Here are 21 Nursing Homes in Hillsborough County, NH
Nursing homes across Hillsborough County, New Hampshire, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.