Best Nursing Homes in New Hampshire

Concord’s Pleasant View Center operates from a mid-rise building on Pleasant Street as a 174-bed facility serving Medicare, Medicaid, and private-pay residents across nursing home, assisted living, and memory care levels. Richard C Rogers administrates the community under Abraham Eichler’s ownership. The facility maintains 82.1% occupancy (142 residents) with average stays of 121 days, predominantly accommodating Medicaid long-stay residents (85.9% of census).

Regulatory performance is among the poorest in New Hampshire. A 1-star overall CMS rating places the facility 65.9% below state average. Health inspection, staffing, and quality-measures ratings all scored 1-star. The inspection scorecard ranks Pleasant View 59th of 59 state facilities for total health citations (46 since 2022) and documents 48 deficiencies since 2023; 182% above the state average of 16 per three-year period.

Recent investigations substantiated repeated failures to timely report allegations of abuse and neglect, with a February 2025 complaint documenting medication errors resulting in resident hospitalization and delayed abuse notification to authorities (a pattern cited in four consecutive surveys).

Medication management represents the facility’s most consistent compliance gap. Deficiencies span controlled-substance accounting discrepancies, medication administration timing failures, and narcotics diversion allegations. Unlocked medication carts, expired medications, and missing documentation in controlled substance records appear across multiple inspections. Infection control, vaccination policy implementation, and comprehensive care planning round out persistent themes.

Clinical indicators show concern. Long-stay residents report depressive symptoms at 29.3%—more than three times the state rate (8.3%). Weight loss, falls with major injury, and hospitalizations all exceed state benchmarks. Short-stay residents show antipsychotic medication increases at 343% above average, and only 40.3% achieve expected self-care ability at discharge versus 53.7% statewide.

Financial performance recorded an operating loss of $46.3K against $23.1M revenue.

Contractor staffing comprises 32.2% of total nursing hours; a significant dependency on agency labor despite stated staff ratios above state average.

Pleasant View Center accommodates residents requiring skilled nursing and rehabilitation in Concord. However, its sustained deficiency patterns in medication management, abuse reporting, and care planning indicate substantial operational challenges.

Overview of Fairview Senior Living

Fairview Senior Living, a cherished home located in the serene town of Hudson, New Hampshire. With a rich history dating back to 1951, this exceptional community has been dedicated to providing top-notch memory care living and assisted living places for seniors. Offering a comprehensive range of care options, including skilled nursing care and rehabilitation, Fairview Senior Living stands out for its commitment to be the best nursing home in New Hampshire.

Nestled amidst picturesque surroundings, this lush community serves as a sanctuary where seniors can find peace and tranquility. From engaging in enriching activities like group exercise and dance classes to enjoying the camaraderie of vibrant community outings, every moment at Fairview Senior Living is filled with opportunities for connection and fulfillment. The memory care living program is designed specifically to meet the unique needs of individuals with memory-related conditions, providing specialized care and support to enhance their quality of life. In line with the dedication to nursing home quality measures, Fairview Senior Living continuously monitors and evaluates its services to ensure they meet the highest standards of care. By prioritizing the well-being and happiness of the residents, Fairview Senior Living aims to create an environment where seniors and their families feel confident and reassured.

Overview of Mt. Carmel Rehabilitation and Nursing Center

Mt. Carmel Rehabilitation and Nursing Center is a highly regarded establishment renowned for its unwavering commitment to providing compassionate and exceptional care. This distinguished community offers a comprehensive range of services tailored to meet the unique needs of its residents, including short-term and long-term care, specialized memory care, palliative care, and respite care.

A testament to its dedication to promoting a healthy and comfortable environment, the facility proudly maintains a smoke-free policy, prioritizing the well-being of its residents. The center also boasts an array of thoughtfully designed rooms, ranging from private suites to semi-private accommodations, all featuring scenic views of the surrounding natural beauty. Conveniently situated in close proximity to esteemed medical institutions such as Elliot Hospital and Catholic Medical Center, residents have easy access to specialized healthcare services when needed, ensuring their peace of mind and comprehensive medical support. With an unwavering commitment to excellence, this esteemed establishment continues to set the standard in delivering exceptional services, ensuring the well-being and happiness of each individual under its care.

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 St. Teresa Rehabilitation and Nursing Center

St. Teresa Rehabilitation and Nursing Center stands as a testament to unparalleled care, consistently surpassing expectations and setting new standards in individualized support. With a comprehensive range of services, including short-term and long-term care, independent living, and palliative and respite care, this esteemed community sets itself apart by tailoring its approach to meet the unique needs of each resident. Embracing a smoke-free environment and ensuring optimal comfort with fully air-conditioned premises, St. Teresa warmly welcomes furry companions, recognizing the invaluable bond between seniors and their beloved pets.

Within this remarkable community, a wealth of amenities awaits, igniting a sense of fulfillment and connection. Residents are invited to immerse themselves in the pages of a small but captivating library or indulge in rejuvenating experiences at the beauty and barber salon. Engaging in friendly conversations, sharing stories, and creating lifelong memories can be enjoyed in the beautifully designed common spaces, complemented by the harmonious melodies of shared pianos. Centrally located near Manchester’s renowned hospitals, St. Teresa Rehabilitation and Nursing Center epitomizes the pinnacle of senior living. 

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 Presidential Oaks

Presidential Oaks boasts its personalized care provided for supportive retirement living, long-term care, and assisted living residents residing in a comfortable and nurturing environment.  The upscale retirement home aims to provide an enjoyable lifestyle that promotes convenience and growth; residents discover many possibilities where anything can happen at the comfort of their newfound home. 

As a continuum of care retirement community, Presidential Oaks offers spacious private rooms, a nursing floor level, and three delicious meals served daily in the dining room– to name a few of its highlights. The warm and cozy atmosphere promotes a vibrant social life for its residents by scheduling social events and calendar-filled activities for an engaging and active lifestyle.

Overview of The Courville at Bedford-Carlyle Place

The Courville at Bedford – Carlyle is an inspiring senior living community in Hillsborough County, Bedford, NH, offering assisted living, short-term respite, palliative, and hospice care. The community provides residents carefully curated care plans overseen by licensed nurses who are available to offer assistance and care 24/7. The Courville at Bedford – Carlyle features 46 well-designed and cozy apartments with convenient access to various services and assistance.

The community closely coordinates with residents, their families, and medical practitioners in creating the residents’ care plans, ensuring they are comfortable and as healthy as they can be and their families more involved in their well-being. Residents recovering from surgery, an illness, an accident, or other obstacles are provided with an array of rehabilitation services, including physical, occupational and speech therapy. Here, residents are guaranteed to maintain their strength, mobility, and overall well-being with a wide array of care services.

Overview of Warde Senior Living

Nestled in Windham, NH, Warde Senior Living is a senior community offering both assisted and independent living services. This community also provides short-term rehabilitation, long-term care, palliative care, and respite care. At Warde Senior Living, they offer a comprehensive array of services, including diverse meal options, housekeeping, laundry, transportation, exercise, wellness programs, and various social and recreational activities.

Residents enjoy additional amenities such as private dining for family, barber/hair services, animal/pet therapy, pharmaceutical delivery service, and mail/newspaper services. With spacious living spaces, a lovely community, and excellent amenities, you’ll undoubtedly feel right at home here.

Overview of The Baldwin in Londonderry

The Baldwin in Londonderry is a well-regarded life plan community in Londonderry, NH, that offers independent living, assisted living, memory care, and rehabilitation. Here, older adults can find a home away from home with its warm and welcoming environment. Chef-prepared meals, bi-weekly housekeeping, and transportation services are among the community’s exceptional services dedicated to enhancing residents’ living experiences. Promoting a maintenance-free lifestyle, the community doubles its efforts to help residents maintain their independence with ease.

Arts and crafts, group fitness classes, and seasonal celebrations allow residents to try new things and meet new friends. A library, a wood shop, and an aquatics center are just some of the top-notch amenities dedicated to residents’ leisure and wellness. Surrounded by shops, restaurants, and government offices, the area guarantees accessibility and convenience. This life plan community is a great choice for senior living in New Hampshire, as it has comprehensive care options that allow older adults to age gracefully.