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
Inn At Golden View - Assisted Living
Inn At Golden View - Assisted Living specializes in dementia and Alzheimer’s care in Meredith, New Hampshire. It can provide accommodations to a maximum of 48 seniors at a time. With a location at 19 Nh Route 104, in the 03253 zip code inside Belknap county, Inn At Golden View - Assisted Living provides assistance to those older adults who need help with daily living tasks. Inn At Golden View - Assisted Living is licensed by New Hampshire to provide memory care assisted living services, with license number 02734. Some of the services offered by Inn At Golden View - Assisted Living are access to geriatric nurse practitioner, special dementia programs to lower anxiety and anytime toileting help.
Washington Manor specializes in providing memory care services in Hillsborough county, New Hampshire. At its full capacity, it can provide studio and 1-bedrooom apartments to a maximum of 16 older adults. Washington Manor is pet-friendly and can provide monitoring of all exits to prevent wandering, physical, occupational and speech therapy and a home-like design to encourage socialization to any seniors living in Manchester, NH and surrounding areas. Washington Manor is located at 67 Prospect Street, 03104 zip code and may accept Medicaid and Medicare.
St Joseph Residence
When looking for Alzheimer’s care facilities in Manchester, New Hampshire, you will find St Joseph Residence as an excellent luxury memory care option that is situated at 495 Mammoth Rd in the 03104 zip code area. It has a total capacity of 22 dementia care units and offers services such as individually designed programs, brain health activities and anytime toileting help. Its license number is 305088. St Joseph Residence provides dementia care not only to Manchester residents, but also to all Hillsborough county residents as well.
Merry Meadow Farm - Hanover House
If you need aid with daily living tasks, Merry Meadow Farm - Hanover House can help you or your loved one to find memory care assisted living in Hanover, New Hampshire. Merry Meadow Farm - Hanover House has a total capacity of 7 older adults with dementia. It provides amenities such as custom activities and therapy programs, high ratio of caregivers to residents and registered nurses that specialize in dementia care. Merry Meadow Farm - Hanover House is licensed by New Hampshire and its license number is 2088.
Lincoln Terrace Home
Lincoln Terrace Home is a new memory care center that has capacity of 16 senior citizens. Lincoln Terrace Home offers amenities such as secure walking paths and courtyard, activities and programs that lower anxiety and emergency pendant system. It is situated at 11 Lincoln Street, and it is well equipped to provide memory care to Rochester, NH senior citizens. Lincoln Terrace Home is licensed with New Hampshire and its license number is 2032.
Bedford Falls Senior Living
Located at 5 Corporate Drive, inside 03110 zip code area in Hillsborough county, Bedford Falls Senior Living provides Alzheimer’s care to Bedford, NH seniors with dementia and offers amenities like alarmed and monitored exits, memory games and other activities and weight gain and loss management. Bedford Falls Senior Living can house up to 114 dementia sufferers at a time. Bedford Falls Senior Living has official license # of 03983.
Saint Francis Rehabilitation And Nursing Center
Situated at 406 Court Street, Laconia, New Hampshire, 03246, Saint Francis Rehabilitation And Nursing Center can aid any Belknap county senior citizen with activities of daily living and provides amenities such as alarmed and monitored exits, activities tailored to dementia and daily living assistance. Saint Francis Rehabilitation And Nursing Center can provide Alzheimer’s care to a maximum of 51 elderly residents at once. Its license number is 305070.
Dementia sufferers looking for assisted living and memory care in Laconia, New Hampshire will find Ledgeview, situated at 21 Ledges Drive inside 03246 zip code as a excellent choice for all of their memory care needs. Ledgeview can care for up to 40 seniors offers seniors enclosed courtyard and facility grounds, dining assistance during meals and home-like community rooms that promote socialization. New Hampshire records indicate that Ledgeview has a license # of 03907.
Benchmark Senior Living At Nashua Crossings
With a location at 674 West Hollis Street in Hillsborough county, Benchmark Senior Living At Nashua Crossings has a great reputation in providing dementia and Alzheimer’s care services for dementia sufferers in Nashua, NH and those who live in nearby areas. Benchmark Senior Living At Nashua Crossings includes amenities that include routine well-being monitoring, assuring proper meal intake and caregiving staff trained specifically for dementia. Benchmark Senior Living At Nashua Crossings is capable of looking after a maximum of 103 Nashua dementia sufferers and provides multiple levels of care. Benchmark Senior Living At Nashua Crossings has an official license to provide dementia and Alzheimer’s care for Hillsborough, NH older residents, with license # 04066.
Presidential Oaks Assisted Living
Presidential Oaks Assisted Living, located at 200 Pleasant Street provides memory care services in Concord, New Hampshire and provides services that include monitoring of all exits to prevent wandering, activities tailored to dementia and registered nurses that specialize in dementia care. Presidential Oaks Assisted Living is equipped to assist up to 103 senior citizens from 03301 zip code in Merrimack county and surrounding areas. Presidential Oaks Assisted Living is state-licensed to provide memory care in Concord, New Hampshire, with license # 3522.
Villa Crest Nursing And Retirement
Villa Crest Nursing And Retirement enables seniors to receive memory 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 older adults who need help with activities of daily living. Villa Crest Nursing And Retirement is licensed by New Hampshire to provide memory care assisted living services, with license number 305079. Some of the services provided by Villa Crest Nursing And Retirement include secure walking paths and courtyard, brain health activities and anytime toileting help.
Hanover Terrace Health & Rehabilitation Center
Hanover Terrace Health & Rehabilitation Center specializes in providing memory care services in Grafton county, New Hampshire. At its full capacity, it can provide shared and private accommodations to no more than 100 senior citizens. Hanover Terrace Health & Rehabilitation Center welcomes pets and can provide encouraged family participation, assuring proper meal intake and assistance with choosing and putting on clothes to any dementia sufferers living in Hanover, NH and surrounding areas. Hanover Terrace Health & Rehabilitation Center is located at 49 Lyme Road, 03755 zip code and may accept Medicaid and Medicare.
When looking for memory care facilities in Rochester, New Hampshire, you will find Studley Home as an excellent luxurious memory care option that is situated at 15 Eastern Avenue in the 03867 zip code area. It has a maximum capacity of 15 memory care units and offers services that include individualized programs and care, high ratio of caregivers to residents and certified caregivers that specialize in dementia and Alzheimer’s care. Its license number is 3787. Studley Home provides dementia care not only to Rochester residents, but also to all Strafford county residents as well.
Bedford Nursing & Rehabilitation Center
If you need aid with everyday tasks, Bedford Nursing & Rehabilitation Center can help you or your loved one to find memory care assisted living in Bedford, New Hampshire. Bedford Nursing & Rehabilitation Center has a maximum capacity of 102 senior citizens. It offers services such as encouraged family participation, special colors to aid with memory and emergency pullcords in bedrooms and bathrooms. Bedford Nursing & Rehabilitation Center is licensed by New Hampshire and its license number is 305086.
Rochester Manor is a new memory care center that has capacity of 108 seniors with dementia. Rochester Manor offers amenities such as transportation to medical appointments, high ratio of caregivers to residents and emergency system with constant monitoring. It is situated at 40 Whitehall Road, and it is properly equipped to provide memory care to Rochester, NH seniors with dementia. Rochester Manor is licensed with New Hampshire and its license number is 305024.
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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