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New Hampshire

Residential assisted living licensing rules and official state resources

Licensure term
Assisted Living Residence- Supported Residential Care Facilities
Resident capacity
4-16 residents
Staff ratios
Sufficient number of qualified personnel to meet the needs of all residents at all times.
Cost of licensing
$15 per licensed bed
Bedroom square footage
In an SRHCF licensed for 16 or fewer residents, there shall be at least 80 square feet per room with
Memory care
Any licensee who admits or who has a participant with a diagnosis of dementia, Alzheimer's disease, or a primary or secondary diagnosis of mental illness shall:

Full requirements

Regulatory Agency
Department of Health and Human Services: Health Facilities Administration
Contact Phone Number
(603) 271-9499
Licensure Term(s)
Assisted Living Residence- Supported Residential Care Facilities
Census Requirements
4-16 residents
Qualifications for Managers
For an SRHCF licensed for 16 or fewer beds, all administrators shall be at least 21 years of age and have one of the following combinations of education and experience: (1) A bachelor’s degree from an accredited institution and one year of relevant experience working in a health care setting; (2) A New Hampshire license as an RN, with at least one year of relevant experience working in a health care setting; (3) An associate’s degree from an accredited institution plus 2 years of relevant experience working in a health care setting; (4) New Hampshire license as an LPN, with at least 2 years of relevant experience working in a health care setting; or (5) Be a high school graduate or have a GED with 6 years of relevant experience working in a health care setting with at least 2 of those years as direct care personnel in a long-term care setting within the last 5 years.
Qualifications for Caregivers
All personnel shall be at least 18 years of age if working as direct care personnel unless they are: (1) A licensed nursing assistant working under the supervision of a nurse in accordance with Nur 700; or (2) Involved in an established educational program working under the supervision of a nurse.
Staff Ratios
Sufficient number of qualified personnel to meet the needs of all residents at all times.
Cost of Licensing
$15 per licensed bed
Square Footage Requirements
In an SRHCF licensed for 16 or fewer residents, there shall be at least 80 square feet per room with a single bed and 160 square feet per room with 2 beds, exclusive of space required for closets, wardrobe and toilet facilities. Bedrooms in an SRHCF licensed prior to the 2006 effective date of these rules shall: (2) Provide at least 80 square feet per resident in a private room; and (3) Provide at least 70 square feet per resident in a semi-private room.
Bathrooms Required
The number of sinks, toilets, tubs or showers shall be in a ratio of one for every 6 individuals, unless household members and personnel have separate bathroom facilities not used by residents.