Page 2 of Best Nursing Homes in New Hampshire

Overview of The Courville at Nashua

At The Courville at Nashua, they go beyond simply providing care and accommodation. They understand the importance of creating a nurturing environment where residents can thrive physically, mentally, and emotionally. When it comes to assisted living and nursing home costs, The Courville at Nashua takes pride in offering an all-inclusive pricing structure. They understand the importance of transparency and ensuring that residents and their families have a clear understanding of the financial commitment. This senior living community has no hidden fees or surprises, providing peace of mind and reassurance. And what’s more, they are certified by Medicare and Medicaid.

In addition to their exceptional care and cost transparency, The Courville at Nashua also recognizes the significance of engaging and fulfilling nursing home activities. They believe that a vibrant and active lifestyle is essential for the overall well-being of their residents. With a diverse range of activities and programs, residents can enjoy a rich social calendar that includes recreational pursuits, educational opportunities, and various forms of entertainment. Whether it’s art classes, group outings, or community events, The Courville ensures that there is always something exciting happening to enrich the lives of their residents.

Overview of Hanover Hill Health Care Center

Hanover Hill Health Care Center has been a fixture on Hanover Street in Manchester for over 55 years, setting it apart from many other facilities in New Hampshire. It’s tucked into the Hanover Hill neighborhood, about a mile and a half from downtown. The area is moderately walkable, with a Walk Score of 59, so you’ll likely want a car for some errands, but it’s not isolated. The center is led by owner and president Theodore Lee and administrator Lori McIntire.

The facility has 124 beds and offers a broad spectrum of support, including nursing home care, memory care, palliative care, and respite care. With 116 beds currently filled (94% occupancy), the facility shows strong operational stability. The average stay is about 121 days, which reflects a thoughtful mix of residents; some are moving through post-acute rehabilitation, while others rely on the center for long-term support. Because they house both memory and palliative services under one roof, the facility is well-equipped to handle resident needs as they shift over time.

Staffing is available 24/7. On average, residents receive 3 hours and 28 minutes of daily nursing care, comprised of 31 minutes from RNs and 2 hours and 32 minutes from nurse aides. The facility’s rehabilitation and short-term programs are also bolstered by physical therapists. It’s especially important that they have an active Resident Council; it offers residents a structured way to stay involved in how the facility operates and gives them a genuine voice in their daily environment.

State inspections have focused on key areas like medication management, infection prevention, and the quality of care planning and documentation. The facility accepts Medicare, Medicaid, and private pay.

If you’re looking for nursing home care in Manchester, Hanover Hill is a well-established location. It’s a solid choice for families who need a facility with a long history and the flexibility to provide memory care alongside standard long-term and post-acute services.

Overview of St. Ann Rehabilitation and Nursing Center

A proud member of Bishop Gendron Senior Living Community, St. Ann is the city’s premier skilled nursing and rehabilitation center. The results-driven nursing home care services are centered on a relaxing and rejuvenating recovery journey for seniors; it is delivered by their patient-friendly staff to offer the best care possible for their residents.

Nursing home services include independent living, individualized, and post-surgery or post-hospital care. Essential services include housekeeping, restaurant-style dining, social activities, and scheduled transportation.

Overview of Langdon Place of Dover

Langdon Place of Dover by the Genesis Healthcare Community is a nursing home ideal for residents seeking to relax and recover. Specializing in short-term rehabilitation and long-term care with assisted living, the community provides professional and compassionate service for its residents. Langdon Place cultivates the holistic needs of its residents in a home-like setting.

The services are multidisciplinary for both skilled nursing and rehabilitation– focusing on post-surgical care, on-site therapy (physical, occupational, speech), strength conditioning, mobility improvement; colostomy care, dementia care, pain management, wound care; and medical professionals are on-call– medical directors, nurse practitioners, and physicians.

Overview of Pleasant Valley Nursing and Rehab Center

Pleasant Valley Nursing and Rehab Center, located in Derry, NH, is a care facility offering long term care, rehabilitation, and skilled nursing care, as well as respite and hospice care. Their long-term care services provide residents with individualized care planning to ensure that each residents’ specific needs are met. Their home-like environment also provides residents with 24/7 caregiving services, assistance with daily living activities, as well as physician services, and mental health, podiatry, and dental services.
Additionally, Pleasant Valley Nursing and Rehab Center also ensures that residents receive proper nutrition through their full dining services. On the other hand, housekeeping and laundry, as well as banking services, provides residents with modern conveniences, removing the mental and physical load of these energy consuming tasks.

Overview of St. Teresa Rehabilitation and Nursing Center

St. Teresa Rehabilitation and Nursing Center occupies a spot in Manchester’s Hanover Hill neighborhood, less than a mile from the city center and within reach of downtown on foot. The Walk Score of 56 means some errands are walkable, which is a practical plus for visiting family and staff. The 51-bed facility covers nursing home care, independent living, palliative care, and respite care, and takes Medicare, Medicaid, and private pay. Rory R Blinn is the administrator of record.

At 71% occupancy, 36 of the 51 beds are filled. The average stay runs 106 days, a figure that points to a mixed caseload: some residents moving through short-term rehab, others settling in longer. A formal Resident Council meets regularly, giving residents an organized voice on care and operations.

The therapy lineup is substantive. Physical therapy, occupational therapy, speech language pathology, and respiratory therapy are all represented in the staffing data, which matters for anyone coming in post-surgery or post-hospitalization. On the nursing side, total daily care runs 4 hours and 43 minutes per resident, with nurse aides accounting for 2 hours and 41 minutes of that and RNs providing 46 minutes.

State inspections have tended to focus on areas like medication management, infection prevention, and care planning and documentation, which are standard regulatory focal points for nursing homes in New Hampshire.

For families looking at post-acute rehab or longer-term nursing care near downtown Manchester, St. Teresa offers a walkable urban location, a therapy-capable staff, and broad payment acceptance in a small community setting.

At 325 Daniel Webster Hwy in rural Boscawen, Merrimack County Nursing Home operates 290 licensed beds under county governance, administered by Heather M Moquin. The facility ranked third in New Hampshire by capacity serves residents through Medicare (average stay one month, 24% of admissions), Medicaid (three years typical, 35% of admissions), and private payment (eight months, 41% of admissions). Current residents number 254 across the 290-bed community; a 78% occupancy rate. The setting is heavily car-dependent (Walk Score 0), situated 14.3 miles from downtown Boscawen and 6.2 miles from the nearest hospital.

Financially, Merrimack County reported a $6.6M operating deficit in 2023, despite occupancy recovery from 65.4% in 2022 to 77.5% in 2023. Payroll consumed 95.4% of the facility’s $27.6M revenue (the highest allocation statewide).

Staff totals 491 (313 employees, 178 contractors), with an overall resident-to-staff ratio of 1.93:1. Nursing care averages 5 hours 25 minutes/resident/day (29% above average), ranking the facility 10th among 58 New Hampshire SNFs. Certified nursing aides deliver 3 hours 25 minutes of daily care/resident; 43% above norms. However, weekend RN coverage dropped to 22 minutes/resident (29% below average), and physical therapist hours totaled only 2 minutes/resident/day(50% below average).

CMS ratings reflect strengths in three areas: overall 4-star rating 36.5% above average, staffing 4-star rating 57.7% above average, and quality measures 4-star rating 29.9% above average. Health inspection ratings were 4 stars, marginally above state (6% higher). Yet quality measures reveal concerns: falls with major injury at 5.6% (24% worse than state), and antipsychotic medication use at 21.3% (22% worse than state).

Long-stay residents showed functional improvements in some areas (urinary tract infection rate 70% better, weight loss 25% better, ED visits 61% better) but struggled with short-stay outcomes (influenza vaccination only 56.1%, ability to care for self at discharge 16% worse, successful return to community 27% worse).

March 2023 inspections cited psychotropic medication ordering without proper documentation, medication refrigerator temperature control gaps with expired insulin on hand, and paid feeding assistants assigned to residents with complicated feeding needs.

A substantiated complaint investigation in March 2024 documented a critical resident safety breach: during a fire alarm, the facility allowed a resident to elope. The resident was discovered hours later with severe hypothermia, requiring hospitalization. The same inspection identified infection control failures.

February 2025 routine inspection again cited medication management deficiencies, inaccurate resident assessments, and failure to implement proper barrier precautions for a catheterized resident.

A $16K federal fine was assessed in March 2024.

No immediate jeopardy findings, license suspensions, or payment denials appeared in regulatory records.

Merrimack County Nursing Home facility fits long-term Medicaid-eligible residents and families seeking skilled nursing care in a large county setting with strong staffing presence.

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.

Ideally situated in the quiet residential area of Manchester, NH, St. Joseph Residence Inc. is an award-winning nursing home that offers long-term care. Here, residents receive high-quality care for their healthcare needs with the community’s wide range of care options. As a non-profit, church-related community, this nursing home focuses on providing residents with exceptional services.

Promoting an active lifestyle and social engagement, recreational activities, stimulating programs, and light exercises are conducted based on residents’ interests and capabilities. Medicare and Medicaid are also accepted to ease residents’ financial burdens. With its nurturing setting, this nursing home can accommodate up to 22 older adults and provide them with the utmost care for their healthcare needs.

Overview of Bedford Hills

Bedford Hills is a 147-bed nursing home owned by Heidi Forrence, situated just off Route 101 in Bedford, New Hampshire. The facility accommodates multiple coverage paths, accepting Medicare, Medicaid, and private pay options. For visitors, the surrounding suburban area is car-dependent, scoring low on walkability scales and requiring family members to use a vehicle for errands and transit to the property.

The facility runs at a busy 94 percent occupancy level, and patients stay an average of 118 days. This timeframe underscores a heavy operational focus on short-term recovery and therapy tracks rather than long-term placement. Daily care is handled by an around-the-clock team of registered nurses, licensed practical nurses, and nurse aides who deliver an average of 3 hours and 20 minutes of nursing care per resident each day to cover physical rehabilitation and memory support needs.

State reviews indicate that the property functions within standard public health guidelines. Earlier health department inspections flagged some issues with medication tracking, but follow-up evaluations confirm those areas were resolved. The building now maintains a clean standard compliance record, bringing its long-term cumulative citations-per-inspection rate to zero.

Prospective residents will find a setup focused on transitioning patients back home after a hospital stay. The kitchen plans meals around standard nutritional requirements and serves them in a centralized dining room.