profiles of residential care homeshattie’s place hillcrest home horseshoe pines the inn at...
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April 2007
PROFILES OF RESIDENTIAL CARE HOMES
IN NEW HAMPSHIRE*
*Licensed homes that accepted Medicaid payments in 2005 or 2006
-
INSTITUTE ON DISABILITY I UCED
Introduction The profiles in this booklet represent information about licensed residential care facilities that accepted Medicaid payments in fiscal year 2005 and/or fiscal year 2006. Some facilities not listed here may accept Medicaid; conversely, some facilities that accepted Medicaid previously may chose not to accept Medicaid payments in the future. A list of all licensed residential care facilities is available at the DHHS website, Bureau of Health Facilities Administration. These profiles are designed to help individuals to locate residential care facilities that may meet their needs. The information presented here is provided solely as a service to individuals, it does not constitute an endorsement of any facility. It is intended as a guide only; accuracy is not guaranteed. Residential care facilities are licensed by the Bureau of Health Facilities Administration. There are two types: Residential Care Home Facilities and Supported Residential Care Home Facilities. Listed below are definitions of these types as provided on the NH Association of Residential Care Homes (NH ARCH):
Residential Care Home Facility: Residential Care Homes are homes and facilities where residents need and receive assistance with their activities of daily living. This includes assistance with bathing, personal hygiene, dressing, eating, walking, etc. Other services provided include preparation of special diets, supervision of taking medication and observation of physical and emotional health. Residential Care Homes are operated on a 24-hour basis to provide residential accommodations, personal care, social, occupational and recreational services. Supported Residential Care Home Facility: Supported Residential Care Homes offer the same services as a Residential Care Home. In addition to these services, Supported Residential Care Homes can care for those residents who have greater medical needs. Supported Residential Care Homes offer nursing intervention for those residents who need nursing services, but yet do not need the 24-hour services of a more expensive nursing home.
The information presented in this guide was gathered during a survey completed in 2006 under the Home Care Connections Grant. Substantial support for development of this guide was provided by the Centers for Medicare and Medicaid Services under Grant No. 92519/1. No official endorsement of the funder should be inferred.
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 1 of 49 Institute on Disability/UCED, University of New Hampshire
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 2 of 49 Institute on Disability/UCED, University of New Hampshire
LIST BY COUNTY BELKNAP Lighthouse Manor Pyareo Home Rohach Shared Homes CARROLL Community Living for the Elderly Davis Hill Farm CHESHIRE The Carpenter Home Hillcrest Home Maplewood Assisted Living COOS Genesis Healthcare-Holton Point Sartwell Place GRAFTON Fox Meadow Retirement Home Mae’s Place On The Green Assisted Living Westboro House
HILLSBOROUGH Amato’s Group Home Friendship Manor Golden Haven Residential Care Home Myrtle Manor II Pillsbury Home Rose Haven Assisted Living Villager Retirement Home of Goffstown Washington Manor MERRIMACK Austin Home Betty Barton Home Chesley Home Gerrish Manor Assisted Living The Golden Crest Longfellow’s Pine Rock Manor Pine View Haven We Care Retirement Home The Young Home ROCKINGHAM Ernest P. Barka Assisted Living The Inn at Deerfield The Wellstone House
STRAFFORD Hattie’s Place Lincoln Terrace Home Meadowview Manor Our Place Inn Time Pond View Acres Rosewood Manor Studley Home Wadleigh House SULLIVAN Horseshoe Pines McCoy’s Home for the Elderly Peaceful Harvest Home
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 3 of 49 Institute on Disability/UCED, University of New Hampshire
ALPHABETICAL LIST Amato’s Group Home Austin Home Betty Barton Home The Carpenter Home Chesley Home Community Living for the Elderly Davis Hill Farm Ernest P. Barka Assisted Living Fox Meadow Retirement Home Friendship Manor Genesis Healthcare-Holton Point Gerrish Manor Assisted Living The Golden Crest Golden Haven Residential Care Home Hattie’s Place Hillcrest Home Horseshoe Pines The Inn at Deerfield Lighthouse Manor Lincoln Terrace Home Longfellow’s Mae’s Place Maplewood Assisted Living
McCoy’s Home for the Elderly Meadow View Manor Myrtle Manor II On The Green Assisted Living Our Place Inn Time Peaceful Harvest Home Pillsbury Home Pine Rock Manor Pine View Haven Pond View Acres Pyareo Home Rohach Shared Homes Rose Haven Assisted Living Rosewood Manor Sartwell Place Studley Home Villager Retirement Home of Goffstown Wadleigh House Washington Manor We Care Retirement Home The Wellstone House Westboro House The Young Home
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 4 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Amato's Group Home Contact Person: Sue Amato
Physical street address: 377 Highland Street Title:
Physical town/city and zip: Manchester, NH 03104 Phone number: 669-7527
County: Hillsborough Fax number: 623-0490
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
License Category Residential Care Home
Total number of beds 11 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private: NI
Number of private bathrooms: NI Number of shared bathrooms? NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities:
Nurse on staff? NI If yes, hours per week nurse on staff Is nurse on site? Opportunities for religious observance: NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s?
NI Can you accommodate individuals with challenging behaviors?
NI
Can you accommodate individuals who are hearing impaired?
NI Can you accommodate individuals who are visually impaired?
NI
Can you accommodate the use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information available
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 5 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Austin Home Contact Person: Barbara (Bobbi) Couch
Physical street address: 532 White Plains Road Title:
Physical town/city and zip: Webster, NH 03303 Phone number: 456-3525
County: Merrimack Fax number: 456-6132
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website: License Category Residential Care Home
Total number of beds: 15 HCBC/Medicaid accepted: Yes Number of HCBC beds: As available
Number of private rooms: 14 Base rate for private rooms: NI Basis of rate/private: NI
Number of semi-private rooms: 1 Base rate for semi-private rooms: NI Basis of rate/semi-private: NI
Number of private bathrooms: 3 Number of shared bathrooms: 4 Number of baths/showers handicap accessible:
None for wheelchair
Smoking allowed? No Storage available? Yes, limited
Phone jack in the room, if yes, cost: No
Air conditioning available? No Can individual provide own AC? No Cable available, if yes, cost: Some have satellite TV
Can individual bring pets? Bird, fish
Are there pets in the home? Dog & bird
Group transportation provided? Yes Personal transportation provided? Yes
Available activities:
Nurse on staff? No If yes, hours per week nurse on staff? Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Not requiring doctor
ordersCan you accommodate individuals on oxygen?
Yes, on main floor
Can you accommodate insulin dependent individuals? Yes if self administered
Can you accommodate people who have dementia/Alzheimer’s?
Yes, early stages Can you accommodate individuals with challenging behaviors?
Depends
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate use of walkers? Yes, on 1st floor Is your facility wheelchair accessible? No
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes (3) Is staff awake overnight? No
Age requirements/restrictions: 18 and up Do you provide respite care? Yes, HCBC & private pay
List languages spoken: English *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 6 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Betty Barton Home Contact Person: Betty Barton
Physical street address: 304 North Village Road Title:
Physical town/city and zip: Loudon, NH 03307 Phone number: 783-4722
County: Merrimack Fax number:
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
License Category Residential Care Home
Total number of beds: 3 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities:
Nurse on staff? NI If yes, hours per week nurse on staff: NI Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s? NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information available
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 7 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: The Carpenter Home Contact Person: Dawn Rice
Physical street address: 1 Simeneau Lane Title: Administrator
Physical town/city and zip: Swanzey, NH 03446 Phone number: 352-2269
County: Cheshire Fax number: 352-8779
Mailing address, if different: PO Box 10009 e-mail address: town.swanzey.nh.us
Mailing town/city and zip: Swanzey, NH 03446 Website:
License Category Residential Care Home
Total number of beds: 16 HCBC/Medicaid accepted: Yes Number of HCBC beds: Varies
Number of private rooms: 8 Base rate for private rooms: $2640 Basis of rate/private Monthly
Number of semi-private rooms: 4 Base rate for semi-private rooms: $2100 Basis of rate/semi-private Monthly
Number of private bathrooms: 0 Number of shared bathrooms: 3 Number of baths/showers handicap accessible 2
Smoking allowed? Yes Storage available? Some Phone jack in the room, if yes, cost: Yes, resident pays
Air conditioning available? Yes Can individual provide own AC? Yes Cable available, if yes, cost: Yes, no charge
Can individual bring pets ? Yes Are there pets in the home? Yes
Group transportation provided? Yes Personal transportation provided? Yes
Available activities: Activities 5 days per week
Nurse on staff? Yes If yes, hours per week: 40 Is nurse on site? Yes Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals?
Yes, only if self-administered
Can you accommodate people who have dementia/Alzheimer’s?
Yes, early stages Can you accommodate individuals with challenging behaviors?
Yes
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? Single story Is there an elevator? Single story
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: Do you provide respite care? Yes
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 8 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Chesley Home Contact Person: Nancy Chesley
Physical street address: 35 Woodrow Avenue Title:
Physical town/city and zip: Franklin, NH 03235 Phone number: 934-5130
County: Merrimack Fax number: 934-1952
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
License Category Supported Residential Care Home
Total number of beds: 11 HCBC/Medicaid accepted: Yes Number of HCBC beds:
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms? NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities:
Nurse on staff? NI If yes, hours per week nurse on staff? NI Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s? NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate the use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions? NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 9 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Community Living for the Elderly Contact Person: Paul Geary
Physical street address: 22 Mays Way Title:
Physical town/city and zip: Tamworth, NH 03886 Phone number: 323-8717
County: Carroll Fax number: 323-7506
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
License Category Supported Residential Care Home
Total number of beds: 10 HCBC/Medicaid accepted: Yes Number of HCBC beds:
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities:
Nurse on staff? NI If yes, hours per week nurse on staff: Is nurse on site? Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s? NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 10 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Davis Hill Farm Contact Person: Jean Ball, Nurse Practitioner
Physical street address: 126 Davis Road Title: Administrator/Owner
Physical town/city and zip: Wakefield, NH 03872 Phone number: 522-6300
County: Carroll Fax number:
Mailing address, if different: PO Box 1139 e-mail address: [email protected]
Mailing town/city and zip: Sanbornville, NH 03872 Website:
Licensing Category Residential Care Home
Total number of beds: 8 HCBC/Medicaid accepted: Yes Number of HCBC beds: Varies
Number of private rooms: 2 Base rate for private rooms: Varies Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms: 3 Base rate for semi-private rooms: Varies Basis of rate/semi-private: Monthly
Number of private bathrooms: 0 Number of shared bathrooms: 3 Number of baths/showers handicap accessible: 3
Smoking allowed? No Storage available? NI Phone jack in the room, if yes, cost: Yes
Air conditioning available? Yes Can individual provide own AC? Yes Cable available, if yes, cost: Yes
Can individual bring pets? No Are there pets in the home? Yes
Group transportation provided? NI Personal transportation provided? Yes
Available activities: Various
Nurse on staff? Yes If yes, hours per week nurse on staff: Nurse is also owner Is nurse on site? Yes Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Situational Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors?
NI
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate the use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? NI Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? No
Age requirements/restrictions, if yes, describe: 65+ Do you provide respite care? Yes
List languages spoken: English *NI: No Information
Additional comments: Family owned business since 1996; located on 10+ acres; historic homestead over 220 years old; owner is a nurse practitioner with masters degrees in geriatric and family care
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 11 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Ernest P. Barka Assisted Living Contact Person: Nancy Lang
Physical street address: 117 North Road Title: Director
Physical town/city and zip: Brentwood, NH 03833 Phone number: 679-9301
County: Rockingham Fax number: 679-9414
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website: co.rockingham.nh.us
Licensing Category Supported Residential Care Home
Total number of beds: 49 HCBC/Medicaid accepted: Yes Number of HCBC beds: 18
Number of private rooms: 21 Base rate for private rooms: $2200 Basis of rate/private (monthly, weekly, daily):
Monthly
Number of semi-private rooms: 9 Base rate for semi-private rooms: $1800 Basis of rate/semi-private: Monthly
Number of private bathrooms: 21 Number of shared bathrooms: 9 Number of baths/showers handicap accessible:
All rooms have accessible showers
Smoking allowed? No Storage available? Yes Phone jack in the room, if yes, cost:
Yes, $12. 50 per month
Air conditioning available? Yes Can individual provide own AC? Have central AC
Cable available, if yes, cost: Yes, resident pays for cable
Can individual bring pets? No Are there pets in the home? Yes, rabbit
Group transportation provided? Yes Personal transportation provided? Yes if necessary
Available activities: Activity staff 5 days per week
Nurse on staff? Yes If yes, hours per week nurse on staff: 7 AM to 11 PM; on call 24 hours/7 days Is nurse on site? Yes Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s?
Yes, mild Can you accommodate individuals with challenging behaviors?
NI
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? NI
Can you accommodate the use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? Yes
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: 65 + Do you provide respite care? No
List languages spoken: English *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 12 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Fox Meadow Retirement Home Contact Person: Jodi Johnston
Physical street address: 1151 Summer Street Title:
Physical town/city and zip: Bristol, NH 03222 Phone number: 744-5020
County: Grafton Fax number: 744-9193
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website: www.foxmeadow.net
Licensing Category Residential Care Home
Total number of beds: 12 HCBC/Medicaid accepted: Yes Number of HCBC beds:
Number of private rooms: 8 Base rate for private rooms: $75 Basis of rate/private (monthly, weekly, daily):
Daily
Number of semi-private rooms: 2 Base rate for semi-private rooms: NI Basis of rate/semi-private NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible:
NI
Smoking allowed? Yes, outside
Storage available? Yes Phone jack in the room, if yes, cost: Yes, installation fee charged
Air conditioning available? Yes Can individual provide own AC? NI Cable available, if yes, cost: Yes, at no cost
Can individual bring pets? No Are there pets in the home? No
Group transportation provided? Yes Personal transportation provided? Yes
Available activities:
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? No
Can you accommodate people who have dementia/Alzheimer’s?
No Can you accommodate individuals with challenging behaviors? No
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? No
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? Yes
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 13 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Friendship Manor Contact Person: Gary Cahoon
Physical street address: 151 Main Street Title: Administrator
Physical town/city and zip: New Ipswich, NH 03071 Phone number: 878-2315
County: Hillsborough Fax number: 878-4971
Mailing address, if different: PO Box 470 e-mail address: [email protected]
Mailing town/city and zip: New Ipswich, NH 03071 Website: Licensing Category Residential Care Home
Total number of beds: 22 HCBC/Medicaid accepted: Yes Number of HCBC beds: 22
Number of private rooms: 12 Base rate for private rooms: $2100 Basis of rate/private: Monthly
Number of semi-private rooms:
5 Base rate for semi-private rooms:
$2100 Basis of rate/semi-private (monthly, weekly, daily):
Monthly
Number of private bathrooms:
0 Number of shared bathrooms: 8 Number of baths/showers handicap accessible:
2
Smoking allowed? No Storage available? Yes Phone jack in the room, if yes, cost: Yes, resident pays phone co.
Air conditioning available? In 1 common room
Can individual provide own AC?
Yes Cable available, if yes, cost: Yes, resident pays cable co.
Can individual bring pets? Yes Are there pets in the home? Yes
Group transportation provided?
Yes Personal transportation provided?
Yes
Available activities: Arts, crafts, shopping, excursions, reading group, cards, walking group
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes if self-administered
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors?
Yes
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate the use of walkers? Yes Is your facility wheelchair accessible? Yes, in part
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: No Do you provide respite care? Yes
List languages spoken: English & some French
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 14 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Genesis Healthcare - Holton Point Contact Person: Alicia Nerich, ED/RCD
Physical street address: 63 Country Village Road Title:
Physical town/city and zip: Lancaster, NH 03584 Phone number: 788-4650
County: Coos Fax number: 788-3987
Mailing address, if different: PO Box 441 e-mail address: [email protected]
Mailing town/city and zip: Lancaster, NH 03584 Website: genesishealthcare.com
Licensing Category: Supported Residential Care Home
Total number of beds: 32 HCBC/Medicaid accepted: Yes Number of HCBC beds: 10 plus
Number of private rooms: 8 Base rate for private rooms: $81 to $91 Basis of rate/private: Daily
Number of semi-private rooms:
12 Base rate for semi-private rooms: $78 Basis of rate/semi-private (monthly, weekly, daily):
Daily
Number of private bathrooms: 3 Number of shared bathrooms: 17 Number of baths/showers handicap accessible:
4
Smoking allowed? Yes Storage available? Yes Phone jack in the room, if yes, cost: Yes, $39 hook-up fee
Air conditioning available? Yes Can individual provide own AC? Yes Cable available, if yes, cost: Yes, $25 per month
Can individual bring pets? Yes Are there pets in the home? Yes
Group transportation provided?
Yes Personal transportation provided? Yes
Available activities: Bingo, games, music, gardening/plants, outings, shopping
Nurse on staff/ Yes If yes, hours per week nurse on staff: 40 Is nurse on site? Yes Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors? Yes
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate the use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes
List languages spoken: English, French
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 15 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Gerrish Manor Assisted Living Contact Person: Sue Smith, RNC
Physical street address: 325 Daniel Webster Highway Title: Administrator
Physical town/city and zip: Boscawen, NH 03303 Phone number: 796-3241
County: Merrimack Fax number: 796-3229
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website:
Licensing Category Supported Residential Care Home
Total number of beds: 24 HCBC/Medicaid accepted: Yes Number of HCBC beds: No limit
Number of private rooms: 24 Base rate for private rooms: $1600 Basis of rate/private: Monthly
Number of semi-private rooms: 0 Base rate for semi-private rooms: Basis of rate/semi-private: Monthly
Number of private bathrooms: 0 Number of shared bathrooms: 11 Number of baths/showers handicap accessible:
2
Smoking allowed? Some areas
Storage available? No Phone jack in the room, if yes, cost: Yes
Air conditioning available? No Can individual provide own AC? No Cable available, if yes, cost: Yes
Can individual bring pets? No Are there pets in the home? Yes
Group transportation provided? Yes Personal transportation provided? Yes when available
Available activities: Extra staff person scheduled on two shifts to provide activities
Nurse on staff? Yes If yes, hours per week nurse on staff: 40 Is nurse on site? Yes Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals?
Yes if self administered
Can you accommodate people who have dementia/Alzheimer’s?
Yes, if not exit seeking
Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes if able to self ambulate
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No, but have wheelchair ramp
Is there an elevator? Yes
Are ground level rooms available? Yes, all Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: No Do you provide respite care? No
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 16 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: The Golden Crest Contact Person: Tom Matzke or Gail Deguise
Physical street address: 29 Baldwin Street Title:
Physical town/city and zip: Franklin, NH 03235 Phone number: 934-6742
County: Merrimack Fax number: 934-6743
Mailing address, if different: e-mail address: [email protected] Licensing Category Supported Residential Care Home
Total number of beds: 100 HCBC/Medicaid accepted: Yes Number of HCBC beds: 6
Number of private rooms: 50 Base rate for private rooms: $2900 Basis of rate/private: Monthly
Number of semi-private rooms:
2 Base rate for semi-private rooms:
$2100 Basis of rate/semi-private (monthly, weekly, daily):
Monthly
Number of private bathrooms:
50 Number of shared bathrooms: 2 Number of baths/showers handicap accessible:
52
Smoking allowed? Designated outside area
Storage available? Yes Phone jack in the room, if yes, cost: Yes, resident pays phone
Air conditioning available? No Can individual provide own AC?
Yes Cable available, if yes, cost: Yes, resident pays cable co.
Can individual bring pets? Yes Are there pets in the home? No
Group transportation provided?
Yes Personal transportation provided?
Yes
Available activities: Indoor and outdoor functions including barbeques, cocktail hours, bingo, many hired outside musicians, picnics at state parks, activities to keep residents mentally and physically well.
Nurse on staff? Yes If yes, hours per week nurse on staff 62 Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes, if self administered
Can you accommodate people who have dementia/Alzheimer’s?
No Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? Yes
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: 55 and older Do you provide respite care? No
List languages spoken: English, French
Additional comments: Our facility is operated and managed as a resort, with multiple activities and functions.
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 17 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Golden Haven Residential Care Home Contact Person: Joyce M. Lemay
Physical street address: 120 South Mast Street Title:
Physical town/city and zip: Goffstown, NH 03045 Phone number: 497-2639
County: Hillsborough Fax number: 497-4770
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Residential Care HomeTotal number of beds: 12 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities:
Nurse on staff:? NI If yes, hours per week nurse on staff: Is nurse on site? Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s? NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate the use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 18 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Hattie's Place Contact Person: Desiree Hafford
Physical street address: 256 Main Street Title: Owner
Physical town/city and zip: Farmington, NH 03835 Phone number: 755-3937
County: Strafford Fax number: 755-8974
Mailing address, if different: e-mail address: [email protected]
Licensing Category: Residential Care Home
Total number of beds: 12 HCBC/Medicaid accepted: Yes Number of HCBC beds: 2
Number of private rooms: 4 Base rate for private rooms: $1800 Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms:
4 Base rate for semi-private rooms:
$1800 Basis of rate/semi-private (monthly, weekly, daily):
Monthly
Number of private bathrooms: 0 Number of shared bathrooms:
4 Number of baths/showers handicap accessible:
2
Smoking allowed? Yes Storage available? No Phone jack in the room, if yes, cost: Yes, resident pays
Air conditioning available? No Can individual provide own AC?
Yes Cable available, if yes, cost: Yes, included in rent
Can individual bring pets? Yes (some)
Are there pets in the home? Yes, cat
Group transportation provided?
No Personal transportation provided?
Yes in local area
Available activities: Bingo, movies, reading
Nurse on staff? Yes If yes, hours per week nurse on staff: 2 hours per month, on call 24 hours Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes, to a certain extent
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals?
Yes for a higher rate
Can you accommodate people who have dementia/Alzheimer’s?
Yes, early stages
Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate the use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 19 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Hillcrest Home (Nolan and Nolan LLC) Contact Person: Rory Nolan
Physical street address: 90 Aldrich Road Title: Administrator/Owner
Physical town/city and zip: Westmoreland, NH 03467 Phone number: 399-7177
County: Cheshire Fax number: 399-1038
Mailing address, if different: e-mail address: [email protected]
Licensing Category Residential Care Home
Total number of beds: 16 HCBC/Medicaid accepted: Yes Number of HCBC beds: Varies
Number of private rooms:
8 Base rate for private rooms: Varies Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms:
3 Base rate for semi-private rooms:
Varies Basis of rate/semi-private: Monthly
Number of private bathrooms:
1 Number of shared bathrooms:
3 Number of baths/showers handicap accessible:
1 bath, 1 shower
Smoking allowed? No Storage available? Yes Phone jack in the room, if yes, cost: No
Air conditioning available?
Yes, window units
Can individual provide own AC?
Yes Cable available, if yes, cost: Satellite, $5 per month
Can individual bring pets?
Negotiable Are there pets in the home? Yes
Group transportation provided?
NI Personal transportation provided?
Yes limited for dr visit
Available activities: yoga, piano concerts, bingo, monthly outings to local restaurants, hairdresser, games
Nurse on staff:? No If yes, hours per week nurse on staff: Is nurse on site? No Opportunities for religious observance? Transp. available Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes to a degree Can you accommodate individuals with challenging behaviors?
Yes, some, if not aggressive
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate the use of walkers? Yes Is your facility wheelchair accessible? Yes, have ramp; no perm. wheelchairs
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? No
Age requirements/restrictions, if yes, describe: No Do you provide respite care? Yes
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 20 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Horseshoe Pines Contact Person: Steve or Ruby Guyette
Physical street address: 79 Province Road Title:
Physical town/city and zip: Goshen, NH 03752 Phone number: 863-5500
County: Sullivan Fax number: 863-3973
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website: www.horseshoepines.net
Licensing Category Residential Care Home
Total number of beds: 9 HCBC/Medicaid accepted: Yes Number of HCBC beds: Varies
Number of private rooms: 5 Base rate for private rooms: $2100 Basis of rate/private: Monthly
Number of semi-private rooms:
2 Base rate for semi-private rooms:
$2100 Basis of rate/semi-private (monthly, weekly, daily):
Monthly
Number of private bathrooms:
0 Number of shared bathrooms: 3 Number of baths/showers handicap accessible:
1
Smoking allowed? Outside only Storage available? No Phone jack in the room, if yes, cost: Yes, resident pays cost
Air conditioning available? No Can individual provide own AC?
Yes Cable available, if yes, cost: Yes, satellite
Can individual bring pets? Yes, limited Are there pets in the home? Yes
Group transportation provided?
Yes Personal transportation provided?
Yes
Available activities: Bingo, music, churches, movies, walks
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals?
Yes if self administered
Can you accommodate people who have dementia/Alzheimer’s?
Yes early stages Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? No
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Not at present Is staff awake overnight? No
Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes if space available
List languages spoken: English, some French Additional comments: Country setting, family style
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 21 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: The Inn At Deerfield Contact Person: Madeline Clark
Physical street address: 34 Ridge Road Title: Executive Director
Physical town/city and zip: Deerfield NH 03037 Phone number: 463-7002
County: Rockingham Fax number: 463-9721
Mailing address, if different: PO Box 87 e-mail address: [email protected]
Mailing town/city and zip: Deerfield NH 03037 Website: innatdeerfield.org Licensing Category Supported Residential Care Home Total number of beds: 32 HCBC/Medicaid accepted: Yes Number of HCBC beds: 8-10 Number of private rooms: 4 Base rate for private rooms: $3200 Basis of rate/private: Monthly Number of semi-private rooms: 14 Base rate for semi-private rooms: $3200 Basis of rate/semi-private: Monthly Number of private baths: Number of shared baths: 6 Number of baths/showers
handicap accessible: 6
Smoking allowed? In special cases
Storage available? Yes, limited
Phone jack in the room, if yes, cost:
No
Air conditioning available? Yes Can individual provide own AC? No Cable available, if yes, cost: Yes, $12/ month plus set up
Can individual bring pets? Limited Are there pets in the home? Yes Group transportation provided? Yes, to
events Personal transportation provided? Yes, extra
cost
Available activities: Designed for dementia: "special days," bingo, movies, rides, crafts
Nurse on staff? Yes If yes, hours per week nurse on staff: 56 per week, also 24 hour availability by contract nurse Is nurse on site? Yes Opportunities for religious observance? Yes Can you accommodate special diets? Yes Can you accommodate individuals on oxygen? Yes, prefer not
long term basis Can you accommodate insulin dependent individuals?
Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors?
Yes
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate using walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No stairs in bldg Is there an elevator? Single story
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: Prefer 65+ Do you provide respite care? Yes if space; $150/day
List languages spoken: English, French, Polish (limited)
Additional comments: Specialize in dementia (memory impairment specific.) Rates vary with acuity. “Secure care” wander guard system for those needing it. Residents may bring own furniture.
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 22 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Lighthouse Manor Contact Person: Thaxter Corriveau or David Lagueux
Physical street address: 266 South Main Street Title: Owner/Administrator
Physical town/city and zip: Laconia, NH 03246 Phone number: 524-4257
County: Belknap Fax number: Call other number first
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 7 HCBC/Medicaid accepted: Yes Number of HCBC beds:
Number of private rooms: 1 Base rate for private rooms: $ 1850 Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms:
3 Base rate for semi-private rooms:
$ 2000 Basis of rate/semi-private (monthly, weekly, daily):
Monthly
Number of private bathrooms:
0 Number of shared bathrooms: 2 Number of baths/showers handicap accessible: 2
Smoking allowed? Yes Storage available? No Phone jack in the room, if yes, cost: No
Air conditioning available? Yes Can individual provide own AC?
No Cable available, if yes, cost: Yes, at no cost
Can individual bring pets? NI Are there pets in the home? Yes
Group transportation provided?
Yes, senior bus
Personal transportation provided?
Yes
Available activities: Senior center
Nurse on staff? No If yes, hours per week nurse on staff: As needed Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes if self administered
Can you accommodate people who have dementia/Alzheimer’s?
No Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? No
Age requirements/restrictions, if yes, describe: None Do you provide respite care? NI
List languages spoken: English *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 23 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Lincoln Terrace Home Contact Person: Mary McGovern
Physical street address: 11 Lincoln Street Title:
Physical town/city and zip: Rochester, NH 03867 Phone number: 330-3030
County: Strafford Fax number: 332-9163
Mailing address, if different: PO Box 4 e-mail address:
Mailing town/city and zip: Rochester, NH 03867 Website:
Licensing Category Residential Care Home
Total number of beds: 16 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms:
NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed: NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available: NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets: NI Are there pets in the home? NI
Group transportation provided: NI Personal transportation provided? NI
Available activities: NI
Nurse on staff? NI If yes, hours per week nurse on staff: NI Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s?
NI Can you accommodate individuals with challenging behaviors?
NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate the use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 24 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Longfellow's Contact Person: Mildred Longfellow
Physical street address: 868 Franklin Highway Title: Owner
Physical town/city and zip: East Andover NH 03231 Phone number: 735-5753
County: Merrimack Fax number:
Mailing address, if different: PO Box 271 e-mail address:
Mailing town/city and zip: East Andover NH 03231 Website:
Licensing Category Residential Care Home
Total number of beds: 6 HCBC/Medicaid accepted: Yes Number of HCBC beds:
Number of private rooms: 2 Base rate for private rooms: $800 Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms:
2 Base rate for semi-private rooms:
$600 Basis of rate/semi-private (monthly, weekly, daily):
Monthly
Number of private bathrooms:
NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? Yes Storage available? Yes Phone jack in the room, if yes, cost: No
Air conditioning available? Yes Can individual provide own AC?
Yes Cable available, if yes, cost: Yes, add’l cost
Can individual bring pets? Yes Are there pets in the home? Not at this time
Group transportation provided?
Yes Personal transportation provided?
Yes
Available activities:
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s? Yes Can you accommodate individuals with challenging behaviors? Yes
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? No
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? No
Age requirements/restrictions, if yes, describe: None Do you provide respite care? No
List languages spoken: English *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 25 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Mae’s Place LLC Contact Person: Marsha Elder
Physical street address: 212 Summer Street Title:
Physical town/city and zip: Bristol NH 03222 Phone number: 744-8402
County: Grafton Fax number: 744-8402
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website: maesplacellc.com
Licensing Category Residential Care Home
Total number of beds: 11 HCBC/Medicaid accepted: Yes Number of HCBC beds: As needed
Number of private rooms: 10 Base rate for private rooms: $2300 Basis of rate/private: Monthly
Number of semi-private rooms:
1 Base rate for semi-private rooms: $2100 Basis of rate/semi-private (monthly, weekly, daily):
Monthly
Number of private bathrooms: 0 Number of shared bathrooms: 2.5 Number of baths/showers handicap accessible:
1
Smoking allowed? Yes Storage available? Yes Phone jack in the room, if yes, cost: Yes, cost varies
Air conditioning available? No Can individual provide own AC? Yes Cable available, if yes, cost: Yes
Can individual bring pets? No Are there pets in the home? No
Group transportation provided?
Yes Personal transportation provided? Yes
Available activities: Rides, bingo, cooking, music, board games
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? No Can you accommodate insulin dependent individuals? Yes, if self administered
Can you accommodate people who have dementia/Alzheimer’s?
Yes, early stages
Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? No
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? No
Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 26 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Maplewood Assisted Living Contact Person: Maria Lariviere-Miffek
Physical street address: 201 River Road Title:
Physical town/city and zip: Westmoreland, NH 03467 Phone number: 399-7348
County: Cheshire Fax number: 399-7367
Mailing address, if different: e-mail address:
Licensing Category Supported Residential Care Home
Total number of beds: 20 HCBC/Medicaid accepted: Yes Number of HCBC beds: 5
Number of private rooms: All are private
Base rate for private rooms: $1825 Basis of rate/private (monthly, weekly, daily):
Monthly
Number of semi-private rooms: 0 Base rate for semi-private rooms: Basis of rate/semi-private:
Number of private bathrooms: All Number of shared bathrooms: 0 Number of baths/showers handicap accessible:
All
Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost:
Yes, resident pays costs
Air conditioning available? Yes Can individual provide own AC? No Cable available, if yes, cost: Yes, $25 initial hook up
Can individual bring pets? No Are there pets in the home? Cats in nursing home section
Group transportation provided? No Personal transportation provided? No
Available activities: Almost all nursing home activities are available to residents
Nurse on staff? Yes If yes, hours per week nurse on staff: 40 Is nurse on site? Yes, nursing home nurse available for emergencies Opportunities for religious observance? Yes Can you accommodate special diets? No; some heart healthy
options; resident chooses Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes, if self administered
Can you accommodate people who have dementia/Alzheimer’s?
No Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? Yes
Are ground level rooms available? No Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: None Do you provide respite care? No
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 27 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: McCoy’s Home for the Elderly Contact Person: Nancy McCoy
Physical street address: 1016 John Stark Highway Title:
Physical town/city and zip: Newport, NH 03773 Phone number: 543-1255
County: Sullivan Fax number: 624-0484
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Supported Residential Care Home
Total number of beds: 16 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities: NI
Nurse on staff? NI If yes, hours per week nurse on staff: Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s? NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 28 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Meadow View Manor Contact Person: Kathy Baker
Physical street address: 749 Salmon Falls Road Title: Co-owner
Physical town/city and zip: Rochester, NH 03868 Phone number: 335-2288
County: Strafford Fax number:
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 7 HCBC/Medicaid accepted: Yes Number of HCBC beds:
Number of private rooms: 1 Base rate for private rooms: $2100 Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms: 3 Base rate for semi-private rooms: $2100 Basis of rate/semi-private Monthly
Number of private bathrooms: 1 Number of shared bathrooms: 1 Number of baths/showers handicap accessible:
1
Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost: Yes, cost of installation
Air conditioning available? No Can individual provide own AC? NI Cable available, if yes, cost: Yes, cost of installation
Can individual bring pets? No Are there pets in the home? Yes
Group transportation provided? Yes Personal transportation provided? Yes
Available activities: church, outings
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes on individual basis
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals?
No
Can you accommodate people who have dementia/Alzheimer’s?
Yes, early stages Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired?
Yes on individual basis
Can you accommodate individuals who are visually impaired?
Yes on individual basis
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? No
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? No
Age requirements/restrictions, if yes, describe: None Do you provide respite care? No
List languages spoken: English Additional comments: Each potential resident needs to be interviewed to decide suitability; family environment
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 29 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Myrtle Manor II, Inc. Contact Person: Suzy Dumont
Physical street address: 83 Myrtle Street Title: Administrator/Owner
Physical town/city and zip: Manchester, NH 03104 Phone number: 641-6626
County: Hillsborough Fax number: 641-6678
Mailing address, if different: e-mail address: [email protected]
Licensing Category Residential Care Home
Total number of beds: 25 HCBC/Medicaid accepted: Yes Number of HCBC beds: Varies
Number of private rooms: 7 Base rate for private rooms: $80 to $95 Basis of rate/private: Daily
Number of semi-private rooms:
9 Base rate for semi-private rooms:
$65 Basis of rate/semi-private: Daily
Number of private bathrooms:
2 Number of shared bathrooms:
4 Number of baths/showers handicap accessible:
0
Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost: No
Air conditioning available? Yes Can individual provide own AC?
Yes, add’l cost
Cable available, if yes, cost: Yes, currently $13.15/month
Can individual bring pets? Depends Are there pets in the home? No
Group transportation provided?
No, due to insurance
rates
Personal transportation provided?
No (only in emergencies)
Available activities: Crafts, movies, bingo, in-house doctor, hairdresser
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes, air concentrator
Can you accommodate insulin dependent individuals? Yes if self administered
Can you accommodate people who have dementia/Alzheimer’s?
Yes, early stages Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? No
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: 65+ or diagnosed with disability
Do you provide respite care? Yes
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 30 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: On The Green Assisted Living Contact Person: Albion or Janice Estes
Physical street address: 412 Dartmouth College Highway Title:
Physical town/city and zip: Haverhill, NH 03765 Phone number: 989-5545
County: Grafton Fax number: 989-3209
Mailing address, if different: e-mail address: [email protected]
Licensing Category Residential Care Home
Total number of beds: 11 HCBC/Medicaid accepted: Yes Number of HCBC beds: 11
Number of private rooms: 3 Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms:
4 Base rate for semi-private rooms: NI Basis of rate/semi-private: NI
Number of private bathrooms:
NI Number of shared bathrooms: 3 Number of baths/showers handicap accessible: 0
Smoking allowed? Yes, outside
Storage available? Yes Phone jack in the room, if yes, cost: Yes
Air conditioning available? Yes Can individual provide own AC? Yes Cable available, if yes, cost: Yes, at no charge
Can individual bring pets? Needs discussion
Are there pets in the home? Yes
Group transportation provided?
Yes Personal transportation provided? Yes
Available activities: individual preference
Nurse on staff? Yes If yes, hours per
week nurse on staff: As needed Is nurse on site? No
Opportunities for religious observance? Yes Can you accommodate special diets? Yes Can you accommodate individuals on oxygen? Varies Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes, early stages
Can you accommodate individuals with challenging behaviors? No
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? No
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: No Do you provide respite care? Yes
List languages spoken: English *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 31 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Our Place Inn Time Contact Person: Melissa Goslin
Physical street address: 31 Tappan Street Title:
Physical town/city and zip: Farmington, NH 03835 Phone number: 755-2354
County: Strafford Fax number: 755-3316
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 16 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities:
Nurse on staff? NI If yes, hours per week nurse on staff: Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s? NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 32 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Peaceful Harvest Home LLC Contact Person: Jennifer A. Greenleaf
Physical street address: 144 Paris Avenue Title: Administrator
Physical town/city and zip: Charlestown, NH 03603 Phone number: 826-4770
County: Sullivan Fax number: 826-5287
Mailing address, if different: PO Box 1289 e-mail address: [email protected] OR [email protected]
Mailing town/city and zip: Charlestown, NH 03603 Website: www.peacefulharvest.com Licensing Category Supported Residential Care HomeTotal number of beds: 14 HCBC/Medicaid accepted: Yes Number of HCBC beds: 14 Number of private rooms: 4 Base rate for private rooms: Rate based on care; min
is HCBC rate, max is $2500-$3000
Basis of rate/private (monthly, weekly, daily):
Monthly
Number of semi-private rooms: 5 Base rate for semi-private rooms: See above Basis of rate/semi-private: MonthlyNumber of private bathrooms: 0 Number of shared bathrooms: 4 Number of baths/showers
handicap accessible: 1
Smoking allowed? No Storage available? Yes Phone jack in the room: No Air conditioning available? In 2
public rooms
Can individual provide own AC? Yes Cable available, if yes, cost: No
Can individual bring pets? No Are there pets in the home? Yes, 2 dogs and a cat Group transportation provided? Yes Personal transportation provided? Yes
Available activities: NASCAR, concerts, baseball games, museums, bingo
Nurse on staff? Yes If yes, hours per week nurse on staff: 16; additional as needed Is nurse on site? Yes Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors?
Yes
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes, 1 room
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes
List languages spoken: English Additional comments Small 14 bed home, owners live on premise. We are very active. We try to accommodate hospice situations.
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 33 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Pillsbury Home Contact Person: Eleanor Hakey
Physical street address: 95 High Street Title: Administrator
Physical town/city and zip: Milford, NH 03055 Phone number: 673-2680
County: Hillsborough Fax number: 672-6108
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 14 HCBC/Medicaid accepted: Yes Number of HCBC beds: 4
Number of private rooms: 14 Base rate for private rooms: $70 Basis of rate/private (monthly, weekly, daily): Daily
Number of semi-private rooms: 0 Base rate for semi-private rooms: Basis of rate/semi-private (monthly, weekly, daily):
Number of private bathrooms: 1 Number of shared bathrooms: 6 Number of baths/showers handicap accessible: 5
Smoking allowed? No Storage available? Yes Phone jack in the room, if yes, cost: Yes
Air conditioning available? Yes Can individual provide own AC? Yes Cable available, if yes, cost: Yes, $8.50
Can individual bring pets? No Are there pets in the home? No
Group transportation provided? No Personal transportation provided? Yes
Available activities: Entertainment 4-5 days per week
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? No
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors? No
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? No
Is there a chair lift for stairs? Yes Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: Yes, 65+ Do you provide respite care? Yes
List languages spoken: English Additional comments: Homey atmosphere, may bring own furniture
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 34 of 49 Institute on Disability/UCED, University of New Hampshire
ame of Facility: Pine Rock Manor Contact Person: Eldon Munson
Physical street address: 3 Denny Hill Road Title: Administrator
Physical town/city and zip: Warner, NH 03278 Phone number: 456-3181
County: Merrimack Fax number: 456-3933
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website: pinerockmanor.com
Licensing Category Supported Residential Care Home
Total number of beds: 70 HCBC/Medicaid accepted: Yes Number of HCBC beds: 10
Number of private rooms: 16 Base rate for private rooms: $4300 Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms:
23 Base rate for semi-private rooms: $3600 Basis of rate/semi-private (monthly, weekly, daily):
Monthly
Number of private bathrooms: 35 Number of shared bathrooms: 7 Number of baths/showers handicap accessible: 8
Smoking allowed? No Storage available? Limited Phone jack in the room, if yes, cost: Yes, at no charge
Air conditioning available? Yes Can individual provide own AC? Yes Cable available, if yes, cost: No
Can individual bring pets? No Are there pets in the home? Pet therapy
Group transportation provided?
Yes Personal transportation provided? Yes
Available activities: Cognitive challenges, games
Nurse on staff? Yes If yes, hours per week nurse on staff 112 Is nurse on site? Yes Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors?
Yes
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate using walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? Yes
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes, private and HCBC
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 35 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Pine View Haven Contact Person: James Delaney, Sr. or Frances Delaney
Physical street address: 85 Franklin Highway Title:
Physical town/city and zip: Andover, NH 03216 Phone number: 735-5208
County: Merrimack Fax number: 735-5175
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 10 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available: NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC: NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home: NI
Group transportation provided? NI Personal transportation provided: NI
Available activities:
Nurse on staff? NI If yes, hours per week nurse on staff: Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s? NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 36 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Pond View Acres Contact Person: Mary E. Metrick
Physical street address: 280 Route 9 Title:
Physical town/city and zip: Barrington, NH 03825 Phone number: 664-9967
County: Strafford Fax number: 664-9967
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 10 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities:
Nurse on staff? NI If yes, hours per week nurse on staff: Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s? NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 37 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Pyareo Home Contact Person: Wendy Hobbs
Physical street address: 333 Brook Road Title:
Physical town/city and zip: Sanbornton, NH 03269 Phone number: 934-2300
County: Belknap Fax number:
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Supported Residential Care Home
Total number of beds: 7 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities:
Nurse on staff? NI If yes, hours per week nurse on staff: Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s? NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 38 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Rohach Shared Homes Contact Person: Nancy MacArthur
Physical street address: 154 East Main Street Title: Administrator
Physical town/city and zip: Tilton, NH 03276 Phone number: 286-4744
County: Belknap Fax number:
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 15 HCBC/Medicaid accepted: Yes Number of HCBC beds: 10
Number of private rooms: 1 Base rate for private rooms: $2900 Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms: 7 Base rate for semi-private rooms: $2100 Basis of rate/semi-private (monthly, weekly, daily): Monthly
Number of private bathrooms: 0 Number of shared bathrooms: 3 Number of baths/showers handicap accessible: 1
Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost: No
Air conditioning available? No Can individual provide own AC? Yes Cable available, if yes, cost: Yes
Can individual bring pets? No Are there pets in the home? No
Group transportation provided? No Personal transportation provided? Yes
Available activities:
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? No Can you accommodate insulin dependent individuals? No
Can you accommodate people who have dementia/Alzheimer’s?
No Can you accommodate individuals with challenging behaviors? Yes
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes, first floor only
Is your facility wheelchair accessible? No
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? No
Age requirements/restrictions, if yes, describe: Over 60 Do you provide respite care? Yes
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 39 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Rose Haven Assisted Living Contact Person: Cynthia A. Gaudreault
Physical street address: 8 Jennifer Drive Title: Administrator
Physical town/city and zip: Merrimack, NH 03054 Phone number: 424-5919
County: Hillsborough Fax number: 424-7250
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website: rosehavenhome.com
Licensing Category Supported Residential Care Home
Total number of beds: 28 HCBC/Medicaid accepted: Yes Number of HCBC beds:
Number of private rooms: 27 Base rate for private rooms: $3000 Basis of rate: Monthly
Number of semi-private rooms: 1 Base rate for semi-private rooms: Basis of rate/semi-private: Monthly
Number of private bathrooms: Number of shared bathrooms: 9 Number of baths/showers handicap accessible:
2
Smoking allowed? Yes, outside
Storage available? No Phone jack in the room, if yes, cost: Yes, resident pays cost
Air conditioning available? No Can individual provide own AC? Yes Cable available, if yes, cost: Yes, no cost
Can individual bring pets? No Are there pets in the home? Yes
Group transportation provided? Yes Personal transportation provided? Yes, by appt only
Available activities: M-F 8:30-11 Exercise, mind stimulation, weekly trip to grocery, bingo, crafts, other monthly trips
Nurse on staff? Yes, consultant If yes, hours per week nurse on staff: 5 Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes, with prior approval
Can you accommodate individuals on oxygen? No Can you accommodate insulin dependent individuals?
Yes, with prior approval
Can you accommodate people who have dementia/Alzheimer’s?
Yes, non-wanderers
Can you accommodate individuals with challenging behaviors?
Yes
Can you accommodate individuals who are hearing impaired?
Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: Over 60 Do you provide respite care? Yes
List languages spoken: English, some French
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 40 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Rosewood Manor LLC Contact Person: Gail Ellis
Physical street address: 2 Church Street Title:
Physical town/city and zip: Gonic, NH 03838 Phone number: 335-3966
County: Strafford Fax number:
Mailing address, if different: PO Box 4 e-mail address:
Mailing town/city and zip: Rochester, NH 03867 Website:
Licensing Category Residential Care Home
Total number of beds: 15 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities: NI
Nurse on staff? NI If yes, hours per week nurse on staff: NI Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s?
NI Can you accommodate individuals with challenging behaviors?
NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired?
NI
Can you accommodate use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 41 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Sartwell Place Contact Person: Wendy Colby
Physical street address: 6 Terrace Street Title:
Physical town/city and zip: Whitefield, NH 03598 Phone number: 837-2541
County: Coos Fax number: 837-3842
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 24 HCBC/Medicaid accepted: Yes Number of HCBC beds: 24
Number of private rooms: 15 Base rate for private rooms: $75 Basis of rate/private: Daily
Number of semi-private rooms:
4 Base rate for semi-private rooms:
$75 Basis of rate/semi-private: Daily
Number of private bathrooms: 17 Number of shared bathrooms:
1 Number of baths/showers handicap accessible:
3
Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost: Yes, resident pays cost
Air conditioning available? No Can individual provide own AC?
Yes Cable available, if yes, cost: Yes, $10/month
Can individual bring pets? Can be discussed
Are there pets in the home? Yes
Group transportation provided?
Once per week
Personal transportation provided?
By local company
Available activities: on site and off unit
Nurse on staff? Yes If yes, hours per week nurse on staff: 3 Is nurse on site? Yes, once weekly Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors? Varies
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? Yes
Are ground level rooms available? No Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: 18+ Do you provide respite care? Yes
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 42 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Studley Home, Inc Contact Person: Carol Doyon
Physical street address: 15 Eastern Avenue Title: Administrator
Physical town/city and zip: Rochester, NH 03867 Phone number: 603-332-1738
County: Strafford Fax number: 603-332-2324
Mailing address, if different: 27 Spruce Pond Drive e-mail address: [email protected]
Mailing town/city and zip: Strafford, NH 03884 Website: coming soon
Licensing Category Supported Residential Care Home
Total number of beds: 25 HCBC/Medicaid accepted: Yes Number of HCBC beds: 10
Number of private rooms: 12 Base rate for private rooms: $2700 Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms:
6 Base rate for semi-private rooms:
$2400 Basis of rate/semi-private: Monthly
Number of private bathrooms:
Number of shared bathrooms: 6 Number of baths/showers handicap accessible:
4
Smoking allowed? No Storage available? Yes Phone jack in the room, if yes, cost: Yes, resident pays cost
Air conditioning available? Yes Can individual provide own AC?
Yes Cable available, if yes, cost: Yes, no cost
Can individual bring pets? Sometimes Are there pets in the home? No
Group transportation provided?
Yes Personal transportation provided?
Yes
Available activities: Bingo, music activities, exercise groups, outings
Nurse on staff: Yes If yes, hours per week nurse on staff: 24 Is nurse on site? Yes Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors? Yes
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available:? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes
List languages spoken: English, French
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 43 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Villager Retirement Home of Goffstown Contact Person: Lorraine P. Russo
Physical street address: 50 North Mast Street Title:
Physical town/city and zip: Goffstown, NH 03045 Phone number: 497-4225
County: Hillsborough Fax number: 497-2096
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 16 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms:
NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily):
NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided?
NI Personal transportation provided? NI
Available activities:
Nurse on staff? NI If yes, hours per week nurse on staff: NI Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s?
NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 44 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Wadleigh House, Assisted Living For Seniors Contact Person: Carolyn Chapman
Physical street address: 10 Summer Street Title: Administrator
Physical town/city and zip: Dover, NH 03820 Phone number: 743-4103
County: Strafford Fax number: 740-2961
Mailing address, if different: e-mail address: [email protected]
Mailing town/city and zip: Website: wadleighhouse.com
Licensing Category Supported Residential Care Home
Total number of beds: 16 HCBC/Medicaid accepted: Yes Number of HCBC beds: 1
Number of private rooms: 6 Base rate for private rooms: $3350 Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms: 4 Base rate for semi-private rooms:
$3000 Basis of rate/semi-private: Monthly
Number of private bathrooms: 10 Number of shared bathrooms: 1 Number of baths/showers handicap accessible: 1
Smoking allowed? Not inside
Storage available? No Phone jack in the room, if yes, cost: Yes
Air conditioning available? No Can individual provide own AC?
Yes Cable available, if yes, cost: Yes, no cost
Can individual bring pets? No Are there pets in the home? No
Group transportation provided? Yes Personal transportation provided?
Yes
Available activities: Entertainment, music, van trips, bingo, crafts and games
Nurse on staff? Yes If yes, hours per week nurse on staff: 80 Is nurse on site? Yes Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors? No
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes
List languages spoken: English, French
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 45 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Washington Manor Contact Person: Susan Ventresca
Physical street address: 67 Prospect Street Title:
Physical town/city and zip: Manchester, NH 03104 Phone number: 668-9111
County: Hillsborough Fax number:
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Supported Residential Care Home
Total number of beds: 16 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI
Number of private rooms: NI Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI
Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private: NI
Number of private bathrooms: NI Number of shared bathrooms: NI Number of baths/showers handicap accessible: NI
Smoking allowed? NI Storage available? NI Phone jack in the room, if yes, cost: NI
Air conditioning available? NI Can individual provide own AC? NI Cable available, if yes, cost: NI
Can individual bring pets? NI Are there pets in the home? NI
Group transportation provided? NI Personal transportation provided? NI
Available activities:
Nurse on staff? NI If yes, hours per week nurse on staff: Is nurse on site? NI Opportunities for religious observance? NI Can you accommodate special diets? NI
Can you accommodate individuals on oxygen? NI Can you accommodate insulin dependent individuals? NI
Can you accommodate people who have dementia/Alzheimer’s?
NI Can you accommodate individuals with challenging behaviors? NI
Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired? NI
Can you accommodate use of walkers? NI Is your facility wheelchair accessible? NI
Is there a chair lift for stairs? NI Is there an elevator? NI
Are ground level rooms available? NI Is staff awake overnight? NI
Age requirements/restrictions, if yes, describe: NI Do you provide respite care? NI
List languages spoken: NI *NI: No Information
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 46 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: We Care Retirement Home Contact Person: Suzanne Lemire
Physical street address: 12 Cross Street Title: Owner
Physical town/city and zip: Allenstown, NH 03275 Phone number: 485-4149
County: Merrimack Fax number:
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 8 HCBC/Medicaid accepted: Yes Number of HCBC beds:
Number of private rooms: 3 Base rate for private rooms: $2500- $3000
Basis of rate/private: Monthly
Number of semi-private rooms: 2 Base rate for semi-private rooms: $2100 Basis of rate/semi-private: Monthly
Number of private bathrooms: 3 Number of shared bathrooms: 1 Number of baths/showers handicap accessible:
3
Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost: Yes
Air conditioning available? Yes Can individual provide own AC? Yes Cable available, if yes, cost: Yes, no cost
Can individual bring pets? No Are there pets in the home? No
Group transportation provided? Yes Personal transportation provided? No
Available activities: Bingo, social outings
Nurse on staff? Yes If yes, hours per week nurse on staff: 6 Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired? Yes but not totally deaf
Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: None Do you provide respite care? No
List languages spoken: English, French
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 47 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: The Wellstone House Contact Person: Ginny Mulcahy
Physical street address: 125 Langford Road Title: Administrator
Physical town/city and zip: Raymond, NH 03077 Phone number: 895-9303
County: Rockingham Fax number: 895-4944
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Residential Care Home
Total number of beds: 12 HCBC/Medicaid accepted: Yes Number of HCBC beds: 3
Number of private rooms: 5 Base rate for private rooms: $4500 Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms: 4 Base rate for semi-private rooms: $3800 Basis of rate/semi-private (monthly, weekly, daily):
Monthly
Number of private bathrooms: 3 Number of shared bathrooms: 3 Number of baths/showers handicap accessible: 2
Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost: Yes, no cost
Air conditioning available? Yes Can individual provide own AC? Yes Cable available, if yes, cost: Yes, no cost
Can individual bring pets? No Are there pets in the home? No
Group transportation provided? Yes Personal transportation provided? Yes
Available activities: Scenic rides, nail care, entertainment, bingo, Uno, reminiscing, sing-a-longs
Nurse on staff? Yes If yes, hours per week nurse on staff: 6-8 Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes if self administered
Can you accommodate people who have dementia/Alzheimer’s?
Yes Can you accommodate individuals with challenging behaviors?
Yes
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired?
Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? No stairs Is there an elevator? No stairs
Are ground level rooms available? Yes, all rooms
Is staff awake overnight? Yes
Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 48 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: Westboro House Inc Contact Person: Michael or Angela Zizza
Physical street address: 11 Elm Street West Title: Owners
Physical town/city and zip: West Lebanon, NH 03784 Phone number: 298-8326
County: Grafton Fax number: 298-8326
Mailing address, if different: e-mail address:
Mailing town/city and zip: Website:
Licensing Category Residential Care Home Total number of beds: 12 HCBC/Medicaid accepted: Yes Number of HCBC beds: 3
Number of private rooms: 9 Base rate for private rooms: $2600 Basis of rate/private (monthly, weekly, daily): Monthly
Number of semi-private rooms:
11 Base rate for semi-private rooms: $2600 Basis of rate/semi-private: Monthly
Number of private bathrooms:
11 Number of shared bathrooms: 1 Number of baths/showers handicap accessible: 2-3
Smoking allowed? Yes, outside
Storage available? No Phone jack in the room, if yes, cost: Yes
Air conditioning available? No Can individual provide own AC? Yes Cable available, if yes, cost: Yes
Can individual bring pets? No Are there pets in the home? No
Group transportation provided?
Yes, sometimes
Personal transportation provided? Yes
Available activities: Singing, crafts, bingo
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? Yes
Can you accommodate people who have dementia/Alzheimer’s?
Yes, early stages
Can you accommodate individuals with challenging behaviors? No
Can you accommodate individuals who are hearing impaired? No Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes
Is there a chair lift for stairs? Yes Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? No
Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes
List languages spoken: English
Profiles of Residential Care Homes in New Hampshire – April 2007 Page 49 of 49 Institute on Disability/UCED, University of New Hampshire
Name of Facility: The Young Home Contact Person: Jody Young
Physical street address: 106 Fellowshill Road Title: Administrator
Physical town/city and zip: Northfield, NH 03276 Phone number: 267-1748
County: Merrimack Fax number: 267-1748
Mailing address, if different: 106 Fellowshill Road e-mail address: [email protected]
Mailing town/city and zip: Belmont, NH 03220 Website: Licensing Category Residential Care Home
Total number of beds: 3 HCBC/Medicaid accepted: Yes Number of HCBC beds: 2
Number of private rooms: 1 Base rate for private rooms: $2500 Basis of rate/private: Monthly
Number of semi-private rooms: 1 Base rate for semi-private rooms: Same Basis of rate/semi-private: Monthly
Number of private bathrooms: 0 Number of shared bathrooms: 2 Number of baths/showers handicap accessible:
1
Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost:
No, can be requested
Air conditioning available? Yes, in common
rooms
Can individual provide own AC: Yes Cable available, if yes, cost: Yes
Can individual bring pets? No Are there pets in the home? Yes
Group transportation provided? Yes Personal transportation provided? Yes, if available
Available activities: Shopping trips, blueberry picking, scenic drives, go out for a meal, church, etc.
Nurse on staff? No If yes, hours per week nurse on staff: Is nurse on site? No Opportunities for religious observance? Yes Can you accommodate special diets? Yes
Can you accommodate individuals on oxygen? No Can you accommodate insulin dependent individuals? Yes if self-administered
Can you accommodate people who have dementia/Alzheimer’s?
No Can you accommodate individuals with challenging behaviors?
No
Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired? Yes
Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? No
Is there a chair lift for stairs? No Is there an elevator? No
Are ground level rooms available? Yes Is staff awake overnight? No
Age requirements/restrictions, if yes, describe? 55+ Do you provide respite care? No
List languages spoken:
A
T he Institute on Disability (TOD) at the University of New Hampshire (UNH) was established in 1987 to provide a 1
coherent university-based focus to improve knowledge, policies, and practices related to the lives of persons with disabilities and their families and to promote the inclusion of people with disabilities into their schools and communities.
The contents of this document were developed under a grant from the U.S. Department of Health and Human Services,
1 I
Centers for Medicare and Medicaid Services; Grant No. 925 1 91 1 - Real Choice: Integrating Long- Tenn Supports. However, these contents do not necessarily represent the policies or the endorsement of the U.S. Department of Health and Huinan Services or the Federal Government.
This document is available in alternative formafs upon request. I For additional information, contact: I Linda Bimbo, Deputy Director Institute on Disability / UCED 1 56 Old Suncook Road, Suite 2 Concord, NH 0330 1 TelITDD: 603.228.2084 Fax: 603.228.3270 E-mail: 1inda.bimbo@,unl1.edu
Melissa Mandrell, Project Manager Institute on Disability / UCED 56 Old Suncook Road, Suite 2 Concord, NH 0330 1 TelITDD: 603.228.2084 Fax: 603.228.3270 E-mail : [email protected]
_ka UNIVERSITY of NEW H A M P S H I R E 1