Best places to open an assisted living home in New Hampshire
The top markets for residential assisted living in New Hampshire, ranked by demand versus supply — plus the cities where the homes are.
Updated July 2026
The top markets for assisted living in New Hampshire right now are Carroll, Belknap, Merrimack counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 36 licensed assisted living homes serving 110,294 residents aged 75+, at a median cost of about $8,025/mo.
Licensed homes
36
state roster
Population 75+
110,294
ACS
Median AL cost
$8,025/mo
above the national median
Bed supply
43.5/1k
moderate supply
Top 10 markets for assisted living in New Hampshire
RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.
Carroll County — opportunity 8.2/10 (Strong); 6,073 seniors 75+, growing 20.1%, with 0 licensed homes.
Belknap County — opportunity 8.0/10 (Strong); 5,853 seniors 75+, growing 14.7%, with 0 licensed homes.
Merrimack County — opportunity 7.8/10 (Strong); 12,013 seniors 75+, growing 12.6%, with 3 licensed homes.
Rockingham County — opportunity 7.7/10 (Strong); 25,209 seniors 75+, growing 24.0%, with 5 licensed homes.
Cheshire County — opportunity 7.7/10 (Strong); 6,788 seniors 75+, growing 14.3%, with 1 licensed homes.
Grafton County — opportunity 7.5/10 (Strong); 8,630 seniors 75+, growing 15.7%, with 1 licensed homes.
Hillsborough County — opportunity 7.3/10 (Strong); 29,500 seniors 75+, growing 15.4%, with 15 licensed homes.
Strafford County — opportunity 7.2/10 (Strong); 8,976 seniors 75+, growing 18.2%, with 8 licensed homes.
Sullivan County — opportunity 6.8/10 (Moderate); 4,036 seniors 75+, growing 14.9%, with 2 licensed homes.
Coos County — opportunity 6.4/10 (Moderate); 3,216 seniors 75+, growing 3.7%, with 1 licensed homes.
What are the top markets for assisted living in New Hampshire?
The strongest New Hampshire markets on RAL Market Scout's opportunity scoring are Carroll, Belknap, Merrimack, Rockingham, Cheshire counties — based on 75+ demand and projected senior growth versus current bed supply.
Which New Hampshire city has the most assisted living homes?
Temple has the most, with 6 licensed assisted living homes (about 29 beds).
How much does assisted living cost in New Hampshire?
The median assisted living cost in New Hampshire is about $8,025 per month — above the national median.
How many assisted living homes are in New Hampshire?
New Hampshire has approximately 36 licensed assisted living homes serving 110,294 residents aged 75 and older.
See the full New Hampshire picture
RAL Market Scout scores every county and ZIP in New Hampshire on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.
Sources: Licensed-home and city counts from New Hampshire state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from NIC MAP / state surveys. Cost figures are market medians. Data snapshot: 2026-07. Informational only — not legal, financial, or investment advice.