Compare Nursing Homes around Rochester
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.
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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.
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Care Types in This Table
AL (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.
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.
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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.
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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.
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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.
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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.
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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.
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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 score. 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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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| Rochester Manor | NH AL SNF | Rochester | 108
Facility
108
NH AVG
102
Rank
#25 / 66 |
76.9%
Facility
76.9%
NH AVG
82.2%
Rank
#37 / 51 | -6% | 3.19
Facility
3.19
NH AVG
4.28
Rank
#43 / 63 | C | +16% | -26% | $0
Facility
$0
NH AVG
$36.9k
Rank
#1 / 64 | 15
Facility
15
NH AVG
14.4
Rank
#27 / 64 | 3.8
Facility
3.8
NH AVG
4.0
Rank
#30 / 64 | 1 | 83 | - |
52
Facility
52
NH AVG
36
Rank
#20 / 65 | Kathleen Mccracken | $10.6MFiscal year ending 09/2023
Facility
$10.6MFiscal year ending 09/2023
NH AVG
$13.2M
Rank
#31 / 58 | $5.0MFiscal year ending 09/2023
Facility
$5.0MFiscal year ending 09/2023
NH AVG
$7.0M
Rank
#36 / 58 | 46.8%Fiscal year ending 09/2023
Facility
46.8%Fiscal year ending 09/2023
NH AVG
52.8%
Rank
#41 / 58 | 305024 | ||||
| Birch Healthcare Center | NH HOS PC RC SNF | Rochester | 79
Facility
79
NH AVG
102
Rank
#41 / 66 |
87.7%
Facility
87.7%
NH AVG
82.2%
Rank
#23 / 51 | +7% | 3.03
Facility
3.03
NH AVG
4.28
Rank
#53 / 63 | B+ | +4% | -29% | $10.7k
Facility
$10.7k
NH AVG
$36.9k
Rank
#51 / 64 | 10
Facility
10
NH AVG
14.4
Rank
#21 / 64 | 2.5
Facility
2.5
NH AVG
4.0
Rank
#10 / 64 | 1 | 69 | - |
15
Facility
15
NH AVG
36
Rank
#44 / 65 | - | $8.6MFiscal year ending 12/2023
Facility
$8.6MFiscal year ending 12/2023
NH AVG
$13.2M
Rank
#43 / 58 | $2.9MFiscal year ending 12/2023
Facility
$2.9MFiscal year ending 12/2023
NH AVG
$7.0M
Rank
#55 / 58 | 33.5%Fiscal year ending 12/2023
Facility
33.5%Fiscal year ending 12/2023
NH AVG
52.8%
Rank
#57 / 58 | 305081 |
Rank badges are statewide: each nursing home is ranked against every NH nursing home we track that reports that metric, not just the 3 analyzed for Rochester. See how we rank facilities
Overview of Birch Healthcare Center
Overlooking the serene neighborhood of Rochester, NH, Birch Healthcare Center is a dedicated senior care provider that offers an array of clinical services for seniors’ varying needs. Residents here enjoy access to short-term and long-term care, as well as rehabilitation therapy, medical care, mental health services, and palliative care. The community’s care team also offers personal care assistance to ensure residents are always looking good and feeling good as they go through their recovery process.
A team of on-site dieticians and nutritionists are also available to curate a personalized diet plan for each resident to make sure they are getting the proper nourishment. Additional services, such as dental, vision and podiatry care are also offered to further enhance residents’ comfort and convenience and improve their quality of life. Here, residents and their families can enjoy their peace of mind, knowing that their loved ones are well-cared for and thriving.
Dover Center for Health and Rehabilitation is a nursing home in Dover, NH, offering 24-hour skilled nursing care, short-term rehabilitation, respite care, and long-term care. Around-the-clock nursing supports residents who need ongoing clinical care, while rehabilitation is designed for short-term recovery and respite care provides a temporary stay when a usual caregiver needs time away.
Care can include medication management, restorative care, and support with nutritional needs, with in-house primary care and specialty physicians also available. Daily recreation and spiritual programs offer scheduled activities and support within the center, which is directed by Jennifer Montague.
Ranking Methodology
How we rank these nursing homes
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
Weighting overview
- 35%Care Quality
- 20%Staffing
- 20%Regulatory
- 20%Operational
- 5%Environment
01
Care Quality 35%
The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.
- Includes
- Overall Rating
- Health Inspection
- QM Rating
- Long-Stay QM
- Short-Stay QM
02
Staffing Adequacy 20%
The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.
- Includes
- Nurse Hrs/Res/Day
- RN vs State
- Total Nurse Staff Hrs vs State
- RN Turnover
03
Regulatory & Safety Record 20%
Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.
- Includes
- Citations
- Citations/Inspection
- Severe Citations
- Fines
- Accreditations
04
Operational & Financial Stability 20%
Stable operations and sound finances are leading indicators of consistent care over time.
- Includes
- Occupancy vs State
- Avg Length of Stay
- Revenue
- Payroll %
- Years in Operation
- Admin Tenure
05
Environment & Accessibility 5%
Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.
- Includes
- Walk Score
- BBB Rating
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Frequently Asked Questions about Nursing Homes in Rochester, NH
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 3 nursing homes in Rochester, NH. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Rochester, NH?
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 Rochester, NH, 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 Rochester, NH?
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.
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