New Hampshire is home to 749 senior living communities, including 395 that offer assisted living services. Whether you're researching options for a parent, spouse, or yourself, this guide breaks down what assisted living looks like across New Hampshire — with real data from our database of 749 communities, quality scores, and city-by-city options to help you make an informed decision.
What Is Assisted Living?
Assisted living communities provide a supportive environment for seniors who need help with daily activities — bathing, dressing, medication management, and meals — but don't require the round-the-clock medical supervision of a skilled nursing facility. Residents typically have their own apartment or suite with access to communal dining, social activities, and on-site staff available 24/7.
In New Hampshire, assisted living is one of the most common senior care options, with 395 communities spread across the state.
Tell CARA the city, care level, and budget — she'll shortlist matching Florida communities for free.
Assisted Living in New Hampshire by the Numbers
- 749 total senior living communities statewide
- 395 offer assisted living services
- 162 offer memory care programs
- 403 offer independent living
- 117 offer skilled nursing care
- 2.6 average CARES quality score (out of 10)
How Much Does Assisted Living Cost in New Hampshire?
Assisted living costs in New Hampshire vary based on location, amenities, and care level. Nationally, assisted living averages $4,500 to $5,500 per month. Urban areas tend to be higher, while smaller cities and rural communities may offer more affordable options.
For specific pricing, use our search tool to compare communities in your preferred area of New Hampshire.
Top Cities for Assisted Living in New Hampshire
These cities have the highest number of senior living options in New Hampshire:
- Manchester — 52 communities
- Nashua — 48 communities
- Concord — 32 communities
- Bedford — 29 communities
- Berlin — 27 communities
- Keene — 24 communities
- Dover — 23 communities
- Portsmouth — 23 communities
- Rochester — 19 communities
- Wolfeboro — 15 communities
Each city page shows detailed profiles, quality scores, photos, and pricing for every community in that area.
How We Evaluate Quality: CARES Scores
Unlike paid-placement directories that rank communities by advertising spend, Senior Community Stars uses CARES quality scores — an independent rating system that evaluates communities across five dimensions:
- Care Quality — staff responsiveness, resident satisfaction, care plans
- Dining — meal quality, menu variety, dietary accommodations
- Social Life — activities, outings, community engagement
- Amenities — fitness centers, salons, outdoor spaces, transportation
- Facilities — cleanliness, maintenance, safety features, accessibility
Top-Rated Communities in New Hampshire
- Silver Maples Residential Care (Claremont) — CARES Score: 10.0/10
- Hillside Village (Assisted Living And Memory Care) (Keene) — CARES Score: 6.3/10
- Riverwoods At Exeter (Exeter) — CARES Score: 6.2/10
- Beaver Lake Lodge Assisted Living (Derry) — CARES Score: 6.1/10
- Presidential Oaks I (Concord) — CARES Score: 6.1/10
What to Look for When Choosing Assisted Living
Finding the right community is about more than price. Here's what matters most:
- Staff-to-resident ratio — More staff means more personalized attention and faster response times
- Individualized care plans — The best communities create and regularly update personalized care plans
- Activities and social programs — Social isolation is one of the biggest risks for seniors; look for robust activity calendars
- Location — Proximity to family, medical facilities, and familiar surroundings helps with the transition
- Transparent pricing — Ask about base rates vs. tiered care fees; some communities are all-inclusive while others charge separately for each service
- Licensing and inspections — New Hampshire requires assisted living communities to maintain state licenses; ask about recent inspection reports
How to Pay for Assisted Living in New Hampshire
Most families use a combination of funding sources:
- Private pay — Personal savings, retirement income, Social Security, pension
- Long-term care insurance — Covers assisted living if the policy was purchased before care was needed
- Veterans benefits — The VA Aid & Attendance benefit provides up to $2,431/month for qualifying veterans or surviving spouses
- Medicaid waivers — New Hampshire's Medicaid program may cover some assisted living services through Home and Community-Based Services (HCBS) waivers; availability and waitlists vary by county
- Home equity — Selling a family home or taking a reverse mortgage can fund the transition to community living
- Life insurance conversion — Some policies can be converted to long-term care benefits
Find Assisted Living in New Hampshire
Senior Community Stars has 395 assisted living communities across New Hampshire with detailed profiles, CARES quality scores, photos, and pricing.
- Browse all senior living in New Hampshire
- Chat with CARA — our AI assistant helps you find communities that match your needs, budget, and preferred location
- Senior living costs in New Hampshire — detailed cost breakdown by care type
- Memory care in New Hampshire — if your loved one needs dementia-specific care
Frequently asked
How many assisted living communities are in New Hampshire?
New Hampshire has 395 assisted living communities listed on Senior Community Stars, part of 749 total senior living options statewide.
What is the average cost of assisted living in New Hampshire?
Assisted living costs in New Hampshire typically range from $3,000 to $7,000 per month depending on location, room type, and care level. Use our search tool to compare specific community pricing.
Does New Hampshire Medicaid cover assisted living?
New Hampshire's Medicaid program may partially cover assisted living through Home and Community-Based Services (HCBS) waivers. Eligibility requirements, covered services, and waitlist times vary. Contact your local Area Agency on Aging for current details.
What is a CARES quality score?
CARES is Senior Community Stars' independent quality rating system that scores communities on a 1-10 scale across five categories: care quality, dining, social life, amenities, and facilities. Unlike paid directories, CARES scores are based on data analysis — not advertising spend.