ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

33 Chain-Owned Nursing Homes in New Hampshire

33 of the 73 Medicare-certified nursing homes in New Hampshire (45%) are chain-owned, and all are listed below. 6 of the 33 graded homes earn an A and 2 earn a D or F. They average 3.66 nursing hours per resident per day, 0.24 hours below the 3.9 for every home in New Hampshire. Langdon Place Of Keene in Keene grades highest at A (88 out of 100).

How chain-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

3.66

All homes in New Hampshire: 3.9

Worse than the local average

Nurse staff turnover

42.8%

All homes in New Hampshire: 44.1%

Better than the local average

Average ElderGrade score

73.6/100

All homes in New Hampshire: 75.5/100

Worse than the local average

Grade spread

A
B
C

6 grade A, 17 grade B, 8 grade C, 2 grade D,

The best-graded chain-owned home in New Hampshire is Langdon Place Of Keene in Keene, NH, grade A, 88/100.

Every chain-owned nursing home in New Hampshire

Showing 1 to 20 of 33, best-graded first.

A

87.5/100

Langdon Place Of Keene

Keene, NH · Cheshire County

CMS 5/525 bedsFor-profitMedicaid
Nurse hours
5.26 /day
Staff turnover
27%
Serious cites
0

Langdon Place Of Keene runs 5.26 nurse hours per resident day across its 25 beds, about 36% above the national average, and weekend staffing dips roughly 22% below its own weekday level. That trade-off matters less here because turnover sits at 26.5% against a national 45.8%, a steadier crew than most. The current record shows six deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 11, 2026. It's a for-profit limited liability company, so worth asking how that staffing holds through a full weekend.

A

87/100

Covenant Living Of Keene

Keene, NH · Cheshire County

CMS 4/520 bedsNon-profit
Nurse hours
5.32 /day
Staff turnover
47%
Serious cites
0

Covenant Living of Keene runs a small household, 20 certified beds, under nonprofit ownership. The staffing numbers are the story here: 5.32 nurse hours per resident day puts it well above the national average, and weekends dip only about 15% below its own weekday coverage, which is a smaller drop than many places show. Turnover sits at 46.9%, roughly in line with the national figure. Inspections in June 2025 turned up 11 deficiencies, none at the harm or jeopardy level, though one was abuse-related. A 4/5 inspection rating and 3/5 on quality measures round out a record that's solid on direct care, less distinguished on clinical outcomes.

A

86/100

Saint Vincent Rehabilitation & Nursing Center

Berlin, NH · Coos County

CMS 2/580 bedsNon-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
44%
Serious cites
0

Saint Vincent runs lean on nursing hours, 3.61 per resident day, about 7% under the national average, and weekends are thinner still, roughly 13% below its own weekday staffing. Turnover sits at 43.9%, slightly better than the 45.8% national figure, which for a small 80-bed nonprofit means fewer unfamiliar faces than many homes. The real tension is inspections: a 1-out-of-5 health inspection rating, 24 deficiencies on the current record including 3 tied to abuse, though none reached harm or jeopardy level. The most recent inspection was June 2025, so that record is current. Strong quality and staffing marks sit alongside inspection problems that families should ask about directly.

A

85/100

Hackett Hill Healthcare Center

Manchester, NH · Hillsborough County

CMS 2/570 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
34%
Serious cites
0

Hackett Hill runs a split personality on paper. The clinical numbers look good, a five-star quality measure rating and a four-star staffing score, with turnover at 34.4% against a national average of 45.8%, meaning workers here tend to stick around longer than at the typical home. But the inspection record tells a rougher story: 15 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a one-star health inspection rating. Nurse staffing sits at 3.75 hours per resident day, just under the national 3.86, and weekends run about 15% thinner than weekdays. For-profit corporate ownership, one fine of $8,278, and a recent April 2026 inspection round out the picture.

A

85/100

Mount Carmel Rehabilitation And Nursing Center

Manchester, NH · Hillsborough County

CMS 3/5122 bedsNon-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
43%
Serious cites
0

Mount Carmel runs on 4.08 nurse hours per resident day, a bit above the national average of 3.86, and its staffing rating reflects that. Weekends thin out by roughly 9% compared to weekdays, which is worth knowing if your visits tend to fall on Saturdays or Sundays. The current record shows 10 deficiencies, none at the harm level, though two are abuse-related, ask about those specifically. Staff turnover sits at 43.4%, slightly better than the 45.8% national figure, and the most recent inspection was in July 2025, so the picture is current. As a church-affiliated nonprofit, it answers to a mission rather than shareholders, which tends to show up in how long caregivers stay.

A

85/100

Saint Francis Rehabilitation And Nursing Center

Laconia, NH · Belknap County

CMS 5/551 bedsNon-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
40%
Serious cites
0

Saint Francis in Laconia runs on about 3.75 nurse hours per resident per day, roughly 3% under the national average, and weekends dip about 12% below its own weekday staffing. That's the kind of gap that shows up as slower response times on a Saturday afternoon, not necessarily in a rating. What stands out more is stability: turnover sits at 40.4% against a national 45.8%, and the inspection record is clean, four deficiencies total, none at harm level, none abuse-related, with a survey completed at the end of 2025. For a 51-bed nonprofit home, low turnover and a recent, unremarkable inspection matter more than a few minutes of weekday staffing. Ask about weekend coverage anyway.

B

82/100

Saint Teresa Rehabilitation & Nursing Center

Manchester, NH · Hillsborough County

CMS 2/551 bedsNon-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
47%
Serious cites
0

Saint Teresa Rehabilitation & Nursing Center runs on 4.01 nurse hours per resident day, a bit above the national average, and that staffing shows up in its above-average rating there. The catch is weekends, when coverage drops roughly 12% below what the home staffs during the week, worth asking about if your family tends to visit Saturday or Sunday. Its record carries 15 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy. Staff turnover sits at 47.4%, slightly worse than the national figure, which matters for how well residents are known. The last inspection was April 2026, so the picture is current.

B

80/100

Laconia Rehabilitation Center

Laconia, NH · Belknap County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
28%
Serious cites
0

Laconia Rehabilitation Center runs 120 beds under corporate ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.65 hours per resident day, roughly 6% under the national average, and weekends drop about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 28.4% against a national 45.8% means aides and nurses here tend to stay. The inspection record is more uneven: 21 deficiencies on file, including one at the harm level and one tied to abuse, plus a single $7,901 fine. The most recent inspection was May 2025, so the picture is current.

B

80/100

Warde Health Center

Windham, NH · Rockingham County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
47%
Serious cites
0

Warde Health Center is a small nonprofit home in Windham, 32 beds, and its inspection record is the strongest thing it has going. Three deficiencies on file, none of them causing harm or involving abuse, and a five-star health inspection rating from CMS. Staffing sits at 4.42 nurse hours per resident day, roughly 14% above the national average, though weekends run about 8% thinner than weekdays, so ask how that gap gets covered. Turnover is 46.7%, just a hair above the national 45.8%, not alarming, but worth asking about. Quality measures land mid-range at three stars. With a March 2026 inspection, the record is recent.

B

78.5/100

Langdon Place Of Dover

Dover, NH · Strafford County

CMS 5/530 bedsFor-profitMedicaid
Nurse hours
5.62 /day
Staff turnover
56%
Serious cites
0

Langdon Place Of Dover runs a small house, 30 beds, and staffs it well above what most homes manage, at 5.62 nurse hours per resident day against a national average of 3.86. That staffing cushion is the main thing working in its favor. The tradeoffs show up elsewhere: weekend coverage drops roughly 18% below weekday levels, and turnover sits at 55.6%, meaning more than half the nursing staff leaves within a year. Six deficiencies on record, none involving harm or abuse, and a recent February 2025 inspection. The care hours are real; the question is whether they hold steady when weekends and turnover test them.

B

77.5/100

Applewood Center

Winchester, NH · Cheshire County

CMS 5/572 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
36%
Serious cites
0

Applewood Center runs lean on nursing hours, 3.53 per resident day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage. That gap matters most when families visit on Saturdays and Sundays. What offsets it: staff turnover of 35.8% is well below the national 45.8%, so the people caring for residents tend to stay. The inspection record is clean where it counts, seven deficiencies on file, none at the harm level, none abuse-related, and the most recent inspection was June 2026. A 72-bed for-profit with steady staff and no serious citations, but you'll want to ask how weekend coverage actually looks on the floor.

B

77/100

Bedford Hills Center

Bedford, NH · Hillsborough County

CMS 4/5147 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
27%
Serious cites
0

Bedford Hills Center runs 147 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is the bright spot: 27.4% against a national 45.8% means aides and nurses here tend to stay, which matters for familiarity and consistency of care. The inspection record is decent, a 4/5 health inspection star, most recently surveyed August 2025, with 8 deficiencies total, one at harm level and none abuse-related, plus a single fine of $16,452. The staffing hours are what hold the overall picture back.

B

77/100

Mineral Springs

North Conway, NH · Carroll County

CMS 2/587 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
40%
Serious cites
0

Mineral Springs has 87 certified beds in North Conway, run by a for-profit limited liability company. Its staffing is the bright spot: 4.05 nurse hours per resident day, about 5% above the national average, and a 40% turnover rate that actually beats the 45.8% national figure. Weekends run roughly 9% thinner than weekdays, so coverage isn't perfectly even. The inspection record is the harder read. CMS gives it 2 out of 5 health inspection stars and 2 out of 5 on quality measures, with 27 deficiencies currently on file, one at harm or jeopardy level, two tied to abuse. Two fines total $32,148, and the last inspection was August 7, 2025. Strong staffing, rough survey history.

B

76/100

Dover Center For Health & Rehabilitation

Dover, NH · Strafford County

CMS 4/5112 bedsFor-profitMedicaid
Nurse hours
3.31 /day
Staff turnover
45%
Serious cites
0

Dover Center runs on thinner nurse coverage than most homes, 3.31 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. Staff turnover sits at 44.9%, right in line with the national figure, so retention isn't the standout problem here. What stands out is the inspection record: 15 deficiencies, one tied to abuse, though none reached the level of actual harm or jeopardy, and the most recent state visit was in May 2025. The quality measures score well, but quality numbers come from resident assessments, not from how the place is run day to day. For-profit ownership under an LLC, and a two-out-of-five inspection rating, are the parts I'd ask about directly.

B

76/100

Saint Ann Rehabilitation And Nursing Center

Dover, NH · Strafford County

CMS 4/554 bedsNon-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
61%
Serious cites
0

Saint Ann Rehabilitation And Nursing Center runs about 4.25 nurse hours per resident per day, roughly 10% above the national average, though weekend coverage dips about 10% below its own weekday level. The trade-off shows up in retention: annual staff turnover is 60.5%, well above the 45.8% national figure, so residents likely see a rotating cast of caregivers. Inspections look solid, a 4/5 health inspection rating, six deficiencies on record, none at harm or jeopardy level, and one abuse-related finding. The quality measure rating sits at 2/5, which is where the home's numbers thin out. Nonprofit ownership and a recent March 2026 inspection round out the picture. Strong staffing on paper, shaky consistency in practice.

B

76/100

Country Village Center, Genesis Healthcare

Lancaster, NH · Coos County

CMS 4/586 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
30%
Serious cites
0

Country Village Center runs on about 3.19 nurse hours per resident each day, roughly 17% under the national average of 3.86, and weekends dip another 9% below its own weekday numbers. That's the tradeoff you're weighing against a record that's otherwise fairly clean: ten deficiencies on file, none at the harm or jeopardy level, nothing abuse-related, and an inspection that's recent as of September 2025. Staff turnover sits at 30%, well under the national 45.8%, which suggests the people who are there tend to stay. Genesis operates it as a for-profit LLC. Ask how they cover a weekend callout.

B

75/100

Crestwood Center

Milford, NH · Hillsborough County

CMS 4/582 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
43%
Serious cites
0

Crestwood Center runs 82 certified beds in Milford under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.37 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, and weekends dip roughly another 13 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 43.1 percent actually edges below the 45.8 percent national figure, which is one genuinely encouraging sign. Inspections are recent, from December 2025, but the record carries 13 deficiencies, including one at the harm level and one abuse-related, plus a $15,646 fine. Quality measures score well; the staffing and inspection side is where the concern sits.

B

74/100

Keene Center, Genesis Healthcare

Keene, NH · Cheshire County

CMS 3/5106 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
34%
Serious cites
0

Keene Center runs about 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekends dip another 13% below its own weekdays. That's the number I'd watch: less coverage on Saturdays and Sundays is when falls and medication issues tend to surface. Turnover sits at 33.8%, better than the 45.8% national figure, so the crew is relatively stable even if it's thin. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2026. Corporate for-profit ownership, mid-range marks on inspections, quality measures, and staffing alike. Nothing alarming here, but the staffing math is the thing to ask about directly.

B

72/100

Pheasant Wood Center

Peterborough, NH · Hillsborough County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
36%
Serious cites
0

Pheasant Wood Center runs 99 certified beds in Peterborough under corporate for-profit ownership, and the staffing numbers are where your attention should go first. At 3.25 nurse hours per resident day, it sits roughly 16 percent under the national average of 3.86, and weekends dip another 10 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 35.8 percent against a national 45.8 percent, meaning aides and nurses stick around longer than is typical. The inspection record shows 21 deficiencies, none at harm or jeopardy level, but two tied to abuse, and CMS rated the last inspection two stars. Quality measures scored well; staffing and inspections did not.

B

71/100

Edgewood Centre (The)

Portsmouth, NH · Rockingham County

CMS 3/5156 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
46%
Serious cites
0

Edgewood Centre runs 156 certified beds in Portsmouth under for-profit corporate ownership, and its nurse staffing sits at 3.46 hours per resident day, roughly 10 percent under the national average of 3.86. Weekends dip about 6 percent below the home's own weekday levels, so coverage thins out right when families tend to visit. Staff turnover lands at 46.2 percent, essentially matching the national rate of 45.8 percent, meaning nearly half the nursing team turns over in a year. The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Federal ratings put staffing at 2 out of 5 stars, with inspection and quality measures at 3 each.

Frequently asked questions

How many chain-owned nursing homes are there in New Hampshire?
There are 33 chain-owned Medicare-certified nursing homes in New Hampshire, 45% of the 73 nursing homes there.
Are chain-owned nursing homes better staffed?
In New Hampshire they average 3.66 total nursing hours per resident per day, against 3.9 for all nursing homes in New Hampshire, a difference of -0.24 hours. Staff turnover averages 42.8% against 44.1%.
Which chain-owned nursing home grades best in New Hampshire?
Langdon Place Of Keene in Keene, NH, grade A, 88 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 33 graded chain-owned homes in New Hampshire, 6 grade A and 2 grade D or F.
Do chain-owned nursing homes in New Hampshire accept Medicaid?
32 of the 33 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in New Hampshire