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40 Independent Nursing Homes in New Hampshire

40 of the 73 Medicare-certified nursing homes in New Hampshire (55%) are independently owned, and all are listed below. 9 of the 40 graded homes earn an A and 3 earn a D or F. They average 4.11 nursing hours per resident per day, 0.21 hours above the 3.9 for every home in New Hampshire. Hillsborough County Nursing Home in Goffstown grades highest at A (94 out of 100).

How independently owned homes in New Hampshire compare

This group set against every nursing home in New Hampshire, from the current CMS release.

Nursing hours per resident per day

4.11

All homes in New Hampshire: 3.9

Better than the local average

Nurse staff turnover

45.3%

All homes in New Hampshire: 44.1%

Worse than the local average

Average ElderGrade score

77/100

All homes in New Hampshire: 75.5/100

Better than the local average

Grade spread

A
B
C

9 grade A, 22 grade B, 6 grade C, 3 grade D,

The best-graded independently owned home in New Hampshire is Hillsborough County Nursing Home in Goffstown, NH, grade A, 94/100.

Every independently owned nursing home in New Hampshire

Showing 1 to 20 of 40, best-graded first.

A

94/100

Hillsborough County Nursing Home

Goffstown, NH · Hillsborough County

CMS 5/5300 bedsGovernmentMedicaid
Nurse hours
3.74 /day
Staff turnover
30%
Serious cites
0

Hillsborough County Nursing Home runs 300 beds as a county-owned home, and its record is unusually clean for a building that size: nine deficiencies total, none of them causing harm or jeopardy, and nothing abuse-related. The last inspection was recent, so that picture isn't stale. Staffing is the one spot worth watching, 3.74 nurse hours per resident day sits just under the national average, and weekends run roughly 11% thinner than weekdays, which is when families tend to visit and notice. What offsets that is retention: turnover of 30.1% is well below the national 45.8%, meaning the people caring for residents largely stay. For a family weighing a large county facility, the steady workforce and clean inspection history matter more than the slight staffing dip.

A

93/100

Riverside Rest Home

Dover, NH · Strafford County

CMS 5/5215 bedsGovernmentMedicaid
Nurse hours
4.30 /day
Staff turnover
16%
Serious cites
0

Riverside Rest Home is county-owned, that matters here, because government-run homes often get less attention than chains but this one holds up on the numbers. Total nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average, and the 5/5 staffing rating reflects that. Turnover is the striking figure: 16.2% against a national average near 46%, meaning the people caring for residents tend to stay. Seven deficiencies on record, none at harm or jeopardy level, none abuse-related, with a recent April 2026 inspection. Weekend coverage dips about 11% below weekday levels, worth knowing if you visit Saturdays.

A

93/100

Glencliff Home For The Elderly

Glencliff, NH · Grafton County

CMS 2/5130 bedsGovernmentMedicaid
Nurse hours
4.23 /day
Staff turnover
14%
Serious cites
0

Glencliff Home for the Elderly runs on one of the steadiest nursing staffs you'll find. It's a state-run facility in Grafton County with 130 certified beds, and its 4.23 nurse hours per resident day sit about 9% above the national average. Turnover is the real standout: 13.9% a year, against a national average near 46%. That kind of retention usually means residents see the same faces month after month. The tradeoff shows up in inspections. CMS gives the home a single star for health inspections, and there are 11 deficiencies on the current record, though none involved actual harm or jeopardy, and none were abuse-related. The last inspection was October 2025, so the picture is recent. Weekend staffing dips about 12% below weekdays, worth asking about if your family visits then.

A

91/100

Cheshire County Home

Westmoreland, NH · Cheshire County

CMS 4/5150 bedsGovernmentMedicaid
Nurse hours
4.49 /day
Staff turnover
36%
Serious cites
0

Cheshire County Home runs on a county government budget, and the numbers suggest that arrangement is working. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average, and the federal staffing rating reflects it. Weekend coverage does dip roughly 8 percent below weekday levels, so ask about Saturday and Sunday shifts specifically. Staff turnover of 36.1 percent is meaningfully lower than the national 45.8 percent, which matters for whether your family sees the same faces month to month. The home's nine deficiencies include nothing tied to harm, jeopardy, or abuse, and its last inspection was recent, in September 2025. Quality measures score well too.

A

91/100

Holy Cross Health Center

Manchester, NH · Hillsborough County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
34%
Serious cites
0

Holy Cross Health Center runs 40 certified beds in Manchester under church-related nonprofit ownership, and the staffing numbers are the story here: 4.70 total nurse hours per resident day, roughly 22 percent above the national average. Weekend coverage dips about 9 percent below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 34.3 percent, well under the 45.8 percent national figure, which matters for whether your parent sees the same faces week to week. Two deficiencies on the current record, none at the harm level and none abuse-related, with the most recent inspection dated February 2026.

A

89/100

Merrimack County Nursing Home

Boscawen, NH · Merrimack County

CMS 3/5290 bedsGovernmentMedicaid
Nurse hours
4.74 /day
Staff turnover
34%
Serious cites
0

Merrimack County Nursing Home runs on one of the strongest staffing pictures you'll find, 4.74 nurse hours per resident day against a national average of 3.86, and its 34.4% turnover beats the 45.8% norm, which matters for whether your parent sees the same faces each week. Weekends thin out about 11% from weekday coverage, so ask how that gap gets filled. The caution is inspections: 12 deficiencies on the current record, including one at the harm level and one abuse-related, with a $15,646 fine and a 2/5 inspection rating. A March 2026 inspection is recent, at least. County-run and 290 beds means you're dealing with a large public operator, not a chain. Staffing is the strength; the survey history is what to press on.

A

88.5/100

Havenwood-Heritage Heights

Concord, NH · Merrimack County

CMS 2/570 bedsNon-profitMedicaid
Nurse hours
5.23 /day
Staff turnover
n/a
Serious cites
0

Havenwood-Heritage Heights runs a lean nonprofit shop of 70 beds, and its nurse staffing sits at 5.23 hours per resident day against a national average of 3.86, roughly a third more hands-on time than the typical home. The catch is weekends, when coverage drops about 5% below its own weekday pace, so timing matters if you're visiting or checking in. State inspectors last walked through in April 2026 and left seven deficiencies on the record, none at the harm level and none tied to abuse, though the two-star inspection rating says the paperwork and process side isn't as clean as the clinical numbers. On measures like falls and infections, it performs well above average.

A

87/100

St Joseph Residence

Manchester, NH · Hillsborough County

CMS 4/522 bedsNon-profitMedicaid
Nurse hours
5.90 /day
Staff turnover
46%
Serious cites
0

St Joseph Residence runs on 5.90 nurse hours per resident day, roughly half again the national average of 3.86, and that staffing shows up as a five-star CMS rating even though the home only has 22 beds. Weekends dip about 14% below its own weekday coverage, so care can thin out on Saturdays and Sundays. The record shows 11 deficiencies, none at the harm level, one tied to abuse, and the last inspection came in December 2025. Turnover sits at 46.3%, essentially the national norm. Church-affiliated and nonprofit, it's small and well-staffed on paper, with a health inspection and quality record that lands in the middle.

A

87/100

Webster At Rye

Rye, NH · Rockingham County

CMS 4/561 bedsNon-profitMedicaid
Nurse hours
4.58 /day
Staff turnover
46%
Serious cites
0

Webster At Rye runs on more nurse time than most places, 4.58 hours per resident day against a national average of 3.86, roughly 19% more. Weekend coverage dips about 8% below its own weekday pace, so ask how that plays out on a Saturday. Staff turnover sits at 45.5%, almost exactly the national figure, which tells you this isn't a home bleeding caregivers out the door. Its eight deficiencies include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was recent, in August 2025. A nonprofit corporation owns the 61-bed building, which matters for where any surplus goes.

B

84/100

Belknap County Nursing Home

Laconia, NH · Belknap County

CMS 4/594 bedsGovernmentMedicaid
Nurse hours
4.96 /day
Staff turnover
32%
Serious cites
0

Belknap County Nursing Home runs on county money, and the staffing numbers show it: 4.96 nurse hours per resident day, roughly 29% above the national average, with a 5/5 CMS staffing rating and turnover at 31.9% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on Sundays. The current record holds four deficiencies, none at harm or jeopardy level and none abuse-related, with an inspection dated September 2025. Where it slips is quality measures, rated 1/5, that's the number worth asking about directly.

B

83/100

Pleasant Valley Nursing And Rehab Center

Derry, NH · Rockingham County

CMS 4/5112 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
43%
Serious cites
0

Pleasant Valley runs leaner on nursing hours than the typical U.S. home, about 3.47 hours per resident day against a national average of 3.86, and weekends dip roughly 15% below what the building staffs on weekdays. Turnover sits at 43.2%, which is actually a touch better than the national 45.8%, so the staffing picture isn't as shaky as the raw hours suggest. On inspections, the record is clean where it counts: 16 deficiencies logged, but none at the harm or jeopardy level and none abuse-related, with a recent January 2026 survey. A for-profit LLC operates it. What the numbers support is a home that's been kept in reasonable order, with thinner coverage on weekends worth asking about directly.

B

83/100

Golden View Health Care Center

Meredith, NH · Belknap County

CMS 4/5131 bedsNon-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
40%
Serious cites
0

Golden View runs a nonprofit home in Meredith with 131 beds, and its strongest feature is how many people are on the floor: 4.70 nurse hours per resident day, roughly 22% above the national average. Weekend coverage slips about 10% below its weekday level, and turnover sits at 39.8%, better than the 45.8% national figure. The tradeoffs show up elsewhere. Inspectors last visited in January 2026 and left 16 deficiencies on record, none at harm or jeopardy level but one tied to abuse. Quality measures earned just 2 of 5 stars, even as staffing took the top mark.

B

83/100

Mountain View Community

Ossipee, NH · Carroll County

CMS 4/5103 bedsGovernmentMedicaid
Nurse hours
4.88 /day
Staff turnover
48%
Serious cites
0

Mountain View Community runs on county money, and the staffing shows it: 4.88 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 6% below its own weekday levels, so ask how that plays out on a Sunday afternoon. Turnover sits at 47.6%, a touch above the national 45.8%, which means new faces on the floor fairly often. The inspection record is the strongest part of the picture, six deficiencies, none at the harm level, none related to abuse, with a visit as recent as November 2025. Quality measures come in middle-of-the-road, so the clinical side isn't the differentiator here; the direct-care hours are.

B

81/100

Salemhaven

Salem, NH · Rockingham County

CMS 2/5110 bedsNon-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
42%
Serious cites
0

Salemhaven runs a nonprofit home with 110 beds, and its nurse staffing sits right at the national mark, 3.89 hours per resident day against 3.86, though weekends thin out by about 15% compared to weekdays, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 42.4%, a bit better than the 45.8% national figure, so caregivers tend to stick around longer than average. The health inspection side is the weak spot: a 2-out-of-5 rating, 14 deficiencies on record including one abuse-related citation, though none rose to actual harm or jeopardy. The most recent inspection was August 2025, so the picture is current.

B

80.5/100

Grafton County Nursing Home

North Haverhill, NH · Grafton County

CMS 2/5135 bedsGovernmentMedicaid
Nurse hours
4.67 /day
Staff turnover
n/a
Serious cites
0

Grafton County Nursing Home is county-owned, and the staffing numbers reflect that: 4.67 total nurse hours per resident day, roughly 21% above the national average. That's the strongest part of the picture. Weekends dip about 5% below its own weekday level, so coverage thins out a bit then. The inspection record is where it gets rockier. Twenty deficiencies are on file, three tied to abuse, though none reached the harm or jeopardy level. Its last inspection was April 2, 2026, so the record is recent. Federal ratings put health inspections and quality measures at 2 out of 5 each, with staffing at 3. If you're weighing this one, ask specifically about those three abuse-related findings and how weekends are covered.

B

80/100

Hanover Hill Health Care Center

Manchester, NH · Hillsborough County

CMS 4/5124 bedsFor-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
37%
Serious cites
0

Hanover Hill runs on more nursing hours than the typical U.S. home, 4.06 per resident day against a national average of 3.86, and its staff tends to stay longer, with turnover at 36.9% versus roughly 46% nationally. Inspectors did cite eight deficiencies, one serious enough to involve harm or jeopardy, and fined the corporation $8,512; the last visit was in March 2026. Weekend coverage does dip about 12% below weekday levels, so ask how that plays out on a Sunday. For-profit ownership and a mid-range inspection record are worth weighing against the steadier staffing.

B

79.5/100

Coos County Nursing Hospital

West Stewartstown, NH · Coos County

CMS 5/597 bedsGovernmentMedicaid
Nurse hours
4.74 /day
Staff turnover
45%
Serious cites
0

Coos County Nursing Hospital in West Stewartstown is county-owned and runs on 4.74 nurse hours per resident day, roughly a quarter more staffing than the national average. That shows up in its staffing star rating, though weekends dip about 15% below weekday levels, so coverage isn't perfectly even across the week. Turnover sits at 45.3%, essentially matching the national rate, so this isn't a home bleeding staff. What stands out is the inspection record: three deficiencies, none at the harm level, none abuse-related, and a survey as recent as October 2025. State inspectors clearly found little to flag. The weaker spot is the quality measure rating, which suggests outcomes like falls or antipsychotic use aren't tracking as well as the staffing and inspection picture would imply.

B

79/100

Hanover Terrace Health And Rehabilitation

Hanover, NH · Grafton County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
50%
Serious cites
0

Hanover Terrace is a 100-bed for-profit home in Grafton County, and the inspection record is fairly clean: three deficiencies on file, none of them causing harm or jeopardy, none tied to abuse. Staff turnover sits at 50%, a few points above the 45.8% national average, worth asking about, since consistent caregivers matter, though that gap isn't dramatic. The five-star quality measure rating suggests residents' clinical outcomes look good on paper. The most recent inspection was in December 2025, so the information is current. For a family weighing this home, the picture is a decent one: no serious safety findings, strong quality metrics, and turnover that's elevated but not alarming.

B

79/100

Rockingham County Nursing Home

Brentwood, NH · Rockingham County

CMS 4/5226 bedsGovernmentMedicaid
Nurse hours
4.84 /day
Staff turnover
56%
Serious cites
0

Rockingham County Nursing Home runs on county government money, and the staffing numbers show it: 4.84 nurse hours per resident day, roughly a quarter more than the national average. That's the kind of margin that matters on a Tuesday afternoon when someone needs help getting to the bathroom. The tradeoffs are real, though. Weekend coverage drops about 11% from weekday levels, and 56.3% annual turnover means a good share of the people providing that care are still learning the building. Four deficiencies on the current record, none involving harm or abuse, with an inspection as recent as August 2025. The quality measure score sits at 2 out of 5, so clinical outcomes don't track as well as the raw staffing strength suggests.

B

78/100

Coos County Nursing Home

Berlin, NH · Coos County

CMS 2/5100 bedsGovernmentMedicaid
Nurse hours
4.93 /day
Staff turnover
51%
Serious cites
0

Coos County Nursing Home in Berlin runs on county money, and the staffing reflects that: 4.93 nurse hours per resident day, roughly 28% above the national figure. Weekends drop about 14% below its own weekday level, so coverage thins out on Saturdays and Sundays. Turnover sits at 50.9%, higher than the 45.8% national average, meaning a good share of the people caring for residents are still learning the building. Inspections tell a mixed story, 11 deficiencies on record, none at the harm level, but three tied to abuse, with the last survey in February 2026. The county's investment in direct care is real; the consistency and safety record are where the gaps show.

Frequently asked questions

How many independently owned nursing homes are there in New Hampshire?
There are 40 independently owned Medicare-certified nursing homes in New Hampshire, 55% of the 73 nursing homes there.
Are independently owned nursing homes better staffed?
In New Hampshire they average 4.11 total nursing hours per resident per day, against 3.9 for all nursing homes in New Hampshire, a difference of +0.21 hours. Staff turnover averages 45.3% against 44.1%.
Which independently owned nursing home grades best in New Hampshire?
Hillsborough County Nursing Home in Goffstown, NH, grade A, 94 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 40 graded independently owned homes in New Hampshire, 9 grade A and 3 grade D or F.
Do independently owned nursing homes in New Hampshire accept Medicaid?
39 of the 40 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in New Hampshire