21st
OVERALL STATE RANK
Assisted living in New Hampshire costs an average of $6,387 per month, according to A Place for Mom’s proprietary data. These communities offer a supportive, socially engaging environment while helping residents with activities of daily living, including bathing, grooming, and toileting. Seniors can maintain their independence with personalized care tailored to their needs. From the historic capital city of Concord to the scenic river town of Berlin, New Hampshire combines small-town charm with striking natural landscapes. With its mountain views, quiet communities, and relaxed pace of life, the Granite State offers an appealing setting for older adults seeking both support and connection.
State scorecard
How we determine rankings
Our 2023 state ranking for assisted living uses A Place for Mom’s proprietary data collected from our community partners. First, we sorted through our metrics and grouped them into three pillars that are key in a quality assisted living experience. We weighted these pillars differently based on insights from our senior living experts. Then, we used these categories and their weighting to determine how each state ranks.
Top ranked New Hampshire cities for assisted living overall
Key findings
Top ranked New Hampshire cities - Services & Amenities
Key findings
New Hampshire vs. the national monthly median cost of assisted living
Top ranked New Hampshire cities - Affordability
Key findings
Top ranked New Hampshire cities - Ratings
my mother was there from [dates removed] when she passed. My mother had alzheimers and when I could no longer care for her in my home I choose Carriage Hill. They from the beginning till the end cared for...
When I first went there I was impressed with how clean and bright it is. The apartment I chose for my father is a nice sized one bedroom. Staff have all been helpful and friendly. My father really likes the...
Staff who know the residents and genuinely care. Good communication. Programs that engage the residents. Especially live music a few times a month. My husband sang every song. Staff has ability to calmly...
The physical environment is very inviting. There are always activities scheduled for various levels of participation. Everyone is very friendly and approachable. My mother was on hospice and I was very...
When I first went there I was impressed with how clean and bright it is. The apartment I chose for my father is a nice sized one bedroom. Staff have all been helpful and friendly. My father really likes the...
Staff who know the residents and genuinely care. Good communication. Programs that engage the residents. Especially live music a few times a month. My husband sang every song. Staff has ability to calmly...
When I first went there I was impressed with how clean and bright it is. The apartment I chose for my father is a nice sized one bedroom. Staff have all been helpful and friendly. My father really likes the...
Staff who know the residents and genuinely care. Good communication. Programs that engage the residents. Especially live music a few times a month. My husband sang every song. Staff has ability to calmly...
My Mom (92 years old with long term dementia, wheelchair) has spent the past year in "The Harbor", the secure Memory Care Unit at Nashua Crossings. It has been the best experience for both of us! Mom is...
Staff who know the residents and genuinely care. Good communication. Programs that engage the residents. Especially live music a few times a month. My husband sang every song. Staff has ability to calmly...
The physical environment is very inviting. There are always activities scheduled for various levels of participation. Everyone is very friendly and approachable. My mother was on hospice and I was very...
Overall a 4. Staff is friendly, compassionate, and very accommodating. Not sure about activities as my brother wasn't able to physically participate. Sometimes I would have to mention that he was in need of...
The nurses and activities coordinator are fantastic, as are the kitchen staff. There is something for residents to do every day, and there are so many opportunities for residents to socialize and make...
My loved one is currently a resident at Wentworth Home and everything about the experience has been great so far. This facility has been great. We're very happy with Wentworth Home. I would recommend this...
The average monthly base room and board cost in New Hampshire is $6,387, or about $76,644 per year, according to A Place for Mom’s proprietary data. That’s about $1,600 more expensive than the national monthly average cost. Many factors can affect the total cost of assisted living, such as room size and layout, location, and level of care needs.
Compared with other New England states, Rhode Island offers more than $1,100 in savings per month for assisted living. Costs in Vermont are also lower than those in New Hampshire, while those in Massachusetts and Maine are higher. Around the state, the state’s largest city, Manchester, has some of the highest costs for assisted living, while Berlin has some of the lowest rates.
Independent living, for seniors who can live alone, can save seniors and their families $925 per month, depending on location, amenities, and apartment size.
Read more:Assisted Living vs. Independent Living: What’s the Difference?
Average monthly costs
New Hampshire
US National average
Average monthly costs
Average monthly costs
Average monthly costs
| Community type | New Hampshire | U.S. | Cost difference |
|---|---|---|---|
| Assisted Living | $6,415/mo | $4,759/mo | 34.8% above national median |
| Memory Care | $6,479/mo | $5,024/mo | 29.0% above national median |
| Independent Living | $5,473/mo | $4,219/mo | 29.7% above national median |
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It’s common for seniors in assisted living to use both private and public payment methods to cover their monthly costs. Because costs and eligibility can vary widely, it’s best to plan early to understand which payment options apply to your loved one’s situation. For an in-depth look at different payment options, visit our complete guide to paying for long-term care.
Most families in New Hampshire rely on personal assets to cover the cost of assisted living, such as personal savings, retirement funds, Social Security benefits, and home equity. Long-term care insurance is also an option, but the policy needs to be in place before care is needed.
If your loved one or their spouse is a veteran, they may be eligible for benefits from the United States Department of Veterans Affairs (VA) that can offset the cost of assisted living. Seniors who are unsure of their eligibility or the process of applying for benefits should contact an accredited benefits counselor. The New Hampshire Department of Military Affairs and Veterans Services makes veterans service officers (VSO) available throughout the state. Find a local office or call 603-624-9230.
Medicaid is jointly funded by federal and state governments and is designed to support people who have low incomes. In New Hampshire, the Medicaid program is also referred to as Medical Assistance. While Medical Assistance won’t cover the cost of room and board in assisted living, it can help pay for some health and personal care services that a senior might use.
For eligible seniors in New Hampshire, the state’s regular medical plan, also called Old Age Assistance (OAA), covers services such as physical, occupational, and speech therapy, medical transportation, personal care services, vision care, and more.[02] OAA is an entitlement program, meaning that all eligible residents will receive services. Services covered by the Choices for Independence (CFI) waiver include but aren’t limited to non-medical transportation, skilled nursing services, and adult medical day services.[03] This program is not an entitlement, so availability may be limited and your loved one may be put on a waitlist.
If you or your loved one has questions about New Hampshire’s Medicaid programs, you can contact a local office of the Department of Health and Human Services, or call 844-275-3447.
Medicare is a federal health insurance program for seniors 65 and older and younger people who have certain conditions. Medicare can help lower a senior’s overall assisted living costs by covering the medically necessary aspects of care. It won’t, however, pay for custodial costs such as room and board.[04]
New Hampshire offers Medicare Support Services through county-based Aging and Disability Resource Centers (ADRC). Trained counselors provide free, unbiased, and personalized insurance counseling. Find a local office or call 866-634-9412 for help with understanding Medicare’s benefits and the application process.
Assisted living communities in New Hampshire are licensed through the Department of Health and Human Services’ Health Facilities Administration, and there are two types of licenses for assisted living:[05]
Both types of communities must be inspected before they may be licensed and again on an annual basis when renewing their license.
Use the New Hampshire online business license and profession tool to find the license status of an ALR-RC. For the license status of ALR-SRCs, and for the inspection or survey results for both ALR-RCs and ALR-SRCs, request a copy of a community’s most recent license and report.
Another resource is the Centers for Medicare and Medicaid Services Care Compare tool. If an assisted living facility is part of a larger campus that also includes a nursing home, information about how well the nursing home performs against national care and facility standards can give you an idea of how other levels of care are managed within the facility.
State regulations — and a community’s track record with inspections and licensing — offer important insights into safety and quality of care in senior living communities.
Download the Guide to Senior Living Licensure and Inspection Reports to learn what to look for in inspection reports and what questions to ask when touring communities. This resource explains how to use state licensure and inspection information to evaluate a community’s compliance, care standards, and responsiveness to issues.
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
A Place for Mom. (2026). A Place for Mom proprietary data.
New Hampshire Department of Health & Human Services. Medicaid.
New Hampshire Department of Health & Human Services. Medicaid.
U.S. Centers for Medicare and Medicaid Services. Get started with Medicare. Medicare.gov.
New Hampshire Code of Administrative Affairs. Chapter He-P 800. Residential Care and Health Facility Rules.
U.S. Health and Human Services. (2004). New Hampshire Supported Residential Care Facilities, Chapter He-P 805 and Residential Care Home Facilities, Chapter He-P-804.
Overview of assisted living in NH
The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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