Pricing ranges from
    $4,160 – 8,535/month

    Ledgewood Bay Assisted Living

    43 Ledgewood Dr, Milford, NH, 03055
    • Independent living
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Warm caring community, but expensive

    I placed my loved one here and overall I'm glad - the staff are warm, caring and competent, the building is spotless, meals are very good, and there are nonstop activities, strong therapy and 24/7 nursing that helped with a smooth move-in. It truly feels like a family community with quick maintenance and convenient transportation. My caveats: it's expensive, management/communication can be inconsistent, and I saw occasional understaffing and gaps for higher-level memory/medical needs.

    Pricing

    $4,160+/mo1 BedroomAssisted Living
    $8,535+/moSemi-privateMemory Care

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • 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

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

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

    4.29 · 104 reviews

    Overall rating

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

      4.4
    • Staff

      4.5
    • Meals

      4.3
    • Amenities

      4.2
    • Value

      2.4

    Pros

    • Beautiful, well-maintained facility and grounds
    • Homey apartments that can be furnished with residents' own belongings
    • Compassionate, caring and attentive staff
    • 24/7 nursing and on-site skilled therapy (physical and occupational)
    • Robust activities and life-engagement programming
    • Good dining with varied menus and snacks available any time
    • Fast and responsive maintenance
    • Memory care, assisted living and independent living options on site
    • Medicaid accepted / licensed Medicaid beds available
    • Transportation services, facility van and scheduled outings
    • Clean, bright public spaces and immaculate dining areas
    • Accessible leadership and generally clear family communication
    • Preserves residents' independence and fosters social connection
    • Safe, secure hilltop location with pleasant views
    • On-site amenities such as hair salon / beauty shop and library
    • Month-to-month pricing available for some arrangements
    • Prompt medication administration and proactive nursing follow-up
    • Highly rated physical therapy staff
    • Frequent live entertainment, classes and guest performers
    • Friendly residents and strong sense of community
    • Laundry and apartment cleaning services offered
    • Flexible move-in/onboarding assistance and respite stays
    • Engaged activities staff and programming directors
    • Walker-friendly design and seating for tired residents
    • Positive transition experiences reported by many families

    Cons

    • Inconsistent communication among staff and with families
    • Occasional miscommunication around medical testing and hospital returns
    • Intermittent understaffing and frequent nurse turnover reported
    • Variable food quality; some reports of cold or below-average meals
    • High monthly costs and additional expensive add-ons
    • Some apartments (studios) are small or feel cramped
    • Dining area lighting described as dim in places
    • Remote hilltop location with curvy access roads can be challenging
    • Limited capacity for non-ambulatory or high-acuity skilled care
    • Delays or problems with administrative paperwork in some cases
    • Issues with contracted medical coverage and feedback loops
    • Waiting lists and bed availability constraints at times
    • Shuttle/excursion spaces fill quickly and can be limited
    • Occasional poor management or disorganization cited
    • Shared-room situations reported by some reviewers
    • Occasional antiseptic smell reported in parts of facility
    • Inconsistent night care response and call-bell delays reported
    • Perceptions of commodification or aggressive marketing outreach
    • Unclear value transparency for some meal and service charges

    Summary review

    Overall sentiment: Reviews for Ledgewood Bay Assisted Living are strongly weighted toward positive experiences, with a consistent emphasis on compassionate staff, a broad and active programming calendar, on-site clinical services, and a clean, attractive campus. Many families report that residents are happier, more active, and well cared for after moving in. The facility is repeatedly described as visually pleasing, immaculately maintained, and homey, with private apartments that can be furnished with residents' possessions. Reviewers often highlight staff by name and praise their attentiveness, kindness and willingness to go above and beyond.

    Care quality and clinical services: A major strength across reviews is the availability of 24/7 nursing, on-site physical and occupational therapy, and medication administration. Several reviews note measurable clinical benefits (improved independence, better medication management, improved mobility with PT). Memory care options are available and described as compassionate and competent in many accounts. At the same time, multiple reviews caution that the community is not always suitable for very high-acuity, non-ambulatory residents; there are instances where families felt the facility could not meet escalating medical needs and a transfer was needed. Reports of proactive nursing and attentive clinical teams coexist with accounts of nurse turnover and inconsistent night response in certain cases.

    Staff, onboarding and family communication: Staff friendliness and emotional support are recurring themes. Families repeatedly describe the staff as welcoming during move-in and supportive through transitions, praising both frontline aides and leadership (with several naming administrators and directors). The activities team and life-engagement staff receive particular commendation for programming variety and personal engagement. However, communication quality is inconsistent: while many mention accessible, empathetic directors and clear updates, others report miscommunication between departments (for example around Covid testing and hospital returns), repeated care guidance requests due to staff turnover, and occasional opacity around medication management options. These mixed signals suggest solid individual caregiver relationships but variability in systems-level consistency.

    Facilities, apartments and location: The physical plant earns high marks. Reviewers describe bright lobbies, immaculate dining rooms, well-kept grounds and pleasant hilltop views. Apartments range from small studios to larger two-bedroom units; furnished move-in options are appreciated. Common areas such as the dining room, library, activity rooms and beauty salon contribute to a residential feel. Criticisms focus on some small or cramped studio units, occasional antiseptic odors noted by a few reviewers, and dining-room lighting described as dim in places. The hilltop, curvy access roads and remote location are seen as charming by many but raise access concerns for some families.

    Dining and activities: Dining is often singled out as a positive with varied daily menus, scratch-made items and flexible snack options. Multiple reviewers called the food excellent and plentiful; others reported variable experiences, including cold or below-average meals. The life-engagement calendar is a standout: frequent classes, live entertainment, outings, clubs (book club, men's club), exercise offerings and gentle cognitive games are consistently emphasized. The activity program helps residents remain socially engaged and physically active, and staff in programming are frequently described as energetic and caring.

    Management, operations and cost: Operational strengths noted include fast maintenance response, helpful onboarding, month-to-month options, and generally clear cost outlines for many families. Conversely, cost is a recurring negative: several reviews describe pricing as high, with substantial add-ons beyond base fees that make perceived value uneven. Some families found meal/service transparency lacking. A subset of reviews raise concerns about organizational management, describing disorganization, understaffing, and moments when the facility felt stretched. A few serious administrative issues were reported in isolated cases (delayed paperwork or death-certificate retrieval, eviction notices, and disputes about Medicaid/Medicare placement) — these appear less frequent but notable and worth investigating by prospective families.

    Patterns and recommendations: The dominant pattern is a community that delivers warm, resident-focused care with strong activities and good clinical supports for typical assisted living and memory-care needs. Potential residents and families should weigh the high quality of staff engagement, programming, and on-site therapy against the reported variability in communication, occasional staffing pressures, and higher cost. Those with high medical needs or non-ambulatory status should assess clinical capacity carefully. Visitors who prioritize apartment size should seek larger units or two-bedroom options rather than studios. Prospective families may want to ask specific questions about night staffing, recent nurse turnover, contractual medical coverage, clarity on extra fees, shuttle capacity, and procedures for hospital transitions and paperwork to address the recurring concerns found in the reviews.

    Bottom line: Ledgewood Bay is widely praised for its caring staff, active programming, clean and attractive setting, and on-site clinical services. It is generally recommended for seniors who value engagement, social connection and supportive assisted living or memory care environments. Families should perform focused due diligence around cost transparency, staffing consistency, and the facility's ability to support higher-acuity medical needs before committing, especially given mixed reports about management organization and occasional lapses in communication or night coverage.

    Location

    Map showing location of Ledgewood Bay Assisted Living

    About Ledgewood Bay Assisted Living

    Ledgewood Bay Assisted Living sits on a quiet hilltop in Milford, NH, where the building looks out over peaceful forests and there's a calm feeling throughout the place, and walking through the landscaped paths or sitting in the cozy living room with the sun coming in the big windows is something many residents enjoy. The apartments come in several types, like private rooms and studios, all the way up to two-bedroom units or semi-private options, and each one has its own kitchenette, so residents can have some independence when they want it, though room service is also available. Pets are allowed, as long as they meet the community's guidelines, and there are plenty of walking areas for both people and animals around the grounds.

    Residents can choose among three main care options: independent living for seniors who want a maintenance-free home and plenty of activities, assisted living for folks who need help with daily things, and Avita Memory Care, which has extra support for people living with Alzheimer's and dementia. The staff is there at all times, always able to help with things like medication, managing diabetes, or personal care, and they also offer skilled nursing, hospice, and respite care as needed, so families know there's help on hand when it's needed most.

    The kitchen staff makes meals from scratch, using different menus every day, and the dining rooms give the feeling of being in a restaurant, with private spaces for gatherings or special diets like low-sodium, gluten-free, or low-sugar, and even organic meals when asked. Residents can join in on movie nights in the theater, bake together, attend art and yoga classes, or take part in lectures and events brought in from outside the building, and there's always a music group or game night happening in the community rooms. Housekeeping, laundry service, linen changes, and maintenance are all taken care of, so folks don't have to worry about chores.

    There's free high-speed Wi-Fi and a computer area for anyone who wants to keep up with family or news, and transportation services are included for trips to appointments or outings around town. Religious services, a salon and barber, an onsite pharmacy, and in-house physical therapy round out some of the more practical supports. The community is friendly and described as supportive, with staff known for being joyful and kind, and residents have given it a review score of 7.7, which suggests people find the place welcoming. Many programs are focused on helping everyone live an active and social life, and the staff try to make daily living safe and secure, while still letting people keep their independence as much as possible. Ledgewood Bay has even received awards like Best of Senior Living for its care and support, though the main draw seems to be the promise of a vibrant, engaging lifestyle with all the basics covered and some lovely touches for those who want them, set against a backdrop of pretty New Hampshire woods.

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