Nursing Homes and Senior Care in New Hampshire

Nursing Homes by City in New Hampshire

The New Hampshire cities with the most CMS-certified nursing homes. All 44 cities are listed below the table. Homes in New Hampshire average 3.9 hours of nursing care per resident per day; the national median is 3.7 hours.

5-Star Nursing Homes in New Hampshire

Homes with CMS's top overall rating, ordered by inspection rating. See all highest-rated nursing homes in New Hampshire.

Assisted Living in New Hampshire

Health Facilities Administration, Health Facility Licensing Unit (NH DHHS) licenses assisted living in New Hampshire. License types: Assisted living residence – residential care facilities and Assisted living residence – supported residential care facilities. Use the state's search to check a community's license and inspection history.

• New Hampshire assisted living facility search
• New Hampshire assisted living rules
• New Hampshire assisted living licensing (Health Facilities Administration, Health Facility Licensing Unit (NH DHHS))

Memory Care Rules in New Hampshire

• Licensees must comply with all dementia training requirements pursuant to RSA 151:47-49, with training that includes new information on best practices in the treatment and care of persons with dementia (He-P 804, He-P 805).
• A minimum of 6 hours of initial dementia training for covered administrative staff members and covered direct service staff members; He-P 805 (supported residential care) requires it within the first 90 days of hire.
• A minimum of 4 hours of ongoing or continuing dementia training each calendar year (He-P 804, He-P 805).
• The use of mechanical restraints, limited to locked or secured ALR-RCs or units within an ALR-RC, or anklets, bracelets or similar devices that cause a door to automatically lock when approached, is allowed as permitted by the state fire code (He-P 804).
• If the ALR-RC has residents with a history of exit seeking, the licensee must install and maintain a functioning wander prevention system that will awaken the sleeping personnel (He-P 804).

• New Hampshire memory care rules

Medicaid Long-Term Care in New Hampshire

New Hampshire's Medicaid program is NH Medicaid. For nursing home Medicaid (2026), the state lists an income limit of $2,982 (Nursing Facility, gross monthly income must be less than or equal to the CAP limit) and an asset limit of $1,500 or less, with a $6,000 resource disregard for NF, CFI or HCBS applicants who meet the categorically needy income limit, so that the effective resource limit is $7,500. Residents keep a personal needs allowance of $93 per month.

• Choices for Independence (CFI) Waiver: in-home care, adult day, assisted living and respite. For seniors and adults with chronic illnesses who are financially eligible for Medicaid and medically qualify for the level of care provided in nursing facilities. Services under He-E 801.11 include adult family care, in-home care, adult day, home-delivered meals, home health aide, homemaker, personal care, residential care facility service, respite, skilled nursing and supportive housing. Apply through the Aging and Disability Resource Centers (ADRC), 1-866-634-9412.

• NH Medicaid nursing facility coverage
• New Hampshire Medicaid long-term care limits

Nursing Home Inspections and Complaints in New Hampshire

Health Facilities Administration, Health Facility Certification Unit (NH DHHS) inspects nursing homes in New Hampshire for CMS. To file a complaint, call (603) 271-9049 (Health Facility Certification Unit, certified facilities); (603) 271-9039 (Health Facilities Licensing Unit, licensed facilities) or use the state's complaint page.

• File a nursing home complaint in New Hampshire

New Hampshire Long-Term Care Ombudsman

The Office of the Long Term Care Ombudsman is a free, confidential advocate for residents of nursing homes and assisted living. Ombudsmen help with complaints, residents' rights and problems with care. Call (603) 271-4375; (800) 442-5640.

• Contact the Office of the Long Term Care Ombudsman

Aging Services and Caregiver Support in New Hampshire

Bureau of Adult and Aging Services (BAAS), NH Department of Health and Human Services runs New Hampshire's aging services, delivered through local Area Agencies on Aging. Family caregivers can get help through The NH Family Caregiver Support Program. Adult day services are licensed or certified by Health Facilities Administration, Health Facility Licensing Unit (adult day programs that provide services to three or more patients; He-P 818).

• New Hampshire aging services: Bureau of Adult and Aging Services (BAAS), NH Department of Health and Human Services
• Area Agencies on Aging in New Hampshire
• Caregiver support in New Hampshire: The NH Family Caregiver Support Program
• New Hampshire adult day services

Guides for Your Next Step

See how to choose a nursing home, what memory care is, how Medicaid pays for nursing home care and what Medicare covers. For local help, call the Eldercare Locator at 1-800-677-1116.

Frequently Asked Questions