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Why trust this guide?
Our editorial team analyzed 69 nursing homes in NH using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in NH
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.
RESC (Residential Care):
Personal care and daily-living support in a smaller, more intimate residential setting.
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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
A 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. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
$2.5M*Fiscal year ending 2019These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$1.0M*Fiscal year ending 2019These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
40.1%*Fiscal year ending 2019These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NH nursing home we track that reports that metric, not just the 69 on this page. See how we rank facilities
Heather M. Moquin serves as administrator at Merrimack County Nursing Home in Boscawen, New Hampshire. Operating 290 beds with a 95 percent occupancy rate, the property provides skilled nursing, memory care, hospice care, short-term rehabilitation, and respite care options. Private rooms offer personal living space for individual residents.
Daily hands-on nurse allocation averages 5 hours and 23 minutes per resident. Recent state regulatory oversight reflects high health-compliance standards, keeping the citations-per-inspection rate at zero for primary reviews. Public records list no active administrative fines or formal enforcement actions.
Outdoor features include a paved walking path along with seating under a pergola and inside a gazebo. Financial arrangements accept private funding alongside Medicare and Medicaid coverage for qualifying residents.
Families searching for senior care in Merrimack County can contact the main office to arrange a tour of the grounds, view private room layouts, and discuss payment details with the administrative team.
Wolfeboro Bay Center provides nursing home, memory care, respite care, and skilled nursing in Wolfeboro, NH. Nursing home and skilled nursing services provide ongoing support and licensed nursing care, while memory care offers supervised support for residents living with dementia. Respite care provides a short stay when a usual caregiver needs time away or temporary support, so the center may suit families seeking both longer-term care and a short-term option.
The center has 104 beds, giving families a clear sense of its licensed capacity. Rehabilitation services include post-hospital recovery support, allowing a resident to receive rehabilitation within the care setting after leaving a hospital. Total nurse staffing is 3h 42m per resident/day, representing the daily hands-on nursing time allocated per resident.
Medicaid, Medicare, and private pay are accepted, giving families those payment routes for eligible services. Jessica A Slattery serves as the administrator. Residents can use the salon and spa, spend time in outdoor patios and indoor lounges, and choose from multiple meal and snack options tailored to their preferences through full-service dining.
Memory care, nursing home care, and skilled nursing are what Edgewood Rehab and Healthcare Center runs in Portsmouth, NH. Memory care means a locked-in level of supervision, which matters for the resident who gets dressed one evening for a job he retired from decades ago. The skilled side handles the clinical load. Two needs get answered here; those are nursing support or a watched setting for dementia.
There are 156 beds inside. Short-term rehabilitation handles a temporary recovery stay. Some of those exist because antibiotics have to run through a line for six weeks, which is nursing work rather than family work. Residential nursing carries the person whose need for help is permanent.
Medicare, Medicaid, and private pay each cover care, subject to eligibility and family resources. Nursing time comes out at 3 hours and 26 minutes per resident daily. Patricia Cummings-Robillard is the administrator. A Walk Score of 80 puts most errands inside walking range. What that means is smaller than it sounds and better; going out stops being an event somebody has to arrange, even once a car is no longer an option.
Situated in Hillsboro, NH, Hillsboro House Nursing Home provides nursing home, skilled nursing, and memory care. The community provides specialized care for those living with Alzheimer’s and other forms of dementia in a secured environment. Rehabilitation services are also accessible, providing residents with access to recovery-focused services.
Of 33 beds, 26 are currently in use, indicating a 79% occupancy. Moreover, total nurse staffing is 4 hours and 28 minutes per resident per day, representing the daily nurse time allocated to each resident. Andrew Irwin serves as the administrator.
Individualized dietary programs include therapeutic diets, so meals can be tailored to documented dietary requirements. Additionally, a salon and spa is available within the community for personal grooming services. Medicare is also accepted, which can help cover eligible short-term skilled care after a hospital stay.
Laconia Rehabilitation Center is a nursing home in Laconia, NH, offering skilled nursing, hospice care, palliative care, and respite care. Skilled nursing provides licensed nursing care on site around the clock, while hospice and palliative care support comfort focused needs; Respite care offers a short stay when a usual caregiver needs time away. Together, these care levels may suit someone needing short term rehabilitation, ongoing nursing care, or comfort focused services as needs change.
The community has 120 beds. Its rehabilitation services and short term rehab program support recovery during a temporary stay, while nutritional and dietary counseling addresses food and nutrition needs as part of care. The Comfort Care and hospice care program provides comfort centered services for residents receiving hospice or palliative care. Total nurse staffing is 3h 31m per resident per day, representing the recorded amount of daily nurse time assigned to each resident. Laconia Rehabilitation Center accepts Medicare, Medicaid, and private pay, giving families several listed ways to cover care. Matthew C Simoneau serves as the administrator.
Thirty years in Epsom, New Hampshire, and Epsom Healthcare Center is still running at near-full capacity: 102 of its 108 beds are filled, a 94% occupancy rate. The two-story building offers private rooms and covers skilled nursing and respite care. Getting around outside the building takes a car; the Walk Score here is 30, solidly in the somewhat-walkable range.
Care runs around the clock, with 24-hour nursing and individualized plans built for each resident. Rehabilitation services are available, and respite care gives families a short-term option. Daily life includes family-style dining, complimentary WiFi and cable television, and a schedule that mixes social events, light exercise, and games.
The facility holds a VA contract, which matters directly for veterans navigating coverage options. Recreational programs and medical management round out what’s available.
Staffing splits across roles, with registered nurses, licensed nurses, and nurse aides each handling a share of daily care. Nurse aides log the most direct time, a little over two hours per resident each day. Medicare, Medicaid, and private pay are all accepted, and Allison Burwin administers the community. Facility inspections have tended to center on medication management and staffing credentials.
With three decades of operating history, near-full occupancy, and a VA contract alongside its standard nursing and rehabilitation services, Epsom Healthcare Center is an established, steadily-run community built for residents who need consistent skilled nursing support.
Overview of Dover Center for Health & Rehabilitation
Dover Center for Health and Rehabilitation is a nursing home that proudly elevates the recovery experience of its residents. As a member of the National Health Care Associates, the health and rehab center strives to work everyday with quality service to its residents so that residents maintain a level of independence and individuality. Dover Center receives full support that helps nourish their holistic needs in a charming and convenient environment.
The services are multidisciplinary for both skilled nursing and rehabilitation– focusing on post-surgical care and on-site therapy (physical, occupational, and speech). Community services include housekeeping, laundry, transportation, meals provided, and recreational activities.
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.
Pheasant Wood Center is a nursing home in Peterborough, New Hampshire, offering hospice, palliative, respite, and skilled nursing care. Skilled nursing provides licensed nursing care on site around the clock. Hospice focuses on comfort at the end of life, while palliative care addresses symptoms associated with serious illness.
Respite care provides a short stay when a usual caregiver needs temporary support. The center also offers post hospital, short term rehabilitation and long term care. With 99 beds, it has private and semiprivate rooms for residents who prefer an individual room or shared accommodations.
Orthopedic rehabilitation supports recovery after orthopedic treatment. Dementia care, IV therapy, podiatry care, psychiatric services, and pet therapy cover the specific clinical and activity services available at the center. Residents also have access to a fitness room, sunroom, gardens and courtyards, salon and spa services, and transportation.
Total nurse staffing is three hours per resident per day, representing the daily nursing time allocated to each resident. Medicaid, Medicare, and private pay are accepted. Medicare is relevant to short term skilled care after a hospital stay, while Medicaid and private pay provide additional listed payment routes. Nicholas P. Labrie serves as the administrator. Pheasant Wood Center may be a good fit for someone who needs rehabilitation after hospitalization, short term respite while a caregiver is unavailable, or longer term nursing support in a community that also provides hospice and palliative care.
Presidential Oaks is a 52-bed community in Concord, New Hampshire, offering nursing home, assisted living, hospice care, residential care, respite care, and skilled nursing under one roof. The three-story building offers one- and two-bedroom housing options, along with a dedicated nursing floor level for residents needing closer clinical support. The area is somewhat walkable (Walk Score 43), so residents and visiting family typically need a car for most errands.
Residents have access to private rooms and three meals served daily in the dining room, along with rehabilitation services, short-term rehab, respite care, and supported retirement living. A regular calendar of social events and activities is part of daily life. Nursing coverage includes registered nurse, licensed nurse, and nurse aide hours, with nurse aides providing about two and a half hours of hands-on care per resident each day.
Presidential Oaks accepts Medicare, Medicaid, and private pay, giving families several ways to cover the cost of care. Angela Beamer, RN, administers the community.
State inspections in New Hampshire, carried out by the Department of Health and Human Services’ Health Facilities Administration, have tended to focus on areas including medication management, hazardous-materials safety, care planning and documentation, dietary and food service, and resident rights and protections.
Taken together, the community is a multi-care-type community offering a full continuum of care, from assisted living through skilled nursing and hospice, with meals and clinical support built into daily life for residents whose needs may change over time.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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 69 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
Nursing Homes in New Hampshire at a glance
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
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