Every one of the 21 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
3 of these hold the top CMS rating of five. 4 sit at one. Registered nurse cover averages 0.74 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| HOLY CROSS HEALTH CENTER | Manchester | 5 | 4 | 5 | 0.78 | 40 | $0 |
| HILLSBOROUGH COUNTY NURSING HOME | Goffstown | 5 | 3 | 5 | 0.73 | 300 | $0 |
| MAPLE LEAF HEALTH CARE CENTER | Manchester | 5 | 5 | 2 | 0.60 | 114 | $0 |
| ST JOSEPH RESIDENCE | Manchester | 4 | 3 | 5 | 1.22 | 22 | $0 |
| CRESTWOOD CENTER | Milford | 4 | 3 | 3 | 0.81 | 82 | $15,646 |
| BEDFORD HILLS CENTER | Bedford | 4 | 4 | 4 | 0.74 | 147 | $16,452 |
| MOUNT CARMEL REHABILITATION AND NURSING CENTER | Manchester | 4 | 4 | 4 | 0.66 | 122 | $0 |
| Courville at Nashua | Nashua | 4 | 3 | 2 | 0.54 | 94 | $0 |
| VILLA CREST NURSING AND RETIREMENT CENTER | Manchester | 4 | 4 | 3 | 0.49 | 126 | $0 |
| HILLSBORO HOUSE NURSING HOME | Hillsboro | 3 | 2 | 4 | 0.76 | 33 | $97,730 |
| HANOVER HILL HEALTH CARE CENTER | Manchester | 3 | 3 | 3 | 0.54 | 124 | $8,512 |
| HACKETT HILL HEALTHCARE CENTER | Manchester | 2 | 1 | 4 | 1.24 | 70 | $8,278 |
| Ridgewood Center, Genesis HealthCare | Bedford | 2 | 2 | 4 | 1.12 | 150 | $15,646 |
| COURVILLE AT MANCHESTER | Manchester | 2 | 1 | 5 | 0.92 | 76 | $35,270 |
| THE ELMS CENTER | Milford | 2 | 3 | 1 | 0.74 | 52 | $9,770 |
| SAINT TERESA REHABILITATION & NURSING CENTER | Manchester | 2 | 2 | 4 | 0.70 | 51 | $0 |
| PHEASANT WOOD CENTER | Peterborough | 2 | 2 | 2 | 0.59 | 99 | $0 |
| Nashua Post Acute Care | Nashua | 1 | 1 | 2 | 0.71 | 290 | $0 |
| FAIRVIEW NURSING HOME | Hudson | 1 | 1 | 2 | 0.68 | 101 | $0 |
| BEDFORD NURSING & REHABILITATION CENTER | Bedford | 1 | 1 | 2 | 0.59 | 102 | $16,153 |
| GOFFSTOWN NURSING AND REHAB CENTER | Goffstown | 1 | 1 | 1 | 0.41 | 41 | $0 |
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 11 |
| For profit - Corporation | 5 |
| Non profit - Church related | 3 |
| Government - County | 1 |
| Non profit - Corporation | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.