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
Riverwoods At Exeter is an eight-bed nonprofit home, and that small scale shows in its record. Four deficiencies on file with none at the harm level and nothing abuse-related is a clean sheet by federal standards, and the most recent inspection came in March 2026, so you're looking at recent information rather than a stale survey. Quality measures score at the top of CMS's five-point scale, which speaks to how residents are actually doing day to day. The one number worth asking about is staffing: with only eight beds, coverage depends on a small crew, so find out who's on overnight and what happens when someone calls out.
Courville At Nashua runs 94 certified beds under corporate ownership, and its staffing is the number worth sitting with. At 3.76 nurse hours per resident day, it sits just under the national average of 3.86, and weekends dip about 7% below its own weekday staffing, small gaps that add up over a long stay. Annual turnover of 52.6% against a national 45.8% means more than half the nursing staff leaves each year, which is felt most in whether residents see familiar faces. The good news: eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection as recent as July 2025.
Presidential Oaks runs 4.43 nurse hours per resident day, roughly 15% above the national average, but weekends drop about 13% below its own weekday level, so the coverage you get depends on when you visit. Staff turnover sits at 68.3% against a national 45.8%, meaning a lot of the people providing that care are new and still learning the building. The current record shows 16 deficiencies, none at the harm level, but one abuse-related citation is worth asking about directly. Inspections were recent and the quality measures are strong; the weaker inspection history and churn are what pull the overall picture down.
Villa Crest runs 126 certified beds under for-profit LLC ownership, and its staffing tells the clearest story: 3.45 nurse hours per resident day, about 11% under the national average of 3.86, with weekends running roughly 8% leaner than weekdays. Turnover sits at 35.4%, better than the 45.8% national figure, which matters for consistency of care. The inspection record shows 9 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was July 2025. Its four-star marks for health inspections and quality measures are genuinely earned, but the three-star staffing rating reflects that thinner coverage.
Hillsboro House runs 33 beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, about 10% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday coverage, so your family member's Saturday care may look thinner than a Tuesday's. Staff turnover is 57.7%, well above the 45.8% national figure, which matters because unfamiliar aides mean less continuity for residents who need consistent hands. The health inspection record shows 16 deficiencies with no harm or abuse findings, though 17 fines totaling $97,730 have accumulated; that inspection history, paired with a recent August 2025 survey, is worth reading closely before you decide.
Sullivan County Health Care is county-owned and carries 156 certified beds, and the county has clearly put money into nursing staff, 5.56 hours per resident day runs about 44% above the national average, with weekends dipping only slightly below weekdays. Inspections back that up: a four-star health inspection rating and a visit as recent as December 2025. The weaker signals sit elsewhere. Ten deficiencies are on the current record, including one at the harm level and two tied to abuse, plus a $16,153 fine. Annual turnover of 48.1% edges past the national 45.8%, and the two-star quality measure rating suggests resident outcomes aren't matching the staffing investment.
Morrison Nursing Home runs about 3.39 nurse hours per resident day, roughly 12% under the national average, and weekends dip another 12% below its own weekday coverage. The bigger concern is its inspection record: 22 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus one $45,227 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Staff turnover at 40% is better than the 45.8% national figure, and the most recent inspection came in January 2026, so the record is current. What stands out isn't a single bad number; it's the combination of thin staffing, serious deficiency findings, and federal watch-list status together.
Woodlawn Healthcare Center in Newport runs 53 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially the national average, with weekends about 15% thinner than weekdays. Turnover is the strong spot: 39.3% against a national 45.8%, meaning fewer caregivers are walking out the door than at the typical home. The inspection record is where it gets uneven. Sixteen deficiencies are on file, none at harm or jeopardy level, but one is abuse-related, and the two-star health inspection and quality measure ratings reflect that. The last survey was February 2026, so the picture is current. Families should ask directly about that abuse citation and how weekend coverage holds up.
Cedar Healthcare Center runs 102 beds in Portsmouth under limited liability company ownership, and its inspection record is genuinely strong, a five-star health inspection rating with just seven deficiencies on file, none at the harm or jeopardy level and none tied to abuse. The catch sits in the staffing numbers. At 3.54 nurse hours per resident day, it runs about 8% under the national average of 3.86, and weekend coverage dips roughly 3% below its own weekday levels, which is the kind of gap families notice on Saturday afternoons. Annual turnover of 44.7% lands just under the national average, neither a red flag nor a strength. The most recent inspection was June 26, 2025.
Goffstown Nursing and Rehab Center runs 41 beds under for-profit LLC ownership, and the numbers split sharply depending on what you're measuring. Nurse staffing sits at 3.36 hours per resident per day, roughly 13% under the national average, and weekends drop about 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. The health inspection record shows 34 deficiencies, three of them abuse-related, with the most recent inspection in December 2025. Quality measures score well, but that reflects clinical outcomes on paper, not the hands-on staffing or the inspection history. Ask about weekend coverage and how those abuse-related citations were resolved before you decide.
Maple Leaf runs lean on nursing hours: 2.91 per resident day against a national average of 3.86, roughly a quarter below. Weekend coverage dips about 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Turnover sits at 40.4%, a bit better than the 45.8% national figure. The inspection record is the strongest part of the picture, a recent March 2026 survey, seven deficiencies, none at harm or jeopardy level and none abuse-related. A for-profit LLC operates its 114 beds. What you'd want to weigh is whether that staffing level matches what your relative needs, especially on weekends.
Epsom Healthcare Center runs 108 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 41.7%, a bit better than the 45.8% national figure. The current record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated March 12, 2026. CMS gave 2 of 5 stars for health inspections but 3 for quality measures and 3 for staffing.
Birch Healthcare Center runs about 3.52 nursing hours per resident day, roughly 9% under the national average, and weekends dip another 7% below its own weekday numbers. That thin coverage shows up in its staffing rating, and turnover sits at 47.6%, a bit above the national rate, so the aides and nurses working these shifts keep changing. Inspections tell a mixed story: ten deficiencies on record, including one involving actual harm and one abuse-related, plus a $10,655 fine, though the most recent inspection came in September 2025 and the quality measures score well above average. It's a for-profit limited liability company with 79 beds.
Colonial Poplin runs a 50-bed for-profit home in Fremont, and the inspection record is genuinely its strong suit: a four-star health inspection rating, only two deficiencies on file, none of them involving harm or abuse, and a survey completed just this April. Staffing is where the picture shifts. At 3.63 nurse hours per resident day, it sits about 6 percent under the national average, and weekends drop roughly 11 percent below its own weekday coverage. Annual turnover of 61.5 percent is well above the 45.8 percent national figure, which means the people caring for residents keep changing. For a family weighing a visit, ask how the weekend shift is actually covered.
Lafayette Center is a 72-bed for-profit home in Franconia, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.58 hours per resident per day, about 7% under the national average, and it thins out further on weekends. Staff turnover runs near 55%, well above the national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of problems. The current inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, plus a $50,164 fine and a one-star health inspection rating. A May 2025 inspection is recent, so the picture reflects current conditions rather than old ones.
Fairview Nursing Home sits just barely above the national average for nurse staffing, 3.92 hours per resident day against 3.86, but that thin margin comes with a catch: weekends run roughly 8% leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The bigger number to sit with is turnover: 97.1% of staff leaving in a year, more than double the national rate of 45.8%, which means the aides and nurses caring for residents are, on average, still learning the building. Its inspection record shows 16 deficiencies, including two tied to abuse, and a one-star health inspection rating, though none of the current citations reached the level of actual harm or jeopardy.
Alpine Healthcare Center runs 85 beds in Keene under for-profit LLC ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 10% below the home's own weekday numbers, and turnover lands at 47.8%, a bit above the national 45.8%. The inspection record carries 21 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level. CMS gave it one star each for health inspections and staffing, two for quality measures, and the state last visited in June 2025. What stands out is staffing: consistently thin, thinner on weekends, with a workforce cycling through faster than average.
Pleasant View Center runs 176 certified beds in Concord under for-profit limited liability ownership, and the numbers raise real questions. Nurse staffing sits at 3.78 hours per resident day against a national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. Annual turnover hits 68% while the national figure is 45.8%, that churn matters when aides and nurses are the people doing daily care. The current record carries 43 deficiencies, including one at the harm or jeopardy level and six tied to abuse, plus two CMS fines totaling $12,982. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Courville At Manchester runs a for-profit LLC with 76 beds, and the staffing numbers look strong on paper: 4.18 nurse hours per resident day, roughly 8% above the national average, with turnover at 43.6%, slightly better than the 45.8% norm. Weekends thin out about 11% below weekday coverage, which is where gaps tend to show up. The trouble sits in the inspection record. Twenty deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $35,270 in fines and a spot in CMS's Special Focus Facility program, which is reserved for homes with a pattern of serious problems. The most recent inspection was February 2026. Good staffing hasn't translated into safe care here.
Bedford Nursing & Rehabilitation Center runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about another 10% under its own weekday level. Fifteen deficiencies sit on its current record, including one at the harm or jeopardy level, though none involve abuse, and CMS has placed the home in its Special Focus Facility program after a December 2025 inspection. Staff turnover of 39.5% is actually better than the 45.8% national figure, and the 4/5 quality measure rating suggests some clinical care is tracked well. The catch is that 1/5 inspection rating, when federal inspectors find harm-level problems and flag a home for focused oversight, the daily staffing numbers matter more than the quality score.
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?