State plate · NH

Assisted living in New Hampshire

New Hampshire licenses assisted living through DHHS, Health Facilities Administration, under the license types Assisted Living Residence-Residential Care; Supported Residential Health Care. New Hampshire does not publish a downloadable list with capacity. CDC's 2020 survey estimated 120 residential care communities with 6,100 beds. HUD's active-loan file shows 7 FHA-insured assisted living loans in New Hampshire with $48.5 million outstanding as of September 30, 2026.

Licensing

Licensing agency: DHHS, Health Facilities Administration
License types: Assisted Living Residence-Residential Care; Supported Residential Health Care
Official program page: dhhs.nh.gov
Facility list: PDF (2026-08-05)

Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.

CDC survey profile (2020)

The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.

Measure	New Hampshire	US
Communities	120	30,600
Beds	6,100	1,197,600
Average beds per community	52	39
For-profit	n/a%	81.9%
Chain affiliated	51.5%	61.4%
Medicaid certified	56.2%	43.6%
Dementia-only communities	n/a	10.5%
Dementia-only or with a dementia unit	33.7%	20.5%
Residents 85 and older	56.5%	49.9%
Residents with Alzheimer disease or other dementias	48.5%	42.1%

Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.

HUD Section 232 assisted living loans

Active FHA loans: 7
Outstanding: $48.5 million
Median note rate: 3.35%
Endorsed since FY2001: 25

Since fiscal 2001 HUD has endorsed 25 FHA-insured assisted living loans in New Hampshire for $154 million of original principal, 6 of them for new construction or substantial rehabilitation, and 0 since fiscal 2021. 2 of today's active loans carry a note rate of 5% or more. The active file also lists 2 board and care loans in the state.

Property (HUD name)	City	Units	Endorsed	Rate	Balance	Matures
Spring Village DoverFHA 02422133	Dover	50	May 2026	5.26%	$20,279,520	Jun 2061
Summercrest Assisted LivingFHA 02410008	Newport	154	Jun 2019	5.20%	$6,832,801	Oct 2052
Summerhill Assisted LivingFHA 02443103	Peterborough	67	Mar 2014	3.30%	$6,073,425	Jan 2049
Summercrest Assisted LivingFHA 02422111	Newport	106	Sep 2017	3.35%	$5,678,389	Oct 2052
Courville-carlyle PlaceFHA 02422100	Bedford	41	Dec 2014	3.73%	$4,409,984	Jan 2050
Langdon Place of NashuaFHA 02422096	Nashua	95	Sep 2015	2.74%	$4,031,439	Oct 2045
Langdon Place of ExeterFHA 02422087	Exeter	114	Jun 2012	2.49%	$1,222,983	May 2031

Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.

Own or are buying an assisted living or memory care building in New Hampshire? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.

Compare the three programs

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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.