Keene is a classic small New England city in the Monadnock region of New Hampshire. Of the city’s almost 23,500 residents, those aged 65 and older account for about 15% of the population. Many are drawn to Keene for its affordability, low crime and retirement-friendly tax laws. The city has a cool climate, with mild summers and chilly, snowy winters, and its economically priced healthcare services may benefit those managing chronic conditions.   

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.  

Directory of Assisted Living Facilities in Keene, NH

American House Keene

197 Water Street, Keene, NH, 03431

My mother has moved into American House Keene. She’s doing good. It’s a beautiful location and it is nice. All the people that I’ve met so far are excellent. Their main goal was to support the residen … (read more)
My mother has moved into American House Keene. She’s doing good. It’s a beautiful location and it is nice. All the people that I’ve met so far are excellent. Their main goal was to support the residen … (read more)

Langdon Place of Keene

136A Arch Street, Keene, NH, 03431

We chose Langdon Place of Keene for my mom. We’re supposed to move her on Wednesday. We chose them for the hospitality, the cleanliness, and the availability of the right space that we needed. It all … (read more)
We chose Langdon Place of Keene for my mom. We’re supposed to move her on Wednesday. We chose them for the hospitality, the cleanliness, and the availability of the right space that we needed. It all … (read more)


Bradley House at Garden Path Elder Living

65 Harris Avenue, Brattleboro, VT, 05301

I was a visitor of this place. The place was very beautiful; it is an old house. It has easy access to the center of the town. I haven’t really talked with the staff but I think they’re providing good … (read more)
I was a visitor of this place. The place was very beautiful; it is an old house. It has easy access to the center of the town. I haven’t really talked with the staff but I think they’re providing good … (read more)

What to Consider About Assisted Living in Keene

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.

Benefits and Drawbacks of Assisted Living in Keene

  • 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.   

Paying for Assisted Living in Keene

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.  

The Cost of Assisted Living in Nearby Cities

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.  

$7560

Keene

$6650

New Hampshire

$4300

The United States

$6583

Portland, ME

$6100

Boston, MA

$5425

Burlington, VT

The Cost of Other Types of Senior Care

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.  

$5529

Adult day care

$5720

Assisted living

$1788
$7560

Home health care

$11330

Nursing home (semiprivate room)

$12167

Nursing home (private room)

Note: Care cost data for Keene was not available, so data for the closest city, Manchester, was used instead

Financial Assistance for Assisted Living in Keene

Assisted living services in Keene may be covered under the state’s Medicaid Managed Long-Term Services and Supports waiver.

Learn more about these programs, plus who’s eligible, on our Assisted Living in New Jersey page.

Paying for Assisted Living Facilities in New Jersey

More Ways to Pay for Assisted Living

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 Jersey page.

Free Assisted Living Resources in Keene

Older adults in Keene can get support from a range of resources to help them navigate the legal and financial considerations of moving to assisted living. The following nonprofit organizations and programs can provide information and one-on-one assistance to help seniors make informed decisions regarding their care. 

Resource 

Contact 

Description 

(603) 357-1922 

New Hampshire’s Bureau of Elderly and Adult Services operates ServiceLink offices throughout the state, including one in Keene. This office is the designated Area Agency on Aging for the region and helps older adults connect with services and resources in the community. It administers a broad array of programs, including classes that address age-related issues such as fall prevention and managing chronic conditions, health insurance options counseling and information and referrals for community-based services.

(603) 352-5037 

The Keene Senior Center hosts congregate noontime meals, book clubs, art classes and critiques, age-friendly fitness classes and singing and dancing groups. The center is open to those aged 50 and over. Annual memberships and day passes are available, and membership fees are waived for those who volunteer for 50 hours per calendar year.

(603) 357-6893 

The Monadnock RSVP Volunteer Center has opportunities for those aged 55 and over who want to serve their community. Through RSVP, participants get free one-on-one help with finding volunteer opportunities that fit their interests, work experience and abilities. Some opportunities include hosting classes at senior centers, providing legal advice and tax assistance, tutoring children or providing administrative support to local nonprofits.

(603) 352-1904

The Division of Veterans Services has specialists who help veterans obtain the benefits they’re entitled to, including VA pensions and Aid and Attendance benefits, which can help cover assisted living expenses. Veterans services officers can also help qualified individuals connect with community-based services, including transportation, health care and counseling.

(800) 639-5290 

New Hampshire Legal Aid is a nonprofit organization that has legal professionals who advocate on behalf of older adults in assisted living, help them understand facility contracts and apply for benefits that can help cover costs. Through this office, seniors can also get help with resolving issues such as Social Security overpayment and denied health insurance claims.

Assisted Living Laws and Regulations in Keene

Keene-area assisted living communities must adhere to the comprehensive set of state laws and regulations that all assisted living communities in New Jersey are required to follow. Visit our Assisted Living in New Jersey page for more information about these laws.

Assisted Living Laws and Regulations in New Jersey