Find Memory Care in New Hampshire
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New Hampshire memory care facilities have a phenomenal reputation. The state is part of the highly sought-after New England part of the United States where some of the most highly esteemed medical facilities and doctors operate. Many excellent skilled nursing staffs are also employed, and it is a reason why waiting lists at some of the best dementia care homes in New Hampshire are constant.
Memory care homes in New Hampshire rank fifth in the nation in terms of being the most expensive based on average monthly rates. The only states with higher monthly rents are New Jersey, Connecticut, New York and Massachusetts all of which are also states in the northeast and part of the broader New England area. Consequently, while some would argue that New Hampshire dementia care is expensive, it is slightly cheaper than other states in the New England district.
Detailed Cost of Memory Care in New Hampshire
The average cost for memory care communities in New Hampshire is $186 per day. The national average is $160 per day for the same type of room, meaning that New Hampshire dementia care costs approximately $25 or more per day. The higher cost does add up, as residents of Alzheimer’s care homes in NH can spend $750 or more per month compared to the national average, and potentially $9,000 or more per year.
However, compared to the rest of New England, New Hampshire dementia care facilities are cheaper. The typical Alzheimer’s care facilities cost approximately $5,600 per month. Meanwhile, New York and Massachusetts dementia care facilities are substantially more at nearly $6,000 per month. Connecticut and New Jersey Alzheimer’s care is even more expensive.
What helps keep New Hampshire memory care communities slightly cheaper than the rest of the New England is the more rural and rugged landscape of the territory. New Hampshire is more northern, with slightly longer winters though no part of New England has extremely pleasant winters.
The state is also far less dense and populated. Only 1.3 million people call New Hampshire home, with only one city having more than 100,000 residents (Manchester). The communities of Nashua, Concord, Dover and Rochester may be smaller than large metropolitan areas in New Jersey, New York, Massachusetts and Connecticut yet the service is still excellent and provide quieter living environments. Furthermore, friends and families are still close to loved ones with travel between New England states still readily available.
New Hampshire Dementia Care - Amenities
The best dementia care facilities in New Hampshire offer a rare combination of terrific, highly knowledgeable and professional skilled nursing staff along with clean and luxurious rooms, and delicious food served daily along with regularly scheduled programs.
The top ranked Alzheimer’s care homes and dementia care facilities in the state provide a combination of personal productivity and personal leisure activities on a daily basis, with group interaction and socialization encouraged. Furthermore, staff can assist with a variety of daily functions including personal hygiene and getting dressed or getting hair done, prime contributions to a positive self-image and self-esteem.
Admission Requirements to Memory Care Facilities in New Hampshire
A potential resident to any assisted living or memory care home in New Hampshire must complete the state’s Resident Assessment Tool and Needs Determination test in 30 days or less before moving in, or within 24 hours after moving in for emergency cases. This document contains questions about the individual’s medical history, health needs, communication ability, and other related information. The process must be done every six months, or upon a significant change in the person’s health.
Both Supported Residential Health Care Facilities (SRHCF) and Assisted Living Residences–Residential Care (ALR-RC) are not allowed to admit a person whose needs they cannot support within their premises. This is particularly true for ALR-RCs which do not provide nursing care.
Security in New Hampshire Memory Care Units
In New Hampshire, SRHCFs may not admit or retain individuals who do not have the ability to evacuate according to the State Fire Code. Residences may admit those requiring mechanical assistance while transferring, if the facility has staff with appropriate training. Persons who need 24-hour licensed nursing care and/or monitoring for a maximum of 20 days, or who are receiving hospice care, may be admitted as well.
ALR-RCs are also not allowed to admit or retain individuals without the capability to self-evacuate without assistance. These residences may admit or retain persons receiving hospice services, but not those requiring rehabilitative or nursing care over 21 days.
New Hampshire – Regulations for Memory Care Establishments
Both SRHCFs and ALR-RCs in New Hampshire are recognized by the state as providers of memory care for individuals with Alzheimer’s and other types of dementia. However, if your loved one is already in the later stages of the disease, or if they have another chronic condition, SRHCFs is a better option. These residences are required by law to provide access to nursing services and behavioral health care.
Both types of assisted living homes require a license to operate from the New Hampshire Department of Health and Human Services, Bureau of Health Facilities Administration. Licensing provisions differ based on the size of the facility.
Adult Family Care Residences are another type of assisted living home in New Hampshire that can provide memory care, though they may operate only with certifications. These facilities accommodate only one or two residents in a home-like environment. Their services are also limited to social and/or health care supervision, medical monitoring, medication supervision, and daily living assistance.
Prior to an applicant’s admission, SRHCs must provide an Agreement using the state-issued Disclosure Summary form to the applicant or their authorized representative. This document includes: (1) fees and core services; (2) house rules; (3) responsibility for discharge planning; (4) availability, estimated cost and responsibility for arranging nursing and other health care services, as well as supplies outside their core services; (5) policies and procedures on transportation and third-party services arrangements; and (6) medication management services.
ALR-RCs must provide the same form to their applicants before admission, and in addition, mention the resident acuity level they can accommodate.
Staff and Training
The State of New Hampshire requires all assisted living residences to employ a full-time administrator with state-approved educational and professional experience to be fully responsible for the facility’s daily operations. The administrator should undergo at least 12 hours of continuing education annually. It is also their responsibility to determine the number of staff members the facility needs in order to address the needs of all residents.
Administrators must conduct background checks on potential employees before hiring. They must also provide in-service training or continuing education annually to all staff members.
In SRHCs, residents are allowed self-administration of medications. If they are not physically capable, they may verbally direct the staff to assist them. Staff may also supervise residents’ self-administration in three ways: remind them to take their medications, place medication containers within reach, and observe and record side effects.
Staff are not allowed to physically handle the residents’ medications. However, a licensed nurse may delegate the administration of oral medications to unlicensed staff and direct a licensed working assistant to administer medicinal shampoos and baths, suppositories and enemas, or topical products to intact skin.
Unlicensed staff assigned to supervise resident’s self-administration and/or to directly administer medications are required to undergo a 4-hour training on: (1) infection control and proper handwashing techniques; (2) the five rights – resident, medication, dose, time, route; (3) general medication categories, e.g. antibiotics; (4) documentation; (5) desired effects and potential side effects of medications; (6) medication precautions and interactions; and (7) rules and extensive provisions on assisting with self-administration and administering medications.
All of the above directives also apply to ALR-RCs, except for nurse delegation. In these residences, medications must be administered by a licensed nurse, or a medication nursing assistant, or any individual authorized by law.
Food and Diet
SRHCs must provide residents three or more meals a day, and snacks between meals and before bedtime. All these should meet the National Academy of Science Food and Nutrition Board’s recommended dietary allowances. Each resident’s nutritional requirements and prescribed diet must be adhered to by staff responsible for planning and preparation of food services.
ALR-RCs must provide three meals and snacks per day according to the recommended dietary allowance of the U.S. Department of Agriculture as specified in the 2005 Dietary Guidelines for Americans. Only a licensed practitioner or a professional with prescriptive authority may prepare therapeutic diets to patients who require them.
When Is Your Loved One Ready for Memory Care in New Hampshire?
Alzheimer’s disease, and all other forms of dementia, adversely affect a person’s judgment, attention span, reaction time, and other cognitive skills. Their risk of figuring in vehicular accidents and of getting lost increase even in the early stages of the disease, and whether they are driving or walking. Wandering, another result of cognitive decline, affects 60% of individuals with Alzheimer’s and accounts for serious injury as well as accidental death in almost half of them.
Even in the confines of a home, symptoms of dementia can pose dangerous risks to the person afflicted. Tripping on rugs and electrical cords and falls due to the absence of ample lighting or handrails are just some of the accidents that may occur. A deterioration in their ability to manage finances also puts them at high risk to fraud.
If you have been taking care of a loved one with Alzheimer’s at home, you will notice a steady rise in the difficulty of doing so. Beyond the early stages of the disease, they will lose all ability to perform daily living activities, and their safety will be greatly compromised. At this point, long-term care in a residence that offers assisted living services may be a better option to staying at home.
Residential care provides an environment designed for individuals with impaired cognitive skills. You can be assured that your loved one will receive support and assistance from a team of professionals.
Questions to Ask NH Memory Care Communities During a Tour
Transitioning your loved one from home care to residential memory care is not only a difficult decision to make, but also an overwhelming task to carry out. With so many options available in the State of New Hampshire, you may be at a loss on where to start.
First, prepare a list of your loved one’s needs and preferences, from food and medications to grooming and toiletries. Next, search online for residences in your preferred location and study their respective websites or give them a call. Write down the ones which meet all the items on your list. And finally, schedule a visit to each residence.
These are the details and information you must secure from each visit:
1. Knowledge and training of staff members on Alzheimer’s disease or dementia - This includes management of behaviors like wandering, continuous training and education, and protocols on daily living assistance.
2. Official documents - Request for copies of the memory care residence’s license, disclosure form, house rules, medication administration protocols, and list of on-site medical equipment.
3. Quality of service - The dementia care residence you select will be your loved one’s new home, so you need to inspect every area (especially the shared ones) to ensure they will be safe comfortable living there. Have a meeting with the administration and staff, and allow them to explain their services extensively, including the residents’ activities, transportation and the need for third party services.
4. Cost of services - Inquire about monthly rates, the services covered, and fees for extra services. Find out the payment methods they accept, and if Medicaid is one of them.
5. Current residents and their families - If possible, interview them on their satisfaction level in terms of the staff’s involvement and interaction with residents. Encourage them to tell stories of visitations and their experience with the admin, from planning to execution of their long-term care.
Memory Care vs Assisted Living in New Hampshire
New Hampshire offers two types of assisted living residences: Supported Residential Health Care (SRHC) and (ALR-RC) or Residential Care. The latter is a good option for individuals with dementia and Alzheimer’s in the early stages, while the former is best for those already in the later stages.
Adult Foster Care homes are also available to those who don’t require on-site medical attention or prefer to have their own licensed medical practitioner.
These care homes are the state’s answer to the alarming increase of Alzheimer’s and dementia cases, not only here but in the rest of the country. In New Hampshire alone, the number of cases is expected to increase by 37% in 2025 if no cure is found by then.
Alzheimer’s and other types of dementia are progressive and degenerative, which means your loved one’s condition will worsen over time. It also means a more stressful life for all family members if you keep the person at home. For everyone’s welfare, safety and wellbeing, placing a loved one in the care of professionals in a long-term residence for assisted living is the best route to take.
15 Best Memory Care Facilities in New Hampshire
Villa Crest Nursing And Retirement
Villa Crest Nursing And Retirement enables seniors to receive Alzheimer’s care in Manchester, New Hampshire. It can provide accommodations to a maximum of 165 Hillsborough county residents at a time. With a location at 1276 Hanover Street, in the 03104 zip code in Hillsborough county, Villa Crest Nursing And Retirement provides assistance to those dementia sufferers who need help with daily living tasks. Villa Crest Nursing And Retirement is licensed by New Hampshire to provide memory care assisted living services, with license number 305079. Some of the amenities provided by Villa Crest Nursing And Retirement include secure indoor and outdoor wandering areas, programs to promote brain health and help with toileting 24/7.
Presidential Oaks Assisted Living
Presidential Oaks Assisted Living specializes in providing dementia care services in Merrimack county, New Hampshire. At its full capacity, it can provide studio and 1-bedrooom apartments to no more than 103 senior citizens. Presidential Oaks Assisted Living allows pets and can provide individualized programs and care, high ratio of caregivers to residents and weight gain and loss management to any dementia sufferers living in Concord, NH and surrounding areas. Presidential Oaks Assisted Living is located at 200 Pleasant Street, 03301 zip code and may accept Medicaid and Medicare.
Birch Hill Terrace - Ccrc
When trying to find memory care facilities in Manchester, New Hampshire, you will find Birch Hill Terrace - Ccrc as an excellent luxurious memory care option that is located at 100 Alliance Way in the 03102 zip code area. It has a total capacity of 70 Alzheimer's and dementia units and offers amenities such as scheduled transportation, programs to promote brain health and dementia-trained nurses on staff. Its license number is 03095. Birch Hill Terrace - Ccrc provides dementia and Alzheimer’s care not only to Manchester residents, but also to all Hillsborough county residents as well.
Bridges By Epoch At Nashua
If you need help with everyday tasks, Bridges By Epoch At Nashua can help you or your loved one to find memory care assisted living in Nashua, New Hampshire. Bridges By Epoch At Nashua has a total capacity of 54 seniors. It offers amenities such as visiting geriatric nurse practitioner, custom memory care programs and activities and assistance with daily living. Bridges By Epoch At Nashua is licensed by New Hampshire and its license number is 04175.
Gafney Home is a new memory care center with capacity of 20 seniors with dementia. Gafney Home provides services such as personalized meal plans, activities and programs that lower anxiety and regular checks for weight loss and gain. It is situated at 90 Wakefield Street, and it is fully equipped to provide Alzheimer's care to Rochester, NH seniors with dementia. Gafney Home is licensed with New Hampshire and its license number is 00118.
Bedford Falls Senior Living
Situated at 5 Corporate Drive, inside 03110 zip code area in Hillsborough county, Bedford Falls Senior Living provides Alzheimer’s disease and dementia care to Bedford, NH seniors and offers services such as medication monitoring, dining assistance during meals and routine check-ups for proper weight maintenance. Bedford Falls Senior Living can accommodate no more than 114 seniors at a time. Bedford Falls Senior Living has official license # of 03983.
Situated at 67 Prospect Street, Manchester, New Hampshire, 03104, Washington Manor can provide assistance to any Hillsborough county resident with activities of daily living and includes services such as independence-focused care, brain health activities and staff nurses trained in dementia care. Washington Manor can provide memory care to a maximum of 16 residents at once. Its license number is 2912.
Benchmark Senior Living At Nashua Crossings
Senior citizens looking for memory care in Nashua, New Hampshire will find Benchmark Senior Living At Nashua Crossings, located at 674 West Hollis Street inside 03062 zip code as a wonderful option for all of their memory care needs. Benchmark Senior Living At Nashua Crossings can accommodate up to 103 older adults with dementia offers seniors independence-focused care, special colors to aid with memory and certified dementia care staff. New Hampshire records show that Benchmark Senior Living At Nashua Crossings has a license number of 04066.
The Residence At Silver Square
With a location at 100 Silver St in Strafford county, The Residence At Silver Square has a great reputation in providing Alzheimer’s care services for seniors with dementia or Alzheimer’s in Dover, NH and those who live in nearby areas. The Residence At Silver Square provides amenities that include independence-focused care, assuring proper meal intake and dementia-trained nurses on staff. The Residence At Silver Square is capable of providing care to a maximum of 94 Dover seniors with dementia or Alzheimer’s and provides multiple levels of care. The Residence At Silver Square has an official license to provide Alzheimer’s care for Strafford, NH senior citizens, with license # 04250.
Holy Cross Health Center
Holy Cross Health Center, located at 357 Island Pond Road offers assisted living and memory care services in Manchester, New Hampshire and offers amenities like enhanced medical monitoring, color-coded rooms to assist with memory and emergency pendant system. Holy Cross Health Center is able to care for up to 40 seniors from 03109 zip code in Hillsborough county and surrounding areas. Holy Cross Health Center is licensed to provide assisted living and memory care in Manchester, New Hampshire, with license # 305074.
Courville At Nashua
Courville At Nashua provides Alzheimer’s care in Nashua, New Hampshire. It can provide accommodations to a maximum of 100 seniors at a time. With a location at 22 Hunt Street, in the 03060 zip code inside Hillsborough county, Courville At Nashua gives help to those seniors who need help with activities of daily living. Courville At Nashua is licensed by New Hampshire to provide memory care assisted living services, with license number 305037. Some of the services provided by Courville At Nashua include scheduled transportation, physical, occupational and speech therapy and help with toileting 24/7.
The Birches At Concord Senior Living
The Birches At Concord Senior Living excels at providing dementia care services in Merrimack county, New Hampshire. At its full capacity, it can provide one bedroom suites and studios to a maximum of 60 elderly residents. The Birches At Concord Senior Living allows pets and can provide medication administration and storage, puzzles and other memory care activities and home-like community rooms that promote socialization to any older adults with dementia living in Concord, NH and surrounding areas. The Birches At Concord Senior Living is located at 300 Pleasant Street, 03301 zip code and may accept Medicaid and Medicare.
When trying to find memory care centers in Laconia, New Hampshire, you will find Ledgeview as an excellent upscale memory care option that is situated at 21 Ledges Drive in the 03246 zip code area. It has a maximum capacity of 40 Alzheimer's and dementia units and includes services that include local transportation services, custom memory care programs and activities and daily living help. Its license number is 03907. Ledgeview provides memory care services not only to Laconia residents, but also to all Belknap county residents as well.
Maple Leaf Health Care Center
If you need assistance with daily living tasks, Maple Leaf Health Care Center can help you or your loved one to find memory care assisted living in Manchester, New Hampshire. Maple Leaf Health Care Center has a total capacity of 114 seniors with dementia. It offers amenities such as individually designed programs, special colors to aid with memory and regular checks for weight loss and gain. Maple Leaf Health Care Center is licensed by New Hampshire and its license # is 305030.
Saint Teresa Rehabilitation And Nursing Center
Saint Teresa Rehabilitation And Nursing Center is a new memory care center that has capacity of 51 senior citizens. Saint Teresa Rehabilitation And Nursing Center offers services such as secure campus to prevent wandering, high ratio of caregivers to residents and daily living assistance. It is situated at 519 Bridge Street, and it is fully equipped to provide Alzheimer's care to Manchester, NH senior citizens. Saint Teresa Rehabilitation And Nursing Center is licensed with New Hampshire and its license number is 305071.
List of Memory Care Facilities in New Hampshire
- Belknap County
- Carroll County
- Cheshire County
- Coos County
- EAST ANDOVER
- Grafton County
- Hillsborough County
- Merrimack County
- NEW BOSTON
- NEW IPSWICH
- NEW LONDON
- NORTH CONWAY
- NORTH HAVERHILL
- Rockingham County
- SWANZEY CENTER
- Strafford County
- Sullivan County
- WEST LEBANON
- WEST OSSIPEE
- WEST STEWARTSTOWN
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