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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
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.
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 TableAL (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.
B+89 / 100 — 5 points above the New Hampshire average for CMS-certified facilities (84/100)
★★★☆☆
3/5
★★★☆☆
3/5
★★★★☆
4/5
+23%
-10%
$8.5k
Facility$8.5k
NH AVG$36.9k
Rank#49 / 64
8
Facility8
NH AVG14.4
Rank#21 / 64
2.7
Facility2.7
NH AVG4.0
Rank#24 / 64
1
116
A+
59
Facility59
NH AVG36
Rank#15 / 65
Theodore Lee
$15.4MFiscal year ending 12/2023
Facility$15.4MFiscal year ending 12/2023
NH AVG$13.2M
Rank#18 / 58
$9.3MFiscal year ending 12/2023
Facility$9.3MFiscal year ending 12/2023
NH AVG$7.0M
Rank#11 / 58
60.2%Fiscal year ending 12/2023
Facility60.2%Fiscal year ending 12/2023
NH AVG52.8%
Rank#12 / 58
305009
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
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.
Webster at Rye is an assisted living community located in Rye, New Hampshire. It offers various levels of care including assisted living, nursing care, and memory care. Residents enjoy chef-prepared meals, social activities, and around-the-clock nursing care.
Overview of Villa Crest Nursing and Retirement Center
Villa Crest Nursing and Retirement Center in Manchester is a sanctuary for the elderly seeking a peaceful haven. This remarkable home offers a range of lifestyle options, including assisted living, independent living, and nursing homes. For residents requiring specialized care, Villa Crest offers diabetic care, staffing and ancillary services, and non-ambulatory care.
The indoor common areas exude comfort and sophistication, providing ample space for residents to mingle and relax. The home also participates in Medicare and Medicaid, ensuring that residents have access to the care they need. With an unwavering commitment to providing compassionate care, Villa Crest Nursing and Retirement Center is a peaceful abode where new connections and interests could grow and last.
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. 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 Colonial Poplin Nursing and Rehabilitation Facility
Under the operational management of White Oak Healthcare, Colonial Poplin Nursing and Rehabilitation Facility provides 50 skilled nursing beds on Main Street in Fremont, New Hampshire. Financial structures at the property support several billing configurations, accepting Medicare, Medicaid, and private pay. For visitors, the surrounding neighborhood is car-dependent with minimal walkability, requiring family members to use a vehicle for local travel and transit to the building.
The newly opened facility operates at an 84 percent occupancy level, with individual stays averaging roughly 70 days. This timeline indicates an operational balance between short-term post-hospital therapy tracks and extended nursing stays. Around-the-clock staffing delivers an average of 3 hours and 49 minutes of total nursing care per resident each day, with nurse aides contributing 3 hours and 22 minutes of that time to manage physical rehabilitation, recovery routines, and daily personal care.
State regulatory records confirm that the property complies with standard public health and environmental guidelines. Oversight documents from health department inspections verify a consistent track record of meeting regional safety and care charting expectations, resulting in a cumulative citations-per-inspection rate of zero.
Families will find a smaller-scale environment where residents choose between private or semi-private rooms and have access to an outdoor patio, a garden, a screened sun porch, a beauty salon, and an activity room with building-wide Wi-Fi. Meals are served restaurant-style in a central dining room to accommodate various dietary preferences.
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.
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.
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.
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.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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
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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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