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
Wentworth Home For The Aged
Wentworth Home For The Aged provides dementia and Alzheimer’s care in Dover, New Hampshire. It can house a maximum of 42 senior citizens at a time. With a location at 795 Central Avenue, in the 03820 zip code inside Strafford county, Wentworth Home For The Aged provides assistance to those dementia sufferers who need help with daily living tasks. Wentworth Home For The Aged is licensed by New Hampshire to provide memory care assisted living services, with license number 01532. Some of the services offered by Wentworth Home For The Aged are scheduled transportation, special dementia and Alzheimer’s programs to increase feelings of comfort and licensed nurses with Alzheimer’s care training.
Wheelock Terrace specializes in providing Alzheimer’s care in Grafton county, New Hampshire. At its full capacity, it can provide studio and 1-bedrooom apartments to a maximum of 87 older adults. Wheelock Terrace is pet-friendly and can provide routine well-being monitoring, high ratio of caregivers to residents and dementia-trained nurses on staff to any seniors with dementia living in Hanover, NH and surrounding areas. Wheelock Terrace is located at 32 Buck Road, 03755 zip code and may accept Medicaid and Medicare.
Great Bay Residential Facility Ii
When looking for Alzheimer’s care facilities in Portsmouth, New Hampshire, you will find Great Bay Residential Facility Ii as an excellent luxury memory care option that is located at 413 Lafayette Road in the 03801 zip code area. It has a total capacity of 12 Alzheimer's and dementia units and offers services like individualized programs and care, on-site occupational and physical therapy services and aided morning and evening dressing. Its license number is 759. Great Bay Residential Facility Ii provides dementia care services not only to Portsmouth residents, but also to all Rockingham county residents as well.
The Huntington At Nashua
If you need assistance with daily living tasks, The Huntington At Nashua can help you or your loved one to find memory care assisted living in Nashua, New Hampshire. The Huntington At Nashua has a maximum capacity of 24 senior citizens. It offers amenities like local transportation services, memory games and other activities and help with toileting 24/7. The Huntington At Nashua is licensed with New Hampshire and its license # is 03905.
Tobias House is a new memory care center that has capacity of 6 dementia sufferers. Tobias House includes services such as transportation to medical appointments, special colors to aid with memory and emergency call response system. It is situated at 75 Birch Hill Road, and it is well equipped to provide dementia and Alzheimer’s care to Temple, NH dementia sufferers. Tobias House is licensed with New Hampshire and its license number is 3998.
The Inn At Meredith Bay
Located at 21 Upper Mile Point Drive, inside 03253 zip code area in Belknap county, The Inn At Meredith Bay provides dementia and Alzheimer’s care to Meredith, NH older adults with dementia and includes services like access to geriatric nurse practitioner, activities and programs that lower anxiety and 24/7 toileting assistance. The Inn At Meredith Bay can house a total of 44 seniors at a time. The Inn At Meredith Bay has official license # of 3544.
Maple Leaf Health Care Center
Located at 198 Pearl Street, Manchester, New Hampshire, 03104, Maple Leaf Health Care Center can provide assistance to any Hillsborough county older adult with activities of daily living and provides amenities such as medication monitoring, on-site occupational and physical therapy services and emergency call response system. Maple Leaf Health Care Center can provide Alzheimer’s care to a maximum of 114 elderly residents at once. Its license number is 305030.
Seniors with dementia looking for Alzheimer’s care in Hanover, New Hampshire will find Outreach House, situated at 11 South Park Street inside 03755 zip code as a excellent option for all of their memory care needs. Outreach House can give assistance to up to 9 dementia sufferers offers seniors transportation services to doctor appointments, help during meal times and dressing and grooming assistance. New Hampshire records show that Outreach House has a license number of 2468.
Hanover Terrace Health & Rehabilitation Center
With a location at 49 Lyme Road in Grafton county, Hanover Terrace Health & Rehabilitation Center has a great reputation in providing dementia care services for seniors with dementia in Hanover, NH in addition to those who live in surrounding areas. Hanover Terrace Health & Rehabilitation Center includes services like controlled access community, access to physical and speech therapy and registered nurses that specialize in dementia care. Hanover Terrace Health & Rehabilitation Center is capable of looking after a maximum of 100 Hanover seniors with dementia and provides several levels of care. Hanover Terrace Health & Rehabilitation Center has an official license to provide dementia care for Grafton, NH residents, with license # 305020.
Harris Hill Center, Genesis Healthcare
Harris Hill Center, Genesis Healthcare, situated at 20 Maitland Street includes dementia and Alzheimer’s care services in Concord, New Hampshire and includes amenities like routine well-being monitoring, memory games and other activities and emergency pullcords in bedrooms and bathrooms. Harris Hill Center, Genesis Healthcare is able to assist up to 85 dementia sufferers from 03301 zip code in Merrimack county and nearby areas. Harris Hill Center, Genesis Healthcare is licensed to provide dementia and Alzheimer’s care in Concord, New Hampshire, with license # 305078.
Dover Center For Health & Rehabilitation
Dover Center For Health & Rehabilitation provides dementia care in Dover, New Hampshire. It can provide accommodations to a maximum of 112 senior citizens at a time. With a location at 307 Plaza Drive, in the 03820 zip code inside Strafford county, Dover Center For Health & Rehabilitation assists those seniors who need help with activities of daily living. Dover Center For Health & Rehabilitation is licensed by New Hampshire to provide memory care assisted living services, with license number 305018. Some of the amenities provided by Dover Center For Health & Rehabilitation are family counseling and support program, memory games and other activities and 24/7 toileting assistance.
Lilac View Corp
Lilac View Corp excels at providing memory care in Strafford county, New Hampshire. At its full capacity, it can provide shared and private accommodations to a maximum of 40 senior citizens. Lilac View Corp allows pets and can provide controlled access community, special dementia and Alzheimer’s programs to increase feelings of comfort and a home-like design to encourage socialization to any seniors living in Rochester, NH and surrounding areas. Lilac View Corp is located at 18 Health Care Drive, 03867 zip code and may accept Medicaid and Medicare.
When looking for Alzheimer’s care facilities in Rochester, New Hampshire, you will find Gafney Home as an excellent luxurious memory care option that is located at 90 Wakefield Street in the 03867 zip code area. It has a total capacity of 20 memory care units and includes amenities that include secure indoor and outdoor wandering areas, aid with dining and meal choices and caregiving staff trained specifically for dementia. Its license number is 00118. Gafney Home provides dementia care not only to Rochester residents, but also to all Strafford county residents as well.
If you need aid with daily living, Bellamy Fields can help you or your loved one to find memory care assisted living in Dover, New Hampshire. Bellamy Fields has a maximum capacity of 52 senior citizens. It includes amenities such as enhanced medical monitoring, activities and programs that lower anxiety and daily living help. Bellamy Fields is licensed with New Hampshire and its license # is 3096.
Laconia Center, Genesis Healthcare
Laconia Center, Genesis Healthcare is a new memory care center that has capacity of 120 seniors. Laconia Center, Genesis Healthcare provides services such as custom activities and therapy programs, programs to promote brain health and emergency pendant system. It is situated at 175 Blueberry Lane, and it is properly equipped to provide Alzheimer's care to Laconia, NH seniors. Laconia Center, Genesis Healthcare is licensed with New Hampshire and its license number is 305040.
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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