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New Hampshire

Nursing Home Staffing Profile — 2025Q3

73 facilities5,843 residents3.96 avg HPRD
vs National Average
+0.06 HPRD
National avg: 3.90 · New Hampshire: 3.96
📋
New Hampshire ranks among the higher-performing states for nursing home staffing, with an average of 3.96 HPRD — 0.06 hours above the national average. Only 60.3% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.78 HPRD, with 38.4% of facilities meeting the 0.75 research recommendation.
3.96
Average Total HPRD
All nursing staff combined
▲ 0.06 vs national
0.78
Average RN HPRD
Recommended: 0.75
▲ 0.10 vs national
60.3%
Meet CMS Benchmark
44 of 73 facilities
15.7%
Avg Weekend Drop-off
Staffing reduction on Sat/Sun
10.9%
Avg Agency Staff
Contractor/temp worker hours
—
Had Zero-RN Days
Data unavailable
3.60
Median HPRD
50th percentile (less skewed by outliers)
0
F-Rated Facilities
Under 2.5 HPRD — critically understaffed

Grade Distribution

How New Hampshire's 73 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

F
For-Profit
3.49
avg HPRD
45 facilities (62%)
N
Non-Profit
4.77
avg HPRD
17 facilities (23%)
G
Government
4.62
avg HPRD
11 facilities (15%)
💡 Non-profit facilities in New Hampshire average 1.28 more HPRD than for-profit ones — about 37% higher staffing.

▲ Best Staffed in New Hampshire

Top 5 by total nurse HPRD

1
A+
RIVERWOODS AT EXETER
EXETER
7.59 HPRD
RN: 1.25
2
A+
MERRIMAN HOUSE
NORTH CONWAY
6.72 HPRD
RN: 1.67
3
A+
ST JOSEPH RESIDENCE
MANCHESTER
6.23 HPRD
RN: 1.05
4
A+
LANGDON PLACE OF DOVER
DOVER
5.61 HPRD
RN: 2.00
5
B
SULLIVAN COUNTY HEALTH CARE
UNITY
5.57 HPRD
RN: 0.66

▼ Most Understaffed in New Hampshire

Bottom 5 by total nurse HPRD

73
D
DERRY CENTER FOR REHABILITATION AND HEALTHCARE
DERRY
2.90 HPRD
RN: 0.68
72
D
Southern New Hampshire Rehabilitation & Healthcare
NASHUA
2.99 HPRD
RN: 0.71
71
D
THE ELMS CENTER
MILFORD
3.00 HPRD
RN: 0.64
70
C
Rochester Manor
ROCHESTER
3.00 HPRD
RN: 0.72
69
C
OCEANSIDE SKILLED NURSING AND REHABILITATION
HAMPTON
3.12 HPRD
RN: 0.88
⚖️

Compare Two Facilities Side by Side

Pick any two New Hampshire nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in New Hampshire — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low
Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%
CountyFacilities ↓Avg HPRD RN HPRDMeet Benchmark Grades
▸Hillsborough213.740.7052.4%Mixed C/B
▸Rockingham124.070.7666.7%Mixed B/C
▸Merrimack74.000.6857.1%Mixed C/A
▸Cheshire73.960.9657.1%Mixed C/B
▸Strafford64.021.0066.7%Mixed A/C
▸Coos53.810.7060.0%Mixed B/C
▸Belknap44.230.8375.0%Mixed B/A
▸Carroll44.770.99100.0%Mixed A+/A
▸Grafton43.580.7625.0%Mostly C
▸Sullivan34.220.6466.7%Mostly C

HPRD Range in New Hampshire

The spread between best and worst staffed facilities

3.34
25th pctile
3.60
Median
4.41
75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.