Hillsboro House

    67 School St, Hillsboro, NH 03244
    • Assisted Living
    • Skilled Nursing
    3.3ยท6 reviews

    Exceptional facility, staff; minor improvements

    I'm very satisfied: the facility is beautiful and spotless, and the staff are awesome and genuinely caring. Great overall, with only minor room for improvement.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.33ยท(6)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      3.5
    • Meals

      3.3
    • Amenities

      3.3
    • Value

      3.3

    Pros

    • Caring and attentive staff
    • Clean, well-maintained facility
    • Attractive, comfortable environment

    Cons

    • Inadequate roommate privacy controls
    • Inflexible room-assignment and visitor-accommodation policies
    • Poor noise-management practices
    • Gaps in administrative responsiveness and family communication
    • Inconsistent end-of-life family support and communication

    Summary of reviews

    Reviewers present a mixed picture of care at Hillsboro House. Positive comments emphasize attentive, compassionate front-line staff and a clean, well-presented facility with attractive common areas. At the same time, several family accounts describe operational gaps that affected their experience during a vulnerable period.

    Care and staff: Many families praised individual caregivers for being caring and supportive. These positive impressions suggest that direct-care staff can provide compassionate, resident-centered interactions. However, there are also reports of variability in responsiveness and a perception by some relatives that the care approach resembled palliative or hospice-oriented management; this was experienced as insufficiently communicative or insufficiently explained to families. The pattern indicates consistent strengths at the caregiver level alongside occasional inconsistencies in how clinical decisions and end-of-life approaches are communicated to families.

    Facilities, dining, and activities: The physical environment receives favorable comments for cleanliness and appearance. Reviewers did not provide specific or consistent information about dining quality or the scope of recreational programming; absence of commentary on meals and activities in these summaries suggests prospective families should request current menus, sample activity schedules, and observations of mealtime service during a visit.

    Management and communication: Several concerns center on administrative processes โ€” notably phone and follow-up communication, room-assignment flexibility, and how visitation or seating is accommodated in shared rooms. Noise management (for example, persistent television sound in shared spaces) and limited options for private seating or roommate reassignment were notable operational issues. There are also accounts describing inadequate post-event family outreach, including after a resident's death, which some families experienced as lacking in empathy or timely information.

    Notable patterns and guidance for families: The reviews point to a facility with clear strengths in cleanliness and many compassionate caregivers, but also to systemic issues around privacy, noise control, room-management policies, and administrative communication. Prospective residents and families would be advised to (1) tour resident rooms to evaluate privacy and noise levels, (2) ask about policies for roommate changes and visitor accommodations, (3) review end-of-life and bereavement communication practices, and (4) observe or inquire about current staffing patterns and how families are kept informed of clinical changes. These steps can help clarify whether Hillsboro Houseโ€™s operational practices align with a familyโ€™s expectations for care and communication.

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    Medicare Ratings

    4ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Hillsboro House

    Hillsboro House is located at 67 School St, Hillsboro, NH, 03244.

    About Hillsboro House

    Hillsboro House sits at 67 School Street in Hillsborough, NH, and has only 33 beds, making it the smallest nursing home in New Hampshire, and it's been around serving families from the Contoocook Valley for over fifty years. This family-owned and independently operated nursing facility carries license number #00534 and offers skilled nursing, post-hospital care, long-term care, continuing rehab therapies, memory and Alzheimer's care, and assisted living services, all in a quiet, Victorian-style renovated building. You'll find two living rooms, a dining room, and a multipurpose common area for activities, and residents can spend time on the spacious front porch, the large screened-in side porch, or outside in the courtyard garden-some even tend the resident garden beds when they feel up to it, and that's pretty nice to have. The small size lets staff provide more personal care, and many families like the non-institutional, home-like feel, though the facility says no pets are allowed.

    Residents at Hillsboro House have routine dental, eye, lab, and pharmacy services on site, with frequent physician visits and close one-on-one care, which you don't always find at larger places. It offers programs like arts and crafts, support for memory issues, and many outings, so folks still go shopping, dining, on walks, to musicals, ball games, and picking apples, which helps them stay connected to the lives they knew before coming here. The place aims to keep things personal, hands-on, and community-centered, and it tries to offer the types of services you'd expect from a larger institution-skilled nursing covered under Medicare, dementia care, help with daily needs-but in a much smaller and supportive space, which some say feels safer or more familiar. There's no information about the number of floors, garage details, or extra amenities like fitness centers or fancy patios, and rental policies aren't specified, but the main draw seems to be the steady, adaptable care and the close-knit, family-like setting. Hillsboro House also provides information on legal rights about housing protections, including for gender identity and orientation, and focuses on helping every resident feel valued, healthy, and at home for as long as they're there.

    People often ask...

    Hillsboro House offers assisted living and skilled nursing.

    The full address for this community is 67 School St, Hillsboro, NH 03244.

    No, Hillsboro House does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Hillsboro House. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hillsboro House directly. There is no cost for this service. We are compensated by the community you select.

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