2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities
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Home › New Hampshire › Manchester, NH

Senior Care & Assisted Living Costs in Manchester, NH

2026 monthly care rates for Manchester (Hillsborough County), local Census affordability metrics, and 9 CMS-certified care facilities.

Assisted Living🏠
$7,160/mo
$85,920/yr
+15% vs U.S. avg
Memory Care🧠
$8,740/mo
$104,880/yr
+16% vs U.S. avg
In-Home Care🤝
$40.41/hr
$7,700/mo (44h/wk)
+15% vs U.S. avg
Nursing Home (Semi)🏥
$11,060/mo
Private: $12,470/mo
+15% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$7,160/mo
Memory Care$8,740/mo
Home Care$40.41/hr
Nursing Semi$11,060/mo
Nursing Priv$12,470/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $359k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Manchester, NH

40.9 hrs/wk Break-even threshold

At Manchester, NH's average caregiver rate of $40.41/hr, hiring in-home care equals the $7,160/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$3,502/mo

Saves $3,658/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$7,704 vs. $7,160/mo

Full-time home care costs $544/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$14,008/mo

Assisted Living saves $6,848/mo; Memory Care averages $8,740/mo.

Manchester vs. New Hampshire & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Hillsborough County economic indicators.

Manchester, NH$7,160/mo
New Hampshire State Average$6,740/mo
U.S. National Median$6,200/mo

Hillsborough County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $100,436/yr ($8,370/mo)
Median Home Value $385,500
Median Gross Rent $1,532/mo
New Hampshire Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Manchester, NH

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

Maple Leaf Health Care Center
198 Pearl Street, Manchester, NH 03104 • 6036691660
114 Certified Beds For profit - Limited Liability company CCN: 305030
5/5 CMS Rating
Holy Cross Health Center
357 Island Pond Road, Manchester, NH 03109 • 6036283550
40 Certified Beds Non profit - Church related CCN: 305074
5/5 CMS Rating
Hanover Hill Health Care Center
700 Hanover Street, Manchester, NH 03104 • 6036273826
124 Certified Beds For profit - Corporation CCN: 305009
4/5 CMS Rating
St Joseph Residence
495 Mammoth Rd, Manchester, NH 03104 • 6036686011
22 Certified Beds Non profit - Church related CCN: 305088
4/5 CMS Rating
Villa Crest Nursing And Retirement Center
1276 Hanover Street, Manchester, NH 03104 • 6036223262
126 Certified Beds For profit - Limited Liability company CCN: 305079
3/5 CMS Rating
Mount Carmel Rehabilitation And Nursing Center
235 Myrtle Street, Manchester, NH 03104 • 6036273811
122 Certified Beds Non profit - Church related CCN: 305067
3/5 CMS Rating
Hackett Hill Healthcare Center
191 Hackett Hill Road, Manchester, NH 03102 • 6036688161
70 Certified Beds For profit - Corporation CCN: 305038
2/5 CMS Rating
Saint Teresa Rehabilitation & Nursing Center
519 Bridge Street, Manchester, NH 03104 • 6036682373
51 Certified Beds Non profit - Corporation CCN: 305071
2/5 CMS Rating
Courville At Manchester
44 West Webster Street, Manchester, NH 03104 • 6036475900
76 Certified Beds For profit - Limited Liability company CCN: 305057
1/5 CMS Rating

Frequently Asked Questions About Senior Care in Manchester

The estimated median cost of assisted living in Manchester, NH is $7,160 per month ($85,920 per year), adjusted for Hillsborough County housing and income data.
A semi-private room in a skilled nursing facility in Manchester averages $11,060 per month, while a private room averages $12,470 per month.
In-home caregiver services in Manchester, NH average $40.41 per hour, or roughly $7,700 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in New Hampshire is $2,901 per individual applicant.

Compare Senior Care Costs in Nearby New Hampshire Cities

Hooksett, NH $6,320/mo Bedford, NH $7,160/mo Goffstown, NH $7,160/mo Auburn, NH $7,800/mo Merrimack, NH $7,160/mo Litchfield, NH $7,160/mo Londonderry, NH $7,800/mo Suncook, NH $6,320/mo Bow, NH $6,320/mo Candia, NH $7,800/mo Dunbarton, NH $6,320/mo Derry, NH $7,800/mo