New Hampshire Nursing Homes: Assisted Living & Elderly Care in NH

In New Hampshire, there are over 75 Certified Nursing Care facilities. The occupancy rate at New Hampshire facilities is at or just above 85%.

New Hampshire Care Facilities Statistic:

Depending on where you live the size of assisted care/nursing home facilities can vary in the number of beds available and the incurred cost of the facility.

In New Hampshire, there are 7,600 assisted care/nursing home beds in those 75 plus facilities.  Approximately 6,700 residents reside in those nursing care facilities. This number will vary from year to year and month to month. For more information go to

New Hampshire Staff to patient ratio:

In New Hampshire, according to there must be staff at a level in which to provide the highest level possible for the residents physical, psychosocial and mental wellness.

In the facilities RN/DON (director of nursing) is required 8 hours a day 7 days a week.

1 RN/LPN 24hrs a day 7 days a week.  

There is no minimum hour requirement for direct nursing care for each resident.

As always there should be enough staff to provide nursing and related services as they pertain to individual personal care plans.

Cost:  The average cost in New Hampshire for an Assisted Living is $4,800.  Nursing Home Care is approximately $9,500 for a semi –private room and just under $11,00 for a private room according to  That is just over $130,000 a year for nursing home care.

Paying for Assisted Living Nursing Care Facilities:

Most residents pay with pension funds, long-term health insurance, retirement accounts, savings, Social Security and V.A. Benefits.  All of these are considered private pay.

Medicare/Medicaid Accepted:

Medicare Part A may include coverage at a SNF, skilled nursing facility, if the patient requires skilled medical care.  

Nursing home care is generally referred to as custodial care and will not be covered by Medicare.

Medicaid payments, once applied for, will begin when the nursing home or assisted living resident has exhausted all other means of payment such as private funds and/or Long Term Health Insurance.  In other words, when the patient no longer has any other means of payment Medicaid takes over in a Medicaid Certified nursing facility.

Top Nursing Care Facilities in New Hampshire:

According to U.S. News and World Report there are over 11 top rated nursing care facilities in the state of New Hampshire.  These top-rated facilities are located throughout the state.

Top reasons for needing Long-Term care in New Hampshire are age, physical and or mental/memory disabilities, health issues and living alone.  The longer you live the more likely it is that you will need long term care. As we age we are prone to the development of health issues which we will not be able to manage at home on our own.

Options for Care

  • Nursing Home Facilities – Nursing Homes in New Hampshire provide care for their residents 24/7.  Nursing Homes are for our Seniors who need medical and personal care assistance. Seniors with high level medical needs or those with complex medical conditions find the help they need in nursing homes.  Nursing Homes provide long-term care for Seniors who require skilled nursing care.

Nursing Homes are set up to enhance and/or maintain the physical, mental, and social well-being of Seniors who are in need of medical and personal care assistance. Nursing homes provide the most extensive personal care that you can receive independent of a hospital.

  • Assisted Living Facilities New Hampshire – Most of us would prefer that our loved one live at home where they feel safe and secure.  There may come a time however, when staying at home is no longer a safe option for our loved one.  Usually there will be an incident that brings us to this realization such as the Elder forgetting to take their medication, forgetting to eat their meals or even just the loneliness associated with living alone.  

These communities provide care and housing to our elders who need more assistance with daily care but are not yet at the level of care that is provided at a nursing home.

Assisted living communities in New Hampshire have grown as an option for our elders who are still   independent but require some assistance with daily living tasks.

Assisted Living communities provide, assistance with eating when necessary, medication management, housekeeping, daily hygiene needs and dressing, physical mobility needs, socialization and community activities and transportation needs.

  • Day Care Centers/Senior Centers in New Hampshire – Provide meals, social interaction, exercise programs and dance programs.  They provide the older person and the family a respite from personal care which can help the family caregiver go to work or just take a break from the taxing responsibilities of caring for an older loved one.
  • Home Health Care – In New Hampshire caretakers can provide personal hygiene care, meal preparation, light cleaning and transportation to stores, appointments and social activities.