New Hampshire Senior Living Options & Resources

Senior Living in New Hampshire: What You Need to Know

New Hampshire's senior population is growing steadily, with 270,525 residents aged 65 and older representing 19.5% of the state's total population of 1.4 million. This percentage is slightly above the national average, reflecting the state's appeal to retirees drawn by its natural beauty, lack of income tax on retirement income, and strong sense of community. The state's median age of 43.2 years and median household income of $95,628 indicate a relatively affluent and mature population well-positioned to plan for long-term care needs.

New Hampshire offers a range of senior living options including assisted living facilities, memory care units, independent living communities, and skilled nursing facilities. Currently, there are 7 senior living communities distributed across 3 cities, with Bedford leading with 3 communities, followed by Concord and Milford with 2 communities each. While this represents a smaller footprint compared to more populous states, New Hampshire's communities are known for their personalized care and strong connections to local healthcare systems including Dartmouth-Hitchcock Medical Center, Catholic Medical Center, and Elliot Hospital.

The cost of senior care in New Hampshire is notably higher than national averages. Assisted living averages $7,080 per month compared to the national average of $5,900, representing a 20% premium. Nursing home care is even more pronounced, with semi-private rooms averaging $11,132 monthly versus the national average of $9,277. These elevated costs reflect the state's higher cost of living, rural character, and smaller market size, though they're partially offset by the state's lack of sales tax and retirement income tax benefits.

New Hampshire's healthcare infrastructure is robust for its size, anchored by nationally recognized Dartmouth-Hitchcock Medical Center in Lebanon and strong community hospitals throughout the state. The state's four-season climate, outdoor recreation opportunities including the White Mountains and Lakes Region, and small-town character make it attractive to active seniors, though winter weather can be a consideration for those with mobility challenges. State programs including Medicaid waiver options help eligible seniors access community-based care, though navigating these programs requires careful planning given the state's higher care costs.