The 10 Worst Nursing Homes in New Hampshire

  Worst Nursing Homes in New Hampshire By City

Every city in New Hampshire has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Nashua

• Premier Rehab and Healthcare (42.667)
• Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2024-11-29)
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (2024-11-27)
• Courville at Nashua (23.333)
• Conduct testing and exercise requirements. (2024-06-21)
• Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2024-06-13)

Worst Nursing Homes in Manchester

• Landmark of Laurel Creek Rehabilitation and Nursin (86.167)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-02-15)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-02-15)
• Westside Care Center (59.833)
• Install corridor and hallway doors that block smoke. (2025-01-10)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-12-18)
• Legacy Health and Rehab (56)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-05-25)
• Provide emergency officials' contact information. (2024-05-25)
• Autumn Lake Healthcare at Long View (50.667)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-06-10)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-06-10)
• Touchpoints at Manchester (48.667)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-09-05)
• Honor the resident's right to organize and participate in resident/family groups in the facility. (2023-09-05)
• Good Neighbor Home (31.333)
• Have an enclosure around a vertical opening shaft. (2024-10-07)
• Install emergency lighting that can last at least 1 1/2 hours. (2024-09-20)
• Courville at Manchester (30.667)
• Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2025-02-10)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-02-10)
• Hanover Hill Health Care Center (29.333)
• Properly select, install, inspect, or maintain portable fire extinguishes. (2025-01-31)
• Inspect, test, and maintain automatic sprinkler systems. (2025-01-31)
• Manchester Center For Rehabilitation and Healing L (26)
• Respond appropriately to all alleged violations. (2023-01-20)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2023-01-20)
• Aristacare at Manchester (22.667)
• Have elevators that firefighters can control in the event of a fire. (2024-06-21)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-06-11)

Worst Nursing Homes in Dover

• Country Club Center I (164)
• Reasonably accommodate the needs and preferences of each resident. (2024-12-24)
• Provide and implement an infection prevention and control program. (2024-12-24)
• Hennis Care Centre of Dover (141.667)
• Inspect, test, and maintain automatic sprinkler systems. (2025-03-15)
• Keep all essential equipment working safely. (2025-03-15)
• Excel Care at Dover (113.667)
• Have approved installation, maintenance and testing program for fire alarm systems. (2024-08-16)
• Provide at least two remote exits on each floor or fire section of the building. (2024-08-16)
• New Dawn Rehabilitation and Healthcare Center (100)
• Ensure medication error rates are not 5 percent or greater. (2025-03-14)
• Ensure that residents are free from significant medication errors. (2025-03-14)
• Complete Care at Silver Lake LLC (66)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2025-03-06)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-03-06)
• Cadia Rehabilitation Capitol (62)
• Reasonably accommodate the needs and preferences of each resident. (2025-01-24)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-01-24)
• Park Village Health Care Center Inc (51)
• Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2024-05-10)
• PASARR screening for Mental disorders or Intellectual Disabilities (2024-05-10)
• Westminster Village Health (46.667)
• Ensure each resident receives an accurate assessment. (2024-12-09)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-12-09)
• Bay Terrace Rehabilitation and Health Center (39.333)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-04-01)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-04-01)
• Dover Care Center (28.667)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-11-08)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-11-08)

Worst Nursing Homes in Portsmouth

• Portsmouth Health and Rehab (111.333)
• Ensure that residents are free from significant medication errors. (2024-09-19)
• Keep residents' personal and medical records private and confidential. (2021-07-05)
• Portside Health and Rehab Center (110)
• Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2025-03-03)
• Install emergency lighting that can last at least 1 1/2 hours. (2025-03-03)
• Ayden Healthcare of Rosemount Pavilion (84)
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2023-09-22)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-09-22)
• Autumn Care of Portsmouth (76)
• Have generator or other power source capable of supplying service within 10 seconds. (2022-06-03)
• Inspect, test, and maintain automatic sprinkler systems. (2022-06-03)
• Bridgeport Health Care Center (66.667)
• Ensure each resident receives an accurate assessment. (2025-02-12)
• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (2025-02-12)
• River Run Healthcare of Portsmouth (52.667)
• Properly select, install, inspect, or maintain portable fire extinguishes. (2025-03-10)
• Inspect, test, and maintain automatic sprinkler systems. (2025-03-10)
• Portsmouth Health and Rehab (34)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-05-10)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2023-11-10)
• The Edgewood Centre (23.333)
• Provide properly protected cooking facilities. (2024-04-30)
• Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2024-04-30)
• Hill View Retirement Center (20)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2024-08-27)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-08-27)
• Cedar Healthcare Center (12)
• Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. (2024-06-10)
• Provide a neutral and fair arbitration process and agree to arbitrator and venue. (2024-06-10)

Worst Nursing Homes in Concord

• Accordius Health at Concord (228.167)
• Ensure electrical receptacles or cover plates have distinctive color or marking. (2025-02-06)
• Use approved construction type or materials. (2025-02-06)
• Cabarrus Health and Rehabilitation (139.667)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-01-28)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-12-12)
• Five Oaks Rehabilitation and Care Center (120.5)
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2025-03-25)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2025-03-25)
• Willow Pass Healthcare Center (114)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-08-09)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-05-30)
• Pleasant View Center (92.333)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-04-02)
• Ensure services provided by the nursing facility meet professional standards of quality. (2025-04-01)
• Stonebrook Healthcare Center (65.333)
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2025-01-17)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-09-09)
• Concord Post Acute (63.333)
• Install corridor and hallway doors that block smoke. (2024-03-09)
• Use approved construction type or materials. (2024-03-09)
• Diablo Valley Post Acute (44)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-02-14)
• Provide and implement an infection prevention and control program. (2025-02-14)
• Harris Hill Center, Genesis Healthcare (40.667)
• Provide and implement an infection prevention and control program. (2024-05-29)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-04-11)
• Bayberry Skilled Nursing and Healthcare Center (38.667)
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2024-07-28)
• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (2024-07-28)

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in New Hampshire
• Analysis of Nursing Homes in New Hampshire

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in New Hampshire:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  How We Compile Nursing Home Ratings in New Hampshire

Every month, we rank all of the skilled nursing facilities in New Hampshire. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in New Hampshire is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates New Hampshire nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

• Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
• Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
• Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
• Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in New Hampshire nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!