NH AVG 14.4
Rank #2 / 64
4.0
Facility 4.0
NH AVG 4.0
Rank #34 / 64
-141-
20
Facility 20
NH AVG 36
Rank #41 / 65
County Of Rockingham
$23.7MFiscal year ending 06/2024
Facility $23.7MFiscal year ending 06/2024
NH AVG $13.2M
Rank #8 / 58
$13.0MFiscal year ending 06/2024
Facility $13.0MFiscal year ending 06/2024
NH AVG $7.0M
Rank #8 / 58
54.9%Fiscal year ending 06/2024
Facility 54.9%Fiscal year ending 06/2024
NH AVG 52.8%
Rank #21 / 58
305046
Golden View Health Care Center
NH
AL
MC
RC
SNF
Meredith
105
Facility 105
NH AVG 102
Rank #27 / 66
68.6%
Facility 68.6%
NH AVG 82.2%
Rank #46 / 51
-17%
5.03
Facility 5.03
NH AVG 4.28
Rank #12 / 63
B+87 / 100 — 3 points above the New Hampshire average for CMS-certified facilities (84/100) -30%+18%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 64
16
Facility 16
NH AVG 14.4
Rank #36 / 64
4.0
Facility 4.0
NH AVG 4.0
Rank #44 / 64
-72A+
39
Facility 39
NH AVG 36
Rank #29 / 65
Sanders Management & Consulting Gro
$10.1MFiscal year ending 12/2023
Facility $10.1MFiscal year ending 12/2023
NH AVG $13.2M
Rank #35 / 58
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
NH AVG $7.0M
Rank #17 / 58
72.8%Fiscal year ending 12/2023
Facility 72.8%Fiscal year ending 12/2023
NH AVG 52.8%
Rank #5 / 58
305044

Rank badges are statewide: each nursing home is ranked against every NH nursing home we track that reports that metric, not just the 72 on this page. See how we rank facilities

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Overview of Cedar Healthcare Center

Cedar Healthcare Center is a 102-bed nursing home located on Jones Avenue in Portsmouth, New Hampshire. Financial planning remains flexible at this location, with the facility accepting Medicare, Medicaid, and private pay options. For visitors, the surrounding neighborhood is highly walkable and pedestrian-friendly, meaning family members can easily complete daily errands or access local destinations entirely on foot.

Stays average around 162 days, pointing to a standard operational balance between post-hospital therapy tracks and extended skilled care. This steady demand keeps the building functioning at a 79 percent occupancy level. Daily operations are backed by 3 hours and 18 minutes of total nursing care per resident each day, utilizing a round-the-clock team of registered nurses, licensed practical nurses, and nurse aides who manage physical rehabilitation, temporary respite stays, total parenteral nutrition, mental health recovery, and hospice support.

State files show a history of inspection surveys that have focused on resident care protocols, safety management, and infection control procedures. Oversight records from the health department indicate that the facility has implemented corrective measures to resolve these earlier tracking gaps, and the building maintains an overall cumulative citations-per-inspection rate of zero.

Prospective residents live in private or semi-private accommodations with integrated discharge planning to streamline the transition back home. Meals are coordinated by on-staff dietitians to fulfill specific therapeutic and medical requirements, served in a centralized dining setting.

Contact Cedar Healthcare Center

Overview of Warde Senior Living

Warde Senior Living in Windham, New Hampshire, provides multiple levels of support, including independent living, assisted living, nursing care, palliative care, and respite services. This continuum of care can help older adults remain within the same community as their needs change. The community is owned by NH Catholic Charities Inc. and administered by Shari L. Laroche.

With 32 licensed beds and 31 currently occupied, the community has reached a high occupancy rate during its first year of operation. Residents may use Medicare, Medicaid, or private pay to cover care costs, and the average stay of approximately 197 days reflects a combination of short-term and longer-term residents.

Clinical support includes more than five hours of nursing care per resident each day, delivered through a combination of registered nurses, licensed practical or vocational nurses, and nurse aides. Rehabilitation services, respite care, and around-the-clock staffing further support residents who require ongoing assistance.

Residents have access to restaurant-style dining featuring seasonal ingredients, with meals available throughout the day. Social opportunities include games, music, entertainment, and regular religious services. The building is wheelchair accessible and equipped with security systems, alarm monitoring, and an on-site defibrillator. Pets are also welcome.

State inspections have identified a limited number of moderate issues related to care planning and administrative documentation, with no serious-level citations reported. All cited concerns were corrected. Families considering the community may wish to ask how resident care plans are reviewed and updated to ensure they remain current.

Contact Warde Senior Living

Overview of Maple Leaf Healthcare Center

At 198 Pearl Street in Manchester, New Hampshire, Maple Leaf Healthcare Center runs as a 114-bed nursing home in a neighborhood that splits the difference on walkability. A Walk Score of 49 means a handful of errands are doable on foot, but most trips still call for a car.

Occupancy sits at 94%, a figure that suggests steady demand from families in the Manchester area. Inside, the care model centers on medical management, therapy services, personal care, and general medical support, backed by rehabilitation services and staff on-site around the clock. Nursing coverage runs 3 hours 15 minutes per resident daily, a blend of registered nurse, licensed nurse, and aide time.

Rooms are available in semi-private or private layouts. The building itself reads as modern, with complimentary WiFi, phone, and television in residents’ rooms and a dining room sized for the community it serves. Medicare, Medicaid, and private pay are all accepted, which opens up several ways for families to finance a stay.

State inspection themes here land on medication management, infection prevention, environmental and hazardous-materials safety, and care planning and documentation. Between the rehabilitation services on offer and staffing that runs the clock, the picture that emerges is a facility built as much for residents recovering from a hospital stay as for those who need longer-term nursing support.

Contact Maple Leaf Healthcare Center

Overview of St Francis Rehab and Nursing Center

Situated on Court Street in Laconia, New Hampshire, St Francis Rehab and Nursing Center operates as a 51-bed nursing home. The property accepts Medicare, Medicaid, and private pay options to cover resident costs. For visitors, the surrounding neighborhood is car-dependent, with a walkability score of 4 out of 100, meaning family members will need a personal vehicle to reach the property or manage local errands.

Resident stays average roughly 238 days, reflecting an operational footprint centered heavily on permanent or extended nursing placement alongside transitional care. To handle these daily clinical routines, around-the-clock staffing delivers an average of 4 hours and 41 minutes of total nursing care per resident each day, which includes 3 hours and 24 minutes of direct assistance from nurse aides. This team coordinates short-term post-hospital therapy, temporary respite care, and palliative support.

State health department inspection logs show that the facility operates within standard regulatory guidelines for care delivery and environmental safety. Oversight records confirm that the property maintains a consistent compliance track record, resulting in a cumulative citations-per-inspection rate of zero.

Interested individuals will find a quiet, residential setting situated away from major urban centers. Meals are coordinated to meet individual dietary requirements and are served in a structured community dining space.

Contact St Francis Rehab and Nursing Center

Overview of Langdon Place of Keene

Set on Arch Street in Keene, New Hampshire, Langdon Place of Keene is a 156-bed nursing home that has been part of the Cheshire County community for 25 years. It offers skilled nursing and short-term rehabilitation alongside a dedicated 25-bed unit for residents with Alzheimer’s or dementia. The neighborhood is car-dependent (Walk Score 12), so getting around by foot isn’t realistic here; most visits mean driving in.

Right now the facility is running at 90% occupancy, with 140 of its 156 beds filled. The average stay is short, about 31 days, which fits a home doing meaningful post-acute and rehabilitation work alongside its longer-term nursing and memory care residents. Nursing coverage adds up to 4 hours and 8 minutes per resident each day, spread across registered nurses, licensed practical nurses, and nurse aides.

Residents recovering from surgery or illness have access to on-site rehabilitation services, so therapy doesn’t require a separate trip elsewhere. Jennifer Rousseau administers the facility. State inspection themes here have centered on medication management and staffing credentials.

Coverage-wise, Langdon Place of Keene takes Medicare, Medicaid, and private pay, so families have more than one route to financing care. Looking at the skilled nursing, the rehab services, and the memory care unit, this is a facility built to handle two different kinds of residents at once: people rehabbing after a hospital stay, and those settling in for longer-term nursing or dementia care.

Contact Langdon Place of Keene

Overview of Covenant Living of Keene (assisted Living and Memory Care)

Covenant Living of Keene is a nursing care community located at 100 Wyman Road in Keene, New Hampshire. The facility coordinates multiple payment arrangements by accepting private pay alongside traditional options. For visitors, the surrounding suburban area is car-dependent, meaning family members will generally rely on personal vehicles or arranged transportation to reach the property.

The newly established building accommodates up to 61 residents, providing a clinical focus centered on short-term skilled nursing, rehabilitation services, and temporary respite care. Round-the-clock staffing manages this daily routine, delivering an average of 5 hours and 34 minutes of total nursing care per resident each day, with nurse aides providing 4 hours of that total. This high volume of hands-on attention supports post-hospital therapy tracks and chronic disease management.

State records outline the facility’s baseline operational status under New Hampshire health department guidelines. Because this is a newly opened site, early inspection filings show a clean operational start with a cumulative citations-per-inspection rate of zero, indicating full adherence to state safety, documentation, and infection control standards.

Older adults reside in a clinical layout that offers structured wellness programs and dedicated caregiver support groups for visiting family members. The culinary team prepares three meals daily, served in a shared dining area. The weekly routine includes access to various on-campus events, live performances, educational presentations, and community luncheons.

Contact Covenant Living of Keene (Assisted Living and Memory Care)

Overview of RiverWoods Exeter

RiverWoods Exter has committed itself to deliver an inspirational level of service and care for its independent living residents. The retirement community finds itself marking a new standard for luxury and quality when it comes to modernizing senior living for active and independent adults. RiverWoods Exter is a community to look up to and be inspired– as its name suggests– by its approach to revolutionizing a care experience the way we know it today. 
RiverWoods boasts state-of-the-art health care that boosts recovery and enhances the quality of life for all seniors in one go. The RiverWoods experience also means maintaining your own independence– only better; they offer a range of services and amenities that include restaurant-style dining, lush trail gardens, and staying active by taking part in fitness classes.

Contact RiverWoods Exeter

Overview of Mt. Carmel Rehabilitation and Nursing Center

Three blocks from downtown Manchester, Mt. Carmel Rehabilitation and Nursing Center occupies a spot in the Myrtle Street neighborhood that is as close to the urban core as a nursing facility gets in this city. The Walk Score of 81 means the surrounding streets are genuinely walkable, and Catholic Medical Center is just over a mile away. Rachel Lentine, RN, BSN, serves as administrator.

The 120-bed facility covers nursing home care, memory care, palliative care, and respite care, with 103 of those beds currently filled at 86% occupancy. An average stay of 83 days points to a caseload split between short-term post-acute rehab and residents who stay longer. For families navigating the difference, knowing that memory care and palliative options are available in the same building can simplify the picture considerably.

Nursing hours total 4 hours and 42 minutes per resident per day. RNs account for 34 minutes; nurse aides cover 2 hours and 28 minutes. The staffing payroll data shows physical therapy assistants, speech language pathologists, and respiratory therapy technicians all present, which speaks to a genuine rehabilitation infrastructure rather than a name-only rehab program.

Meals come from an on-site kitchen, with a rotating daily menu and accommodations for specific dietary needs. The facility’s Resident Council gives residents an organized channel to raise issues with staff and administration Medicare, Medicaid, and private pay are all accepted.

State inspections have tended to center on medication management, care planning and documentation, and resident rights. For a large nursing facility well inside Manchester’s city limits, with memory care and palliative services under one roof and a therapy team you can verify in the staffing data, Mt. Carmel covers a lot of ground.

Contact Mt. Carmel Rehabilitation and Nursing Center

Overview of Rockingham County Nursing Home

Rockingham County Nursing Home is a 226-bed facility in Brentwood, New Hampshire, operated by the County of Rockingham. The community accepts Medicare, Medicaid, and private pay. For visitors, the surrounding area on North Road has a walkability score of 20 out of 100, indicating a car-dependent location where families will need a vehicle to travel to the property or complete errands.

Individual stays average about 172 days, reflecting an operational mix of extended long-term care and short-term post-acute rehabilitation. To manage these clinical routines, round-the-clock staffing provides an average of 5 hours and 30 minutes of direct nursing care per resident each day. This workload is shared among registered nurses, licensed practical nurses, and nurse aides who handle complex medical needs, medication administration, and short-term therapy programs.

Public files show that the facility operates within standard public health guidelines. Oversight logs from the health department confirm that the property maintains a consistent compliance history across its clinical and environmental inspections, resulting in an overall cumulative citations-per-inspection rate of zero.

Prospective representatives can expect a daily routine that includes access to a three-season atrium, a resident courtyard and garden, a multi-denominational chapel, an on-site snack bar, a salon, and building-wide Wi-Fi. Meals are planned under the supervision of a licensed dietician to meet specific nutritional requirements and are served in a structured dining setting.

Contact Rockingham County Nursing Home

Overview of Golden View Health Care Center

Golden View Health Care Center is a 105-bed nursing home located on Route 104 in the Lakes Region of Meredith, New Hampshire. Operated by Sanders Management for over five decades, the facility accommodates several financial setups by accepting Medicare, Medicaid, and private pay. For visitors, the surrounding area carries a walkability score of 39 out of 100, indicating a car-dependent local setting where families will generally need a vehicle to reach the property or run errands.

The building operates at a 69 percent occupancy level, with individual resident stays averaging about 110 days. This duration reflects a clinical workload split between short-term post-hospital rehabilitation and extended long-term care. Daily operations are backed by 5 hours and 5 minutes of total nursing care per resident each day, utilizing an around-the-clock team of registered nurses, licensed practical nurses, and nurse aides who handle physical therapy tracks, ongoing medical treatments, and temporary respite care.

State regulatory files confirm that the facility operates within standard public health and environmental guidelines. Evaluation logs from health department inspections verify a consistent track record of meeting regional compliance and care charting requirements, leaving the center with a cumulative citations-per-inspection rate of zero.

Interested individuals will find private and semi-private suites equipped with wheelchair-accessible bathrooms, alongside on-site salon services and outdoor common areas. The daily kitchen routine features shifting seasonal menus that are adjusted to meet personal nutritional needs.

Contact Golden View Health Care Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in New Hampshire

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 nursing home care?

Yes — New Hampshire Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 72 nursing homes in New Hampshire. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in New Hampshire?

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 New Hampshire, 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 nursing homes in New Hampshire?

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.