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New Hampshire Assisted Living Facilities

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New Hampshire assisted living facilities are listed by city below. We recommend you search by ZIP code to include nearby facilities. However, you may choose a city to view all assisted living options in that area.


Cost of New Hampshire Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in New Hampshire is $5,103 per month.

The monthly base rate for New Hampshire assisted living is typically higher when compared to neighboring states. New Hampshire is also more expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in New Hampshire. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States

New Hampshire$5,103

Assisted Living Regulations

New Hampshire has two types of assisted living facilities. The first, Assisted Living Residence - Supported Residential Health Care (ALR-SRHC) provides food, shelter, supervision and protective oversight for adults who cannot live independently. These facilities are community based long term care residences. Some nursing care and medical oversight is usually provided. The second, Assisted Living Residence - Residential Care (ALR-RC) is another community based long term care residence for adults who cannot live on their own. However, the support offered not related to healthcare at all.

New Hampshire Assisted Living Facilities Scope of Care

In an ALR-SRHC facility, the staff may provide: - protective services, - supervision of activities of daily living (ADLs), - nutrition support - medication administration, - nursing care - short-term rehabilitation services. In an ALR-RC facility, the staff may provide: - supervision of ADLs, - nutrition support, - medication oversight

New Hampshire Assisted Living Admission Requirements

Residents of ALR-SRHC facilities must be able to evacuate in case of an emergency and their needs must be able to be met by the facility. Residents of an ALR-RC facility cannot need nursing care and can only need assistance with personal care. If their situation changes and nursing care is needed, then they will be transferred to an ALR-SRHC facility. They must be able to safely self-evacuate in case of an emergency.

New Hampshire Assisted Living Care Plan Requirements

Residents' needs are assessed upon admission using the state's standard resident assessment tool that can be obtained by calling (603) 271-3021

New Hampshire Assisted Living Medication Management Requirements

In both types of facilities, self-administration of medication is allowed, and licensed staff are allowed to administer medication as well.

New Hampshire Assisted Living Facility Requirements

No more than two residents per living unit are allowed, and there must be one full bathroom for every six residents. The rules for living space vary by type of facility, and the date the facility was licensed, but in general, a single unit must have 80-100 square feet of living space, while a double occupancy unit must have 70-80 square feet of living space per person.

New Hampshire Assisted Living Staffing Requirements

All direct care staff must be at least 18 years old, and receive adequate training on the facility and for the job responsibilities. Depending on the size and type of assisting living facility, the training requirements for an administrator vary widely. However, all administrators must be at least 21 years old, have a high school diploma, and not convicted of a felony.

New Hampshire Assisted Living Medicaid Policy

Assisted living services are covered by a Medicaid home and community-based services waiver.

New Hampshire Alzheimer's Unit Requirements

Facilities must meet the needs of residents it has accepted into the facility. As such, staff must be trained to assist all residents. Locked buildings are not permitted for ALR-RC facilities.

New Hampshire Medicaid Coverage of Assisted Living and Related Services

The State of New Hampshire pays for assisted living through the Choices for Independence Medicaid program. It is designed to help adults with chronic illnesses and the elderly who are eligible for nursing home placement but chooses to remain living in the community or at home. The waiver is includes many types of non-nursing home care such as Assisted Living, Residential Care Homes, Adult Foster Care and other types of Supportive Housing.

The choices for independence include self-directed care, allowing them to select the care service providers.

Services offered by New Hampshire Choices for Independence

- Adult Family Care

- Assistive Technology

- Case Management

- Chore Services

- Community Transition Assistance

- Environmental Accessibility for Homes and Vehicles

- Home Delivered Meals

- Home Health Services

- Homemaker Provides

- In-Home Care

- Meal Preparation

- Medical Day Services

- Personal Care Assistance

- Personal Emergency Response Service

- Residential Care

- Respite Care for the Caregiver

- Shared Housing

- Specialized Durable Medical Equipment

How to apply - the waiver is available across New Hampshire and administered by NH Health and Human Services, Division of Community Based Care Services, Bureau of Elderly and Adult Services (BEAS). As of June 2013, there are no waiting lists for services. To apply, call toll-free at 1-866-634-9412.

Download the complete user guide.

What is the best number to call to get started? 1-603-225-4153 or call the Department of Health and Human Services 1-800-852-3345 or 1-866-634-9412.

Is there a website?

What services are available to people living in the family home? People living in the family home are eligible for services such as respite care and service coordination.

Does New Hampshire State offer community group homes? New Hampshire offers Residential Services. Assisted living, group home, and Micro-Community are options.

Department of Health and Human Services, Office of Operations Support, Health Facilities Administration Phone (603) 271-4592

Contact: John Martin Phone (603) 271-9256


Web Site:

New Hampshire Contacts

New Hampshire Department of Health and Human Services, Office of Operations Support, Health Facilities Administration

Phone: (603) 271-4592

John Martin
Phone: (603) 271-5321

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: New Hampshire Department of Health and Human Services

New Hampshire Assisted Living Facilities by City