Top Ranked Assisted Living Facilities in New Hampshire

There are 58 assisted living facilities in NH and the median cost of care is $6,053. The average rating of assisted living facilities in New Hampshire is 3.88 out of 5 stars and the top ranked facility is Ledgewood Bay.

Senior Housing and Assisted Living in New Hampshire

Assisted Living Facilities (ALFs)

When a loved one can no longer live independently, an assisted living provider can be a good option.  Assisted living residences are for residents who would like to, and can, maintain some independence but need help with meals, housekeeping, and some of the activities of daily living (ADLs), such as showering, getting dressed, or personal hygiene.

Assisted living residences offer a residential environment and provide personal care, 24-hour supervision and assistance activities, and health-related services.  The purpose is to reduce the need to relocate and provide for the needs of the residents and encourage family and community involvement.

Independent Living Communities

Independent living communities are a good housing option for seniors who can still live independently but want to downsize. Each resident or couple lives in a private unit, and most communities offer social programs so residents can meet their neighbors. Housekeeping, chores, and some meals may be provided, although these may incur an additional cost. Unlike the care given in an assisted living community, assistance with activities of daily living and medication management aren't available in these communities. 

Nursing Homes

Nursing homes offer the highest level of care of all senior living options. These communities provide around-the-clock supervision and skilled nursing care, and available medical help. Generally, people in nursing homes have complex medical issues or need more residential care than is offered in an assisted living facility. New Hampshire has skilled nursing facilities (SNF) for people who require 24-hour care and intermediate care facilities (ICF) for people who don’t need as much medical care. Theaverage cost of nursing home carein the state is $10,950 for a semi-private room and $12,015 for a private room.

Continuing Care Retirement Communities (CCRCs)

Many seniors prefer to choose a community that will continue to meet their needs in the future. Often, CCRCs are bigger than ACHs, as they encompass more care options. Continuing care retirement communities have independent living, assisted living, and nursing home facilities on the same property or owned by the same community. This model allows seniors to stay near their friends in familiar surroundings, even as their needs change. The care provided in the assisted living section is the same as in an assisted living community. The difference is that residents can quickly move to a skilled nursing room if required. 

Supportive Housing

Supportive Housing facilities are residential facilities designed for older adults or persons with disabilities who cannot live independently with a focus on the homeless.  These individuals need help with toileting, bathing, dressing, medication management and administration, assistance with meals and housekeeping, and other activities of daily living.  These individuals do not need regular nursing care.  Several housing options range from living in a facility to residents living in their own home or apartment, with community-based support services.

In-Home Care

There are two types of in-home care available in New Hampshire: homemaker services and home healthcare. Homemaker services generally provide personal care and may also help with errands, chores, and housekeeping. Home healthcare can deliver these services and offer medical care such as skilled nursing and medication management. Unlike assisted living care, in-home care is provided to people in their homes, making it a good choice for those who prefer to age in place. It doesn’t give seniors access to social and recreational programming for assisted living communities.The average cost of homemaker services is $6,006, and the average cost for home health aides is $6,197 per month.

Largest Providers Of Assisted Living In New Hampshire

There are around 100 licensed assisted living facilities with 4,800 beds in New Hampshire.  The largest provider of assisted living in the US, Brookdale, has one community in New Hampshire and Langdon Place has four communities in the state.

Cost Of Assisted Living Care In New Hampshire

Theaverage cost of assisted living carein New Hampshire is $6,053 per month. This is $1,553 higher than the national average of $4,500 per month.The cost of living in New Hampshire is 5.4% higher than the national average with healthcare costs nearly 12.3% lower and housing costs 18.6% more than the national average. The exact price of care differs depending on where in the state you’re located. In the capital of Manchester, you could expect to pay more than the state average.  In Manchester, the average cost of assisted living is $8,061.

How Costs Compare In Nearby States

If you live close to one of New Hampshire’s borders, you may find assisted living in a neighboring state is an affordable option.  Two of New Hampshire’s neighbors have a lower average cost for assisted living.  Maine and Vermont have average costs of $5,865 and $5,250, while Massachusetts has a lower average cost of $6,500. 

Paying For Assisted Living Care In New Hampshire

The average cost of assisted living in New Hampshire is around $72,000 per year, so you or a family member may be wondering how to pay for care. A range of options is available to fund senior housing in the state. 

Private Funds

Selling a home is a common way for seniors to raise funds for assisted living care. Income from pensions and Social Security may also pay for some care. Other examples of private funds include your retirement accounts, mutual funds, and other investments.

Long-Term Care Insurance

Long-term care insurance covers personal care, residential care, and other long-term support and services. Each plan is different; however, most offer a daily amount based on the policy that pays for assistance with activities of daily living. Most people buy a policy in their 50s or 60s and access it when required. If you or your family member has a policy, read it carefully to see what care it covers. 

Programs For Veterans

New Hampshire hasone Veterans Homein the state, in Tilton. This home provides skilled nursing care to residents of New Hampshire who served in the military. The state’s Department of Military and Veterans Affairs also has offices where team members can help people obtain benefits and services. This includes theAid and AttendanceBenefit, which can help qualified veterans fund personal care. 

Elderlife Financial can help you understandhow to pay for assisted living.

What Is Included With Assisted Living Care In New Hampshire?

The services provided in assisted living communities generally come under three broad categories: personal care, medical care, and amenities. 

Most people move to assisted living communities because they look for easy access to personal care. These services assist with activities of daily living, such as bathing, dressing, walking, and toileting. Communities also provide supervision and can deliver care for unforeseen needs or in cases of emergencies.  

In New Hampshire, ACHs must provide care and services in the resident’s care plan. This can include coordinating medical care and appointments. Communities may also deliver health services, with 68% of communities providing skilled nursing. Many have healthcare specialists and on-site services, with 63% of communities offering dental care. In addition, 67% of ACHs have hospice services.

ACHs may provide specialized care for people diagnosed with Alzheimer's disease or other forms of dementia. These special care units have additional security measures to ensure residents don't wander, a common symptom of Alzheimer's disease. Typically, they also offer programs designed to improve cognitive function and routines that help lower stress.

Mental health issues are a growing consideration for communities, and services to address these concerns are becoming more common. In New Hampshire, 89% of communities conduct depression screening, and 70% offer mental health counseling. Social work programs are also found in 48% of ACHs. Social workers can provide counseling, conduct assessments, and help ensure residents access all their resources.

Amenities refer to other features and services of the community. ACHs offer three meals a day and coordinate activity programs to help residents stay active and connected with their families and the community. New Hampshire facilities must also provide transportation and laundry services and may offer housekeeping services. 

The Transition Into Assisted Living In New Hampshire

The decision to move into an assisted living community can be difficult. Generally, you'll notice changes in your loved ones that suggest they need some assistance. Signs that this environment could be beneficial include increased isolation, loss of mobility, noticeable weight loss or gain, and signs that they’re neglecting household chores. 

Your older family member may be the one to start talking about assisted living. For many seniors, moving into a home where cooking, laundry, and other chores are taken care of is appealing. For seniors who realize they need help with daily tasks, the addition of personal care may come as a relief. In New Hampshire, 12% of residents need help with eating. Other commonly used services include bed transfer (22%), toileting (28%), and walking (67%). Caregivers in ACHs help 43% of residents to dress, and 59% of residents need help bathing. 

If you think your family member would benefit from assisted living, start talking about it openly. Highlight the positives of a move, such as social activities, cooked meals, and easily accessible assistance. Some ACHs provide respite care, which may allow your family member to have a trial run. Remember, this should be a conversation, not a lecture. Stay open to their opinion. If they’re not ready to transition to assisted living, talk about the care they need to stay at home.