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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.