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Nursing homes and assisted living in New Hampshire

Nursing homes in New Hampshire, with their license, Medicare ratings and whether they accept Medicaid. Free, so you can choose with peace of mind.

73 nursing homes71 with Medicaid13 with 5 stars

280,933 people aged 65 or older live in New Hampshire, 3,408 of them Hispanic or Latino (Census Bureau, ACS 2020–2024).

Each dot is a place in New Hampshire with official data; coral marks where there are the most.

Searching in New Hampshire for the first time? Read our state guide: what care settings are called here, how Medicaid helps and who to call.

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With 4 or 5 Medicare stars

Sorted by CMS’s overall rating. This is not a hogaresparamayores.com ranking or a medical recommendation.

The map loads as you scroll. Locations are approximate, based on the official records.

In New Hampshire, assisted living has two levels with rather long names. Here we explain them in a few words, along with help from Medicaid and the most useful phone numbers.

What care settings are called here

The NH Department of Health and Human Services (DHHS) licenses these places through its Health Facilities Administration office:

  • Assisted Living Residence – Residential Care (ALR-RC): assisted living in a homelike setting. It helps with personal care and social activities.
  • Supported Residential Health Care Facility (SRHCF): a higher level of assisted living. It offers health and social services as needed, but without 24-hour supervised nursing care.
  • Nursing Facility: a nursing home, with nursing care 24 hours a day.

A local fact: state law has a moratorium (a pause) on opening new nursing homes or adding beds to them.

Before you decide, you can ask each residence for its license and its latest inspection results. It is a normal practice that helps you choose with peace of mind.

How Medicaid helps in New Hampshire

Medicaid pays for nursing home care for people who qualify. There is also the Choices for Independence (CFI) program, which pays for services so the person can live at home or in a residence instead of a nursing home.

CFI includes these services:

  • Services in a licensed residence: an ALR-RC or SRHCF. The program pays for the services, not for room and board.
  • Adult day care.
  • Adult family care in a certified home.
  • Respite care for caregivers.

To qualify, the person must meet two conditions:

  • Be eligible for Medicaid based on income and resources.
  • Need a nursing home level of care.

Where to apply: call DHHS at 844-275-3447 (844-ASK-DHHS) and choose option 3. TDD: 1-800-735-2964.

How much care costs in New Hampshire

These are the statewide medians from CareScout's Cost of Care Survey 2025, with data from July to November 2025:

  • Assisted living (private one-bedroom unit): $8,025 a month.
  • Nursing home, semi-private room: $403 a day (about $12,243 a month).
  • Nursing home, private room: $442 a day.
  • In-home caregiver (non-medical): $40 an hour.
  • Adult day center (adult day health care): $93 a day.

Who to call

  • Office of the Long-Term Care Ombudsman (a free advocate for residents): 1-800-442-5640 or (603) 271-4375.
  • ServiceLink (guidance on Medicare and resources for older adults): (866) 634-9412.
  • Eldercare Locator (national helpline): 1-800-677-1116.

Tips for your family

  • Ask what level the license is. An ALR-RC is not the same as an SRHCF. The level shows how much help your loved one can get if their needs change.
  • If you plan to use CFI, confirm at the first visit that the residence accepts the program.
  • Plan ahead. Visiting several places before you need them gives you more options and less pressure.
  • Take advantage of respite care. If you care for your loved one at home, CFI can give you a few days of rest.

This is general information and does not replace medical or legal advice.

Sources: RSA 151:9 levels of care · He-P 800 rules · He-E 800 rules (CFI) · Ombudsman (Omb 400) · Medicaid.gov help by state · CareScout Cost of Care 2025 · Eldercare Locator. Updated October 15, 2026.

What care costs in New Hampshire

Nursing home, semi-private room$12,258 a month
Assisted living$8,025 a month
Adult day center$93 a day
Home care agency caregiver$40 an hour

New Hampshire medians from the CareScout (Genworth) Cost of Care Survey 2025. Each provider sets its own prices: always ask for the details in writing. See New Hampshire costs in detail.

Also in New Hampshire

Who to call in New Hampshire

Long-Term Care Ombudsman
New Hampshire Office of the Long-Term Care Ombudsman. A free, confidential service that advises residents and families of nursing homes and assisted living and helps resolve concerns with the facility.(800) 442-5640 · Official website
Free Medicare counseling (SHIP)
New Hampshire State Health Insurance Assistance Program (SHIP) – ServiceLink Resource Center. They explain what Medicare covers and how to compare plans, without selling insurance.(866) 634-9412 · Official website
Medicaid
New Hampshire Department of Health and Human Services (DHHS). Long-term care programs: Choices for Independence (CFI).(844) 275-3447
Licensing and inspections (nursing homes, assisted living, residential care, adult family homes, adult day centers, home care, home health, hospice)
New Hampshire Department of Health and Human Services (DHHS) – Health Facilities Administration.
Services for older adults
ServiceLink Aging and Disability Resource Center (NH DHHS).(866) 634-9412 · Official website
Eldercare Locator (nationwide)
A free national line that connects you with your local Area Agency on Aging.(800) 677-1116 · Official website

Contact information checked against official sources on October 15, 2026. These are free public services; hogaresparamayores.com is not affiliated with them.

Frequently asked questions

How many nursing homes are there in New Hampshire?
New Hampshire has 73 nursing homes certified by Medicare or Medicaid, according to CMS. Figures as of September 30, 2026.
How many accept Medicaid in New Hampshire?
71 of the 73 nursing homes are certified by Medicaid. Being certified doesn’t guarantee that a Medicaid bed is open: ask the facility directly.
What do the stars mean?
They are Medicare’s (CMS) 1-to-5-star rating, which combines health inspections, staffing and quality measures. It’s a good starting point, but it’s best to visit and read the inspection reports.
Do you charge families anything?
No. hogaresparamayores.com is free for families. See how we work.

Sources: CMS — Nursing Homes: Provider Information (September 30, 2026). Methodology.

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