The 3 Best Assisted Living Facilities in Keene, NH for 2024

Assisted living facilities in Keene provide housing, meals, personal care and social and recreational opportunities for older adults. Many facilities feature on-site amenities, such as computer labs, fitness centers and salons for added luxury and convenience. The Genworth 2020 Cost of Care Survey discloses that local seniors pay approximately $7,560 per month, which is significantly higher than state and national averages.  

This guide introduces assisted living in Keene. It outlines the benefits and drawbacks of living in the city and breaks down the costs of various senior care options. It also outlines local agencies and programs that help older adults make decisions regarding their care.  

Assisted living facilities in Keene are licensed and monitored by the New Hampshire Department of Health and Human Services. This department promotes a high standard of care for assisted living residents through regulations pertaining to scope of care, care planning, staffing and intake and discharge procedures.

• In New Hampshire, salaries and wages aren’t subject to taxation at the state level. However, there’s a 5% tax on interest and dividends. While seniors in Keene don’t pay state taxes on income from pensions and Social Security, those with retirement investment accounts may owe taxes. There’s no state sales tax but property taxes are high, which may make assisted living an affordable option compared to owning a home. 
• Keene is among the most affordable places in New Hampshire to live. The city’s overall cost of living is about 18% below the state median and 12% below the national average, which may appeal to those with budgetary considerations. Utilities are expensive, so older adults may want to choose an assisted living facility with all-inclusive rates, but costs for transportation and healthcare services are low.  
• Property crime is somewhat common in Keene, but violent crime is fairly uncommon. Using a 100-point crime index on which a higher score represents more crime, Keene’s property crime rate is 49.9, while the violent crime rate is 15.1. Compared to similarly sized cities within the state and in Vermont and Massachusetts, violent crime is significantly less prevalent in Keene.  
• Summers in Keene are very comfortable with highs in the low 80s and generally low humidity levels, providing plenty of opportunities to enjoy the region’s parks and amenities. However, winters tend to be harsh with low temperatures in the single digits. The area receives about 55 inches of annual snowfall, and six months of the year see a significant amount of snowfall. To help older adults get around even when it’s snowy, many assisted living facilities provide transportation.  
• Healthcare costs are about 7% lower in Keene than in the typical U.S. city, but provider options may be limited. There are approximately 188 doctors per 100,000 people, compared to the national average of 210. However, the city is home to Cheshire Medical Center, and Monadnock Community Hospital and Brattleboro Memorial Hospital are located within a 20-miles radius.   

Keene is among the more expensive cities in the nation for assisted living, with locals paying $7,560 per month, on average. This is about $900 higher than the state median of $6,650 and over $3,200 higher than the nationwide average of $4,300.  

Assisted living facilities in Keene charge $7,560 per month for services, making it one of the most expensive cities in New England for this type of care. Seniors may save money by seeking care in Portland, Maine, where facilities charge $6,583 per month. In Boston, Massachusetts, care costs are well below Keene’s average at $6,100, and in Burlington, Vermont, rates are even lower at $5,425.  

With monthly fees coming in at $7,560 per month, assisted living is a comparatively expensive senior care option in Keene. Seniors may save about $2,000 per month by obtaining in-home care. Homemaker services, which are similar to assisted living, cost $5,529, while specialized home health aide services cost a little more at $5,720. Adult day health care is even cheaper at $1,788. Nursing homes have the highest monthly rates at $11,330 for shared rooms and $12,167 for private rooms.  

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Some additional ways to finance assisted living costs include:

• Veterans Benefits
• Life Insurance Policy
• Long-Term Care Insurance
• Reverse Mortgage

For more information about different ways to finance assisted living, visit our Assisted Living in New Hampshire page.