PROFILES OF RESIDENTIAL CARE HOMESHattie’s Place Hillcrest Home Horseshoe Pines The Inn at...

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

http://www.dhhs.nh.gov/DHHS/BHFA/LIBRARY/Fact+Sheet/nh-licensed-health-facilities.htm


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


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


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


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


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


Yes, early stages Can you accommodate individuals with challenging behaviors?

Depends


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


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:




Total number of beds: 3 HCBC/Medicaid accepted: Yes Number of HCBC beds: 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






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 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



Age requirements/restrictions: NI Do you provide respite care? NI

List languages spoken: NI *NI: No Information available


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:


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


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



Yes



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


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




License Category Supported Residential Care Home

Total number of beds: 11 HCBC/Medicaid accepted: Yes Number of HCBC beds:



Number of private bathrooms: NI Number of shared bathrooms? NI Number of baths/showers handicap accessible: 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







Age requirements/restrictions? NI Do you provide respite care? NI

List languages spoken: NI *NI: No Information


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



License Category Supported Residential Care Home










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










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


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


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


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


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 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


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


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


Is there a chair lift for stairs? No Is there an elevator? Yes


Age requirements/restrictions, if yes, describe: 65 + Do you provide respite care? No



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 town/city and zip: Website: www.foxmeadow.net



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



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


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



Age requirements/restrictions, if yes, describe: NI Do you provide respite care? Yes



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



Mailing town/city and zip: New Ipswich, NH 03071 Website: Licensing Category Residential Care Home


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



Yes



Yes

Can you accommodate the use of walkers? Yes Is your facility wheelchair accessible? Yes, in part



Age requirements/restrictions, if yes, describe: No Do you provide respite care? Yes

List languages spoken: English & some French


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 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


12 Base rate for semi-private rooms: $78 Basis of rate/semi-private (monthly, weekly, daily):

Daily


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


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


Yes Can you accommodate individuals with challenging behaviors? Yes





Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes

List languages spoken: English, French


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





Total number of beds: 24 HCBC/Medicaid accepted: Yes Number of HCBC beds: No limit


Number of semi-private rooms: 0 Base rate for semi-private rooms: Basis of rate/semi-private: Monthly


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


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


Yes if self administered


Yes, if not exit seeking

Can you accommodate individuals with challenging behaviors?

No



Yes if able to self ambulate


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



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


Mailing address, if different: e-mail address: [email protected] Licensing Category Supported Residential Care Home






Monthly



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



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


No Can you accommodate individuals with challenging behaviors?

No



Yes




Age requirements/restrictions, if yes, describe: 55 and older Do you provide respite care? No


Additional comments: Our facility is operated and managed as a resort, with multiple activities and functions.


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




Licensing Category Residential Care HomeTotal number of beds: 12 HCBC/Medicaid accepted: Yes Number of HCBC beds: NI









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










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


Licensing Category: Residential Care Home


Number of private rooms: 4 Base rate for private rooms: $1800 Basis of rate/private (monthly, weekly, daily): Monthly




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


Yes Cable available, if yes, cost: Yes, included in rent

Can individual bring pets? Yes (some)

Are there pets in the home? Yes, cat


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


Yes for a higher rate


Yes, early stages


No

Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired?

Yes







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





Number of private rooms:

8 Base rate for private rooms: Varies Basis of rate/private (monthly, weekly, daily): Monthly



Varies Basis of rate/semi-private: Monthly


1 Number of shared bathrooms:


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


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



Yes to a degree Can you accommodate individuals with challenging behaviors?

Yes, some, if not aggressive



Yes

Can you accommodate the use of walkers? Yes Is your facility wheelchair accessible? Yes, have ramp; no perm. wheelchairs






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 town/city and zip: Website: www.horseshoepines.net







Monthly



1

Smoking allowed? Outside only Storage available? No Phone jack in the room, if yes, cost: Yes, resident pays cost


Yes Cable available, if yes, cost: Yes, satellite

Can individual bring pets? Yes, limited Are there pets in the home? Yes



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


Yes if self administered


Yes early stages Can you accommodate individuals with challenging behaviors?

No



Yes

Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? 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


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



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



Yes



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


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.


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





Number of private rooms: 1 Base rate for private rooms: $ 1850 Basis of rate/private (monthly, weekly, daily): Monthly



$ 2000 Basis of rate/semi-private (monthly, weekly, daily):

Monthly


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


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



No



Yes




Age requirements/restrictions, if yes, describe: None Do you provide respite care? NI



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


Mailing address, if different: PO Box 4 e-mail address:

Mailing town/city and zip: Rochester, NH 03867 Website:





NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily): 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





NI








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



Mailing town/city and zip: East Andover NH 03231 Website:







Monthly


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


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



Yes




Can you accommodate people who have dementia/Alzheimer’s? Yes Can you accommodate individuals with challenging behaviors? Yes





Age requirements/restrictions, if yes, describe: None Do you provide respite care? No



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



Mailing town/city and zip: Website: maesplacellc.com


Total number of beds: 11 HCBC/Medicaid accepted: Yes Number of HCBC beds: As needed




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




Available activities: Rides, bingo, cooking, music, board games


Can you accommodate individuals on oxygen? No Can you accommodate insulin dependent individuals? Yes, if self administered


Yes, early stages


No



Yes







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





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



No



Yes



Are ground level rooms available? No Is staff awake overnight? Yes




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














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










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:






Number of semi-private rooms: 3 Base rate for semi-private rooms: $2100 Basis of rate/semi-private Monthly


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



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


No



No


Yes on individual basis

Can you accommodate individuals who are visually impaired?

Yes on individual basis





List languages spoken: English Additional comments: Each potential resident needs to be interviewed to decide suitability; family environment


Name of Facility: Myrtle Manor II, Inc. Contact Person: Suzy Dumont

Physical street address: 83 Myrtle Street Title: Administrator/Owner






Number of private rooms: 7 Base rate for private rooms: $80 to $95 Basis of rate/private: Daily



$65 Basis of rate/semi-private: Daily


2 Number of shared bathrooms:


0

Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost: No


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


No, due to insurance

rates


No (only in emergencies)

Available activities: Crafts, movies, bingo, in-house doctor, hairdresser


Can you accommodate individuals on oxygen? Yes, air concentrator

Can you accommodate insulin dependent individuals? Yes if self administered



No



Yes




Age requirements/restrictions, if yes, describe: 65+ or diagnosed with disability

Do you provide respite care? Yes



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





Number of private rooms: 3 Base rate for private rooms: NI Basis of rate/private (monthly, weekly, daily): NI


4 Base rate for semi-private rooms: NI Basis of rate/semi-private: NI


NI Number of shared bathrooms: 3 Number of baths/showers handicap accessible: 0


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



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


Yes, early stages

Can you accommodate individuals with challenging behaviors? No








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
























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


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




Yes


Can you accommodate use of walkers? Yes Is your facility wheelchair accessible? Yes, 1 room




List languages spoken: English Additional comments Small 14 bed home, owners live on premise. We are very active. We try to accommodate hospice situations.


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






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):


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


Group transportation provided? No Personal transportation provided? Yes

Available activities: Entertainment 4-5 days per week


Can you accommodate individuals on oxygen? Yes Can you accommodate insulin dependent individuals? No


Yes Can you accommodate individuals with challenging behaviors? No



Is there a chair lift for stairs? Yes Is there an elevator? No


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


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



Mailing town/city and zip: Website: pinerockmanor.com






Monthly


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



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




Yes


Can you accommodate using walkers? Yes Is your facility wheelchair accessible? Yes



Age requirements/restrictions, if yes, describe: None Do you provide respite care? Yes, private and HCBC



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









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












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
























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:























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:






Number of semi-private rooms: 7 Base rate for semi-private rooms: $2100 Basis of rate/semi-private (monthly, weekly, daily): Monthly


Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost: No



Group transportation provided? No Personal transportation provided? Yes



Can you accommodate individuals on oxygen? No Can you accommodate insulin dependent individuals? No


No Can you accommodate individuals with challenging behaviors? Yes


Can you accommodate use of walkers? Yes, first floor only

Is your facility wheelchair accessible? No



Age requirements/restrictions, if yes, describe: Over 60 Do you provide respite care? Yes



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



Mailing town/city and zip: Website: rosehavenhome.com



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


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


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


Yes, non-wanderers


Yes



Yes




Age requirements/restrictions, if yes, describe: Over 60 Do you provide respite care? Yes

List languages spoken: English, some French


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 town/city and zip: Rochester, NH 03867 Website:















NI

Can you accommodate individuals who are hearing impaired? NI Can you accommodate individuals who are visually impaired?

NI







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





Number of private rooms: 15 Base rate for private rooms: $75 Basis of rate/private: Daily



$75 Basis of rate/semi-private: Daily

Number of private bathrooms: 17 Number of shared bathrooms:


3

Smoking allowed? No Storage available? No Phone jack in the room, if yes, cost: Yes, resident pays cost


Yes Cable available, if yes, cost: Yes, $10/month

Can individual bring pets? Can be discussed

Are there pets in the home? Yes


Once per week


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



Yes Can you accommodate individuals with challenging behaviors? Varies




Are ground level rooms available? No Is staff awake overnight? Yes

Age requirements/restrictions, if yes, describe: 18+ Do you provide respite care? Yes



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






$2400 Basis of rate/semi-private: Monthly


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


Yes Cable available, if yes, cost: Yes, no cost

Can individual bring pets? Sometimes Are there pets in the home? No



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



Yes Can you accommodate individuals with challenging behaviors? Yes




Are ground level rooms available:? Yes Is staff awake overnight? Yes




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








NI Base rate for semi-private rooms: NI Basis of rate/semi-private (monthly, weekly, daily):

NI






NI Personal transportation provided? NI





NI Can you accommodate individuals with challenging behaviors? NI








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



Mailing town/city and zip: Website: wadleighhouse.com




Number of semi-private rooms: 4 Base rate for semi-private rooms:

$3000 Basis of rate/semi-private: Monthly


Smoking allowed? Not inside



Yes Cable available, if yes, cost: Yes, no cost


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



Yes Can you accommodate individuals with challenging behaviors? No








Name of Facility: Washington Manor Contact Person: Susan Ventresca

Physical street address: 67 Prospect Street Title:


County: Hillsborough Fax number:






Number of semi-private rooms: NI Base rate for semi-private rooms: NI Basis of rate/semi-private: NI










NI Can you accommodate individuals with challenging behaviors? NI








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






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


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


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




No

Can you accommodate individuals who are hearing impaired? Yes but not totally deaf

Can you accommodate individuals who are visually impaired? Yes







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







Number of semi-private rooms: 4 Base rate for semi-private rooms: $3800 Basis of rate/semi-private (monthly, weekly, daily):

Monthly


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



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



Yes

Can you accommodate individuals who are hearing impaired? Yes Can you accommodate individuals who are visually impaired?

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




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




Licensing Category Residential Care Home Total number of beds: 12 HCBC/Medicaid accepted: Yes Number of HCBC beds: 3



11 Base rate for semi-private rooms: $2600 Basis of rate/semi-private: Monthly


11 Number of shared bathrooms: 1 Number of baths/showers handicap accessible: 2-3






Yes, sometimes

Personal transportation provided? Yes

Available activities: Singing, crafts, bingo




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


Is there a chair lift for stairs? Yes Is there an elevator? No





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


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



Number of semi-private rooms: 1 Base rate for semi-private rooms: Same Basis of rate/semi-private: Monthly


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


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.


Can you accommodate individuals on oxygen? No Can you accommodate insulin dependent individuals? Yes if self-administered



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

PROFILES OF RESIDENTIAL CARE HOMESHattie’s Place Hillcrest Home Horseshoe Pines The Inn at...

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