Hillsborough County Nursing Home recorded the most residents in any county facility for the first quarter of 2026, data from the Centers for Medicare and Medicaid Services (CMS) shows.
The home offered 300 beds, outnumbering the Hillsborough County average by 194 beds for the same period. It supported an average of 239.7 residents each day from January through March.
The facility earned a 5 out of 5 overall rating from CMS, a score that surpassed the 2.9 average for nursing homes statewide in New Hampshire.
Southern New Hampshire Rehabilitation & Healthcare followed as the county’s second-largest nursing home at 290 beds, while Ridgewood Center, Genesis Healthcare, ranked third with 150 beds.
No fines or penalties were recorded at Hillsborough County Nursing Home during the quarter ending March 2026.
Hillsborough County contained one public nursing facility as of the first quarter of 2026.
According to U.S. Census Bureau estimates, America’s population of older adults is steadily increasing as the younger population shrinks. Between 2020 and 2024, the population of residents age 65 and up grew by 13%, while those under 18 declined by 1.7%. Over the past 100 years, the nation’s older adult group has grown dramatically—from 4.9 million in 1920 to more than 61 million by 2024. That demographic surge has shaped long-term care needs.
A 2021 study estimates nearly half of adults age 65 and older—28 million people—will need long-term services. The analysis forecasts that over a third of them could eventually require care in nursing facilities.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Hillsborough County Nursing Home | 5 |
| 2 | Southern New Hampshire Rehabilitation & Healthcare | 1 |
| 3 | Ridgewood Center, Genesis Healthcare | 2 |
| 4 | Bedford Hills Center | 4 |
| 5 | Villa Crest Nursing and Retirement Center | 5 |
| 6 | Hanover Hill Health Care Center | 2 |
| 7 | Mount Carmel Rehabilitation and Nursing Center | 4 |
| 8 | Maple Leaf Health Care Center | 4 |
| 9 | Bedford Nursing & Rehabilitation Center | 2 |
| 10 | Fairview Nursing Home | 1 |
| 11 | Pheasant Wood Center | 2 |
| 12 | Courville at Nashua | 4 |
| 13 | Crestwood Center | 4 |
| 14 | Courville at Manchester | 2 |
| 15 | Hackett Hill Healthcare Center | 2 |
| 16 | The ELMS Center | 1 |
| 17 | Saint Teresa Rehabilitation & Nursing Center | 4 |
| 18 | Goffstown Nursing and Rehab Center | 1 |
| 19 | Holy Cross Health Center | 5 |
| 20 | Hillsboro House Nursing Home | 4 |
| 21 | St. Joseph Residence | 4 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
