Best Nursing Homes in New Hampshire

Overview of Derry Rehabilitation and Nursing Center LLC

Operated by Daniel Estee under private ownership, Derry Rehabilitation and Nursing Center LLC is a skilled nursing facility in Derry, New Hampshire. The 62-bed community offers short-term rehabilitation, memory care, and respite care. It accepts Medicare, Medicaid, and private pay.

CMS gives the facility a 1-star overall rating, the lowest tier. Nurse staffing averages 34% below the New Hampshire average of 4 hours and 13 minutes per resident per day. That gap is worth considering for residents who need frequent clinical attention.

The facility’s inspection record is significant. Between 2023 and 2025, the facility recorded 22 deficiencies, about 78% above New Hampshire’s average of 4.1 per year.

One of the most serious findings came from a March 2023 complaint investigation tied to a COVID-19 outbreak. The survey identified an Immediate Jeopardy finding after a COVID-positive staff member returned to work early and provided direct care to residents. During that time, PPE protocols were not consistently followed, and vaccinations had not been offered or administered as required.

More recent inspections identified deficiencies in medication storage and labeling failures, gaps in infection control for residents with multidrug-resistant organisms, and inadequate supervision during meals.

The facility’s occupancy rate is 76%, below the New Hampshire average of 81%, reflecting current availability. It also provides post-surgical recovery, stroke reconditioning, palliative care, and pain management, occupational, and respiratory therapy services.

Derry Rehabilitation and Nursing Center’s rehabilitation programming and current bed availability make it best suited for residents seeking short-term post-acute stays in Rockingham County.

Overview of Mineral Springs

Mineral Springs is a skilled nursing facility in North Conway, with 87 beds. It is located in the White Mountains, close to regional hospitals and recreational amenities. The community accepts Medicaid, Medicare, and private pay, making it accessible to families with different payment options. At 55% occupancy, it has enough space for residents with varying lengths of stay. Most stay for about 154 days, which is typical of post-acute rehabilitation placements.

Clinically, the home focuses on rehabilitation and therapy services. There is a doctor on staff, along with comprehensive daily nursing support. Total nurse staffing averages 4 hours and 19 minutes per resident each day, and the home has 24-hour staffing. It also offers respite care and hospice services, providing more care options for families navigating complex transitions.

State inspections documented concerns regarding clinical and operational compliance, medication management, adherence to treatment orders, and staffing adequacy. Families should ask staff about these issues when evaluating the home.

Residents’ daily lives are centered on full-service dining with meals tailored to individual preferences, as well as extensive recreational and social programming. The facility has an on-site salon and spa, housekeeping, and laundry services. Wi-Fi is available throughout the entire building so residents can stay connected.

The community’s location has a walkability score of 62. Visitors can manage some errands on foot, while most trips require transportation; the moderately walkable area is best for families seeking a quieter New England community feel.

Overview of Salemhaven Nursing Home

Located in Salem, New Hampshire, Salemhaven Nursing Home is a skilled nursing facility owned by Kathy Murray-Potrin. The home accepts Medicaid, Medicare, and private pay, providing families multiple ways to cover short-term rehabilitation and longer-term nursing care. The 110-bed facility maintains a steady occupancy rate of around 77%, which includes post-acute and ongoing care residents.

Residents stay an average of 100 days, pointing to a community focused on rehabilitation and recovery. This time is sufficient to support residents recovering from surgery, illness, or a hospital stay who need skilled nursing oversight before returning home or transitioning to a different level of care.

Nurse staffing averages 4 hours and 11 minutes per resident daily. Nurse aides deliver an additional 3 hours and 16 minutes of hands-on support per person per day. With 24-hour staffing and rehabilitation services as core offerings, the home excels at managing residents with complex medical and therapeutic needs.

Salem is located in a quieter, car-dependent area, with a Walk Score of 19. Most errands will require a vehicle. This setting may appeal to residents and families who prefer a more residential, less urban environment. Families considering Salemhaven should take an in-person tour to see the floor plans, daily programming, and therapy setup.

Overview of Wolfeboro Bay Center

Wolfeboro Bay Center is a nursing home in Wolfeboro, New Hampshire, set in a car-dependent area. The 104-bed community has an occupancy rate of 73%. Residents stay an average of 163 days, including short-term rehabilitation patients and long-term nursing care residents. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover care.

The facility has 24-hour nursing staffing with registered nurses, licensed practical nurses, and nursing aides providing direct daily care. Total nurse staffing averages 3 hours and 32 minutes per resident per day, supported by on-site rehabilitation services and respite care options. Short-stay care is a specific community program. It’s a great option for patients recovering from surgery or other acute events before returning home or moving to other care settings.

State inspections identified medication management and staffing as areas warranting attention and oversight. Families touring the facility should ask about how medication safety and staff training are managed daily, as these are important operational details.

The community offers full-service dining with meals and snacks tailored to individual preferences, supporting daily nutrition and socialization. Residents have access to on-site amenities, including a salon and spa, recreational services, and relaxation spaces. They also receive housekeeping and laundry services along with wellness calls that check in on their well-being.

Discharge planning is a part of the facility’s comprehensive care coordination to ensure residents transition smoothly to their next care setting.

Overview of The Elms Center

Located in Milford, New Hampshire, the Elms Center is a nursing home focused on short-term rehabilitation and skilled nursing care. The 52-bed community operates at full capacity, with most residents staying an average of 170 days. The facility accepts Medicaid, Medicare, and private-pay residents.

Most families that choose this setting are looking for post-acute rehab or ongoing skilled nursing support. The center’s staffing model reflects that clinical focus, with total nursing care averaging 3 hours and 5 minutes per resident each day, supported by a doctor on staff and 24-hour staffing coverage.

The facility focuses on rehabilitation, including respite care and short-stay programs. Residents can access on-site medical services and comprehensive discharge planning. Their daily lives are supported by a full-service dining program with meal options tailored to individual preferences. There are also amenities like a salon and spa, recreational programming, and wellness check-in calls. Housekeeping and laundry services are also available.

State inspections identified recurring issues in staffing adequacy, clinical documentation and medication management, and communication with residents. These are areas that should be carefully reviewed with ongoing oversight. Families considering the home should ask how the facility addresses these concerns and what specific improvements were implemented.

Milford is a car-dependent community with minimal walkable options. Visiting families should plan transportation accordingly. Those seeking a focused rehabilitation setting with on-site medical services should take a tour to understand current operations and assess whether the community fits their one’s clinical and personal needs.

Goffstown Nursing and Rehab Center is a nursing home on Center Street in Goffstown, New Hampshire, a rural, car-dependent area. Nachum Soroka owns the 41-bed facility, which focuses on both short-term post-acute rehabilitation and longer-term nursing care. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover care costs. Its current occupancy is 78%. Residents stay an average of 181 days, including those in rehabilitation and those receiving ongoing skilled nursing.

The facility’s daily staffing supports hands-on care. Total nurse staffing averages 3 hours and 58 minutes per resident per day. Nursing aides provide roughly 3 hours and 49 minutes of direct care daily, the backbone of the home’s resident support. This staffing level supports the center’s focus on rehabilitation and recovery. It’s a great option for patients recovering from surgery or a hospital stay who need skilled nursing support.

The home serves made-from-scratch meals prepared on-site to support residents’ nutritional needs. State inspections have reviewed medication management, infection control, and procedures for reporting and investigating concerns. Families touring the home should ask about these areas and how they are handled.

Located in rural New Hampshire, Goffstown Nursing and Rehab Center serves the local community and families in the surrounding area. Most stay an average of 181 days, as the facility balances short-term rehabilitation residents with those who transition to longer-term care.