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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 TableNH (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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
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.
C-70 / 100 — 14 points below the New Hampshire average for CMS-certified facilities (84/100)
★☆☆☆☆
1/5
★★☆☆☆
2/5
★★★★☆
4/5
+10%
-37%
$16.2k
Facility$16.2k
NH AVG$36.9k
Rank#58 / 64
15
Facility15
NH AVG14.4
Rank#36 / 64
5.0
Facility5.0
NH AVG4.0
Rank#44 / 64
1
86
-
-
Woh LLC
$9.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$7.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
73.6%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
D65 / 100 — 19 points below the New Hampshire average for CMS-certified facilities (84/100)
-
-
-
-17%
-11%
$13.0k
Facility$13.0k
NH AVG$36.9k
Rank#52 / 64
43
Facility43
NH AVG14.4
Rank#64 / 64
6.1
Facility6.1
NH AVG4.0
Rank#50 / 64
1
151
-
9
Facility9
NH AVG36
Rank#52 / 65
Abraham Eichler
$19.8MFiscal year ending 12/2023
Facility$19.8MFiscal year ending 12/2023
NH AVG$13.2M
Rank#9 / 58
$6.2MFiscal year ending 12/2023
Facility$6.2MFiscal year ending 12/2023
NH AVG$7.0M
Rank#24 / 58
31.5%Fiscal year ending 12/2023
Facility31.5%Fiscal year ending 12/2023
NH AVG52.8%
Rank#58 / 58
305045
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
Overview of Oceanside Skilled Nursing and Rehabilitation
Oceanside Center of 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, the nursing home provides professional and compassionate service for its residents. The nursing home cultivates the holistic needs of its residents in a home-like setting. Oceanside’s 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 Villa Crest Nursing and Retirement Center
Villa Crest Nursing and Retirement Center is an esteemed establishment that epitomizes the epitome of compassion, providing unparalleled senior living experiences. Within its premises, residents revel in a life of absolute ease, as they avail themselves of an extensive array of rehabilitative and assisted-living services. A cadre of highly skilled clinical medical professionals, renowned for their unparalleled expertise and unwavering commitment, diligently tend to the diverse needs of residents, ensuring their utmost well-being.
The center takes pride in curating a diverse range of therapeutic and recreational activities, ensuring that each day unfolds with enriching moments and a vibrant tapestry of engagement. Residents are also presented with a choice between tastefully appointed semi-private or private rooms, meticulously designed to offer contemporary comforts and tailored to individual preferences. Embodying a harmonious fusion of modern architectural and the natural beauty of the locale, Villa Crest Nursing and Retirement Center emanates an ambiance of profound tranquility and understated elegance.
Aynsley Place aims to transform lives and make them better. When setting the standard for quality care and going above and beyond to meet the needs of seniors, the retirement home is the place perfect for assisted living. Management and staff strive to create a sense of community and belonging where everyone is welcome and included, and the facility maintains top-notch quality.
Residential living at Aynsley Place offers services and amenities centered on the personalized care of its unique senior residents. Their services and amenities include transportation, engaging activities, spacious lounge areas, and outdoor common areas.
Experience exceptional care and a welcoming atmosphere. Situated in Nashua, New Hampshire, The Inn at Fairview is a distinguished assisted living and memory care community that specializes in providing excellent care for individuals with Alzheimer’s disease and other cognitive impairments. This community is dedicated to promoting residents’ independence while prioritizing their health and well-being. Through their specialized program called InnSights, The Inn at Fairview focuses on honoring the individuality and uniqueness of each senior resident.
For them, creating an environment that feels like home is a top priority. With a compassionate and highly-trained staff available 24/7, residents receive the skilled care they need in a nurturing and supportive setting. This community is committed to fostering a sense of belonging and ensuring the highest quality of life for every resident.
The Inn, is a senior living community specializing in providing memory care services, and is located within the Fairview Senior Living campus in Hudson, NH. This memory care community offers specialized assistance and care for residents living with Alzheimer’s and other cognitive impairments including dementia. Their specialized program called InnSights focuses on the residents individuality and uniqueness, while providing them with 24/7 skilled care in a home-like atmosphere. As part of their memory care services, they also provide residents with assistance with daily living activities, nutrition management including meal provisions, as well as medication management and administration assistance. Additionally, they also provide musical therapy, as well as other therapy services that help promote physical activity and fitness, and cognitive stimulation that enhances ormaintains memory health.
Parkland Medical Center, situated at One Parkland Drive in Derry, New Hampshire, is an 86-bed acute care hospital that provides comprehensive medical services across the region. Administered by Whitney M. Fenyak, the facility maintains full accreditation from the Joint Commission and operates a 24/7 emergency department alongside specialized units for cardiology, orthopedics, and advanced women’s health, including obstetrics and gynecology.
Beyond standard inpatient and outpatient treatment, the hospital offers a telephone nurse consultation line for off-hours medical questions and a dedicated physician referral service to help patients find local specialists. A robust volunteer network supports the clinical staff by providing personal patient visits, spiritual care, music therapy, and a pet visitation program.
The hospital is located in a highly pedestrian-friendly area of Derry, earning a walkability score of 88 out of 100, which allows visitors and mobile patients to easily reach nearby shops, pharmacies, and restaurants on foot.
Individuals looking for care options, wanting to find a doctor, or seeking information on specific outpatient procedures can contact the main administrative office.
Overview of Salemhaven Skilled Nursing and Rehabilitation Center
Salemhaven Skilled Nursing and Rehabilitation is a non-profit nursing home in Salem, NH, offering long-term care and rehabilitation. The community ensures older adults are treated well throughout their stay, especially with a nurturing and welcoming environment. Residents also receive exceptional services, including 24-hour care, nutritious meals, and therapies, ensuring they can maintain their independence with ease. Through individualized care plans, the community goes above and beyond to help residents recover and return to their routines.
Celebrations, games, and light exercises encourage residents to make friends and have fun. Residents can also relax and freely interact with the community, as lively gathering areas and thoughtfully furnished rooms are available. Situated in the quiet residential area of Salem, the community ensures residents have a comfortable stay. This nursing home is a great choice for senior living in New Hampshire, especially with its commitment to older adults’ well-being.
Overview of On the Green Residential Care Facility
On the Green Residential Care Facility provides skilled nursing and nursing care in Haverhill, NH. Skilled nursing gives residents access to licensed nursing care on site around the clock for ongoing clinical needs. The facility has 11 beds, creating a smaller community where staff and residents get to know each other.
Private rooms offer an individual living space, while shared rooms suit residents who prefer having a roommate. Janice Estes serves as the administrator.
The Baldwin in Londonderry is a life plan community on Woodmont Avenue in Londonderry, New Hampshire, offering a full continuum of care under one roof. Residents can move between independent living, assisted living, memory care, skilled nursing, and rehabilitation, along with hospice and palliative care. That range matters for couples with different care needs and for anyone who wants to settle in one place rather than relocate as needs change. The community has been operating for about seven years and is led by CEO Marlene G Rotering.
Housing comes in one and two bedroom layouts within a mid-rise building, with floor plans ranging from roughly 850 to just over 1,500 square feet. The larger end of that range is generous by senior living standards and gives room for familiar furniture, a home office, or space to host visiting family. Pets are welcome, which is often a deciding factor for people who do not want to part with a companion animal when they move.
Daily life is supported by chef-prepared meals, bi-weekly housekeeping, and transportation services, so residents can hand off the upkeep that tends to get harder over time. Amenities lean toward hands-on interests and wellness, including a library, a wood shop, and an aquatics center. Programming includes arts and crafts, group fitness classes, and seasonal celebrations, which give newer residents natural ways to meet neighbors. Fitness and recreation options round out the week for those who want structure in their days.
The setting sits about 2.2 miles from the center of Londonderry, with shops, restaurants, and government offices in the surrounding area. Parkland Medical Center is roughly a mile and a half away, a practical detail for anyone managing an ongoing medical condition or planning for a rehabilitation stay. With a walk score of 21, this is a car-oriented area, so residents and visiting family will generally drive to errands and appointments, and the community’s transportation services help fill that gap. Families weighing the location may want to see how the transportation schedule lines up with the appointments and outings that matter most to them.
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.
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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