Nursing Homes in Massachusetts: Staffing, Turnover, and Penalties
Massachusetts has 341 Medicare- or Medicaid-certified nursing homes in 178 cities. On CMS's August 2026 figures, nurse aides there log 2.26 hours per resident per day, 3% below the US average of 2.32, and 38.2% of nursing staff leave in a year (US 45.8%).
Massachusetts averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Worcester (16), Boston (11), Holyoke (8). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Abington (1)
- Acton (1)
- Agawam (4)
- Amesbury (2)
- Amherst (1)
- Andover (2)
- Arlington (1)
- Ashland (1)
- Athol (1)
- Attleboro (2)
- Auburn (1)
- Ayer (1)
- Baldwinville (1)
- Bedford (1)
- Belmont (1)
- Beverly (3)
- Billerica (1)
- Boston (11)
- Bourne (1)
- Bradford (1)
- Braintree (4)
- Brewster (1)
- Brighton (1)
- Brockton (5)
- Brookline (1)
- Buzzards Bay (1)
- Cambridge (3)
- Canton (1)
- Centerville (1)
- Charlton (1)
- Chelmsford (2)
- Chelsea (4)
- Chicopee (1)
- Dalton (1)
- Danvers (5)
- Dedham (1)
- Dorchester (2)
- Duxbury (1)
- East Boston (1)
- East Bridgewater (1)
- East Longmeadow (3)
- Edgartown (1)
- Everett (1)
- Fairhaven (3)
- Fall River (7)
- Falmouth (2)
- Fitchburg (3)
- Framingham (5)
- Franklin (1)
- Gardner (2)
- Gloucester (1)
- Great Barrington (2)
- Greenfield (3)
- Groton (1)
- Hadley (1)
- Hampden (1)
- Harwich (1)
- Haverhill (6)
- Hingham (3)
- Holden (1)
- Holliston (1)
- Holyoke (8)
- Hyannis (1)
- Kingston (1)
- Lancaster (1)
- Lawrence (2)
- Lee (1)
- Leeds (1)
- Lenox (2)
- Leominster (2)
- Lexington (3)
- Lincoln (1)
- Littleton (1)
- Longmeadow (1)
- Lowell (7)
- Lynn (2)
- Malden (1)
- Marblehead (2)
- Marion (1)
- Marlborough (3)
- Mashpee (1)
- Mattapan (1)
- Medfield (1)
- Medford (3)
- Medway (1)
- Melrose (2)
- Methuen (2)
- Middleboro (2)
- Middleborough (1)
- Milford (3)
- Millbury (1)
- Milton (1)
- Nahant (1)
- Nantucket (1)
- Natick (3)
- Needham (2)
- New Bedford (6)
- Newburyport (3)
- Newton (2)
- Newton Upper Falls (1)
- N Falmouth (1)
- North Adams (1)
- Northampton (1)
- North Andover (3)
- North Attleboro (1)
- North Billerica (1)
- Northborough (2)
- Northbridge (1)
- North Chatham (1)
- North Easton (1)
- North Reading (1)
- Norwell (2)
- Norwood (4)
- Palmer (1)
- Peabody (5)
- Pittsfield (4)
- Plymouth (3)
- Provincetown (1)
- Quincy (4)
- Randolph (1)
- Raynham (1)
- Reading (1)
- Revere (1)
- Rochdale (1)
- Rockland (2)
- Rockport (1)
- Salem (1)
- Sandisfield (1)
- Sandwich (1)
- Saugus (2)
- Scituate (2)
- Sharon (1)
- Shrewsbury (1)
- S Natick (1)
- Somerset (2)
- Southbridge (1)
- South Dartmouth (1)
- South Hadley (1)
- South Yarmouth (1)
- Springfield (2)
- Sterling (1)
- Stoneham (2)
- Stoughton (2)
- Sudbury (2)
- Swansea (1)
- Taunton (3)
- Tewksbury (1)
- Topsfield (1)
- Uxbridge (1)
- Wakefield (2)
- Walpole (1)
- Waltham (2)
- Wareham (1)
- Watertown (1)
- Wayland (1)
- W Concord (2)
- Webster (3)
- Wellesley (2)
- Westborough (3)
- West Boylston (1)
- West Bridgewater (1)
- West Brookfield (1)
- Westfield (2)
- Westford (1)
- West Newton (1)
- Weston (1)
- West Roxbury (1)
- West Springfield (1)
- West Yarmouth (1)
- Weymouth (3)
- Whitinsville (1)
- Wilbraham (2)
- Williamstown (1)
- Wilmington (2)
- Winchester (2)
- Woburn (1)
- Worcester (16)
- Wrentham (2)
Largest nursing home chains in Massachusetts
CMS links 165 of Massachusetts's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in MA | Homes nationwide |
|---|---|---|
| Marquis Health Services | 19 | 87 |
| Athena Healthcare Systems | 15 | 22 |
| Careone | 15 | 37 |
| Life Care Centers of America | 15 | 194 |
| Integritus Healthcare | 14 | 14 |
| Next Step Healthcare | 14 | 14 |
| Royal Health Group | 10 | 12 |
| Vantage Care | 10 | 10 |
| Regalcare | 9 | 9 |
| Alliance Health & Human Services | 8 | 8 |
| Atlas Healthcare | 8 | 29 |
| Best Care Services | 8 | 10 |
| Banecare Management | 7 | 7 |
| Stern Consultants | 7 | 22 |
| Azure Healthcare | 6 | 6 |
Chain as recorded in the CMS Provider Information file, August 2026 release