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.
Elm Wood Center runs 68 beds under corporate ownership, and its staffing is the number to sit with: 3.18 nurse hours per resident day against a national average of 3.86, roughly 18 percent below. Weekends dip about 11 percent below its own weekday coverage, and 51 percent of staff turned over in the past year, above the 45.8 percent national figure, so the people on the floor keep changing. The health inspection record shows 29 deficiencies, none at harm or jeopardy level, but one tied to abuse. State inspectors were last in on August 1, 2025. Quality measures score well; staffing and inspections don't.
Ridgewood Center runs 150 certified beds in Bedford under Genesis Healthcare, a for-profit limited liability company. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86, and weekends dip about 9% below its own weekday levels. Turnover is 38%, better than the 45.8% national figure. The inspection record is where the concern concentrates: 14 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a $15,646 fine and a 2/5 health inspection star, though the most recent inspection was in February 2026. Staffing scores 4/5 by CMS's own measure, quality measures 3/5.
Harris Hill Center runs about 12% thinner on nursing hours than the national average, and weekends get thinner still, roughly 14% below what the home staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and problems can sit longer. Annual turnover of 50.7% means more than half the nursing staff leaves each year, against a national rate near 46%. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related; the single fine totals $15,646. The last inspection was in April 2026, so the record is reasonably fresh. Corporate for-profit ownership, 85 beds, and a staffing rating reflecting those numbers.
Wolfeboro Bay Center runs 104 certified beds under for-profit LLC ownership, and its nursing hours land at 3.55 per resident day, roughly 8% under the national average of 3.86. Weekends dip about 7% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Turnover sits at 45.1%, essentially matching the national rate. The inspection record shows 20 deficiencies, none at harm or jeopardy level, though four are abuse-related, a category worth asking about directly. The last inspection was April 2026, so the record is current. CMS gives 3 stars for health inspections, 2 for quality measures, and 4 for staffing. The staffing number looks strong on paper, but the quality measure score and those abuse citations are what pull the overall picture down.
Rochester Manor runs a 108-bed operation as a for-profit LLC, and nurse staffing sits around 3.2 hours per resident day, roughly 17% below the national figure, with weekends dropping another 12% below its own weekday coverage. Turnover runs lower than the national average, which helps, but the inspection record is the real concern: 15 deficiencies, including one at the harm level and three tied to abuse. The most recent inspection came in June 2025. All three CMS star categories land at 2 out of 5. If you're weighing this one, ask specifically about weekend nurse coverage and how the abuse-related findings were resolved.
Oceanside Skilled Nursing and Rehabilitation runs 117 certified beds in Hampton under corporate for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19 percent under the national average of 3.86. Weekends drop about 13 percent below what the home itself staffs on weekdays, so coverage thins out right when families tend to visit. Turnover is the bright spot at 23.7 percent, well under the 45.8 percent national figure. What offsets that is the inspection record: 17 deficiencies, one serious enough to reach harm or jeopardy level, and a single $14,521 fine. The most recent inspection was January 29, 2026.
Jaffrey Rehabilitation and Nursing Center runs on thinner nurse staffing than most homes nationally, about 3.41 hours per resident day against a 3.86 average, and weekends dip roughly 6% below its own weekday level, so coverage is lightest exactly when families tend to visit. The inspection record is the bigger concern: 21 deficiencies, one of them abuse-related, and the most recent inspection was May 2026. Turnover at 39.7% is actually better than the 45.8% national figure, which tells you something is keeping some staff around. With 83 beds under individual for-profit ownership, this is a home where the staffing and inspection numbers deserve a hard look before you decide.
Derry Center for Rehabilitation and Healthcare runs 62 certified beds in Derry, under for-profit individual ownership. Its nurse staffing sits at 3.12 hours per resident day, roughly 19 percent under the national average of 3.86, that gap is the main thing driving its lowest CMS star rating. Weekends thin out further, about 13 percent below its own weekday level, so coverage is lightest exactly when families tend to visit.
Turnover lands at 41.5 percent, a bit better than the 45.8 percent national figure, so the people who stay appear to stick around. The home carries 12 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and its last inspection was December 11, 2025.
Nashua Post Acute Care runs 290 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86. Weekend coverage slips about 13 percent below the home's own weekday level, and annual turnover sits at 48.3 percent, higher than the 45.8 percent national figure. The inspection record shows 29 deficiencies, one tied to abuse, though none at the harm or jeopardy level. A recent inspection in November 2025 and a 1-out-of-5 health inspection rating round out the picture. Families should ask directly how the home covers weekends and what it's doing about retention.
Exeter Center runs 81 certified beds under corporate for-profit ownership, and the staffing numbers are where your attention should go first. At 3.39 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. That thinner weekend schedule matters because nurse turnover is 49.2%, higher than the 45.8% national figure, so familiar faces are harder to count on.
The inspection record shows 12 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $28,912. No abuse-related citations appear. Its last inspection was April 30, 2026, so the record is current. Nothing here is alarming on its own, but the staffing shortfall and turnover together are the pattern worth asking about directly.
The Elms Center runs on 3.02 nurse hours per resident day, well under the national figure of 3.86, and weekend coverage drops about 12% below its own weekday level. That thin staffing shows up in the numbers: 64% of staff turned over in the past year against a national 45.8%, and CMS gives the home its lowest mark, 1 star, for staffing. Inspections look steadier, a 3 for health and 3 for quality measures, with the most recent visit in February 2026, but 19 deficiencies sit on record, one serious enough to cause harm, plus a $9,770 fine. It's a for-profit LLC with 52 beds, so the question is whether staffing improves or the pattern holds.
Lebanon Center runs 110 beds under Genesis Healthcare, and the numbers tell a fairly consistent story. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86, and weekends drop about another 10% below what the home manages on weekdays. Thirty deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, along with a $72,924 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections. Annual turnover of 48.6% runs slightly above the national 45.8%. The most recent inspection was August 14, 2025.
Mountain Ridge Center runs 86 certified beds in Franklin under Genesis Healthcare, a for-profit corporation, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day it sits about 12% under the national average, and weekends dip roughly 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover of 67.5% is well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. Inspections in April 2025 turned up 16 deficiencies, one abuse-related, with a single fine of $16,702. No harm-level citations appear on the current record, but the quality measure rating of 1 out of 5 doesn't inspire confidence.
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?