117 of the 341 Medicare-certified nursing homes in Massachusetts (34%) are independently owned, and all are listed below. 38 of the 116 graded homes earn an A and 6 earn a D or F. They average 4.12 nursing hours per resident per day, 0.26 hours above the 3.86 for every home in Massachusetts. Campion Health & Wellness, Inc in Weston grades highest at A (100 out of 100).
How independently owned homes in Massachusetts compare
This group set against every nursing home in Massachusetts, from the current CMS release.
Nursing hours per resident per day
4.12
All homes in Massachusetts: 3.86
Better than the local average
Nurse staff turnover
36.6%
All homes in Massachusetts: 38.2%
Better than the local average
Average ElderGrade score
78.4/100
All homes in Massachusetts: 75.2/100
Better than the local average
Grade spread
A
B
C
38 grade A, 54 grade B, 18 grade C, 6 grade D,
The best-graded independently owned home in Massachusetts is
Campion Health & Wellness, Inc
in Weston, MA, grade A, 100/100.
Every independently owned nursing home in Massachusetts
Westfield Rehabilitation and Health Center runs 80 certified beds under for-profit LLC ownership, and its most recent inspection in January 2025 left a long paper trail: 60 deficiencies on the current record, one tied to abuse, plus a single fine of $49,296. No deficiency reached the harm or jeopardy level, which matters, but the volume still stands out.
Nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average, and weekends dip about 5% below the home's own weekday coverage. Annual turnover of 52.9% is well above the 45.8% national figure. The health inspection rating is 1 out of 5, so if you're weighing this one, ask specifically how they're holding staffing and care steady on weekends.
Odd Fellows Home of Massachusetts runs 100 certified beds in Worcester, and its staffing sits at 3.74 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 9% below weekdays, but turnover is 38%, better than the 45.8% national figure, which means this home keeps its nurses longer than many places do. The harder numbers are on the inspection side: 32 deficiencies on record, including three at the harm or jeopardy level and three abuse-related, plus a $106,301 fine. Its last inspection was March 2026. Quality measures score 1 out of 5, so whatever good the retention does, the care outcomes and compliance record are where families should focus their questions.
Meadow Green runs a 123-bed for-profit operation in Waltham, and the staffing numbers are the first thing to look at. Total nurse hours sit at 3.92 per resident day, just barely above the national average, but the staff star rating is 1 out of 5, and annual turnover is 64.7% against a national average of 45.8%. That's a lot of people cycling through, and the weekend gap means coverage thins out when families tend to visit.
The inspection record is harder to get past: 63 deficiencies, including 6 tied to abuse and 2 at the harm or jeopardy level, with $195,559 in fines. The most recent inspection was February 2026.
The Center At Blue Hills runs 3.37 nurse hours per resident day, roughly 13 percent under the national average of 3.86, and weekends dip another 7 percent below its own weekday staffing. That thin coverage shows up in a CMS staffing rating of 2 out of 5 and a health inspection rating of 2 out of 5, with 22 deficiencies on the current record, one at harm or jeopardy level and two tied to abuse. A single fine of $8,278 has been levied. The quality measure score of 5 out of 5 stands out against those numbers, and it's worth asking how that measure is collected before weighing it equally. The most recent inspection was November 20, 2025.
If you're weighing Jewish Healthcare Center, the numbers pull in two directions. The state inspection record is genuinely clean for a 141-bed home, one harm-level deficiency out of 17 total, no abuse findings, and a recent survey in January 2026, and residents score well on the federal quality measures. Staffing is the problem. Total nurse hours sit near zero per resident day against a national average around 3.86, weekend coverage drops roughly 17% below weekdays, and 71% of staff turned over in a year versus about 46% nationally. That combination, good outcomes on paper, thin and unstable coverage, is what holds the grade down. Ask how they actually fill a weekend shift before you decide.
Marlborough Hills runs 186 beds under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends dipping about 9% below its own weekday levels. That thin coverage matters more given what inspectors found: 40 deficiencies on the current record, two at harm or jeopardy level and one tied to abuse, plus a $71,202 fine, from a March 2025 inspection. Staff turnover of 27.3% is genuinely lower than the 45.8% national figure, so there's some consistency in the workforce. But a 1/5 health inspection rating and 1/5 quality measure rating against 2/5 for staffing tell you where the trouble concentrates.
Twin Oaks Center runs on thin staffing, 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends dip further. That shortfall shows up in its federal ratings: one star each for health inspections and staffing, two for quality measures. The inspection record behind that single star includes 58 deficiencies, four of them serious enough to put residents at risk of harm, and three tied to abuse. The one fine on file is modest at $2,186, but the volume and severity of cited problems matter more. Turnover sits near the national average at 44.3 percent, so that's not the problem here. The last inspection was in June 2025.
Alden Court runs a nonprofit shop in Fairhaven with 142 beds, and the nurse staffing numbers look decent on paper, 4.24 hours per resident day, roughly 10% above the national average. The catch is weekends, when coverage drops about 14% below what the home staffs during the week. That matters for families whose visits or care concerns cluster on Saturdays and Sundays.
Turnover sits at 57.2%, well above the 45.8% national figure, so the people showing up may not be the same faces month to month. Inspections in June 2025 turned up 11 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. The health inspection rating reflects that relative cleanliness; the staffing and quality scores land in the middle.
The Grove At Carvalho runs on 3.42 nurse hours per resident day, about 12% under the national average, and weekend coverage dips roughly 5% below what it manages on weekdays. Its inspection history is the bigger concern: 47 deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, plus seven fines totaling $39,082. A corporation owns the 112-bed home, and the staffing and quality measure ratings both sit at the low end of CMS's scale. The most recent inspection was in April 2026, so the record is current rather than stale, meaning those 47 findings reflect conditions regulators saw recently, not problems already resolved.
The Center At Advocate runs 190 beds in East Boston under for-profit LLC ownership, and its last inspection was June 5, 2025. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86, and weekends drop about 10% below its own weekday levels. Turnover is 41.5%, actually better than the 45.8% national figure, but that's the one bright spot. The inspection record shows 66 deficiencies, seven at harm or jeopardy level and six abuse-related, with two fines totaling $69,000. A 1/5 inspection rating and 2/5 quality measures tell you where the problems concentrate.
Pine Knoll runs on 3.39 nursing hours per resident per day, roughly 12 percent under the national average, and weekend staffing drops about 5 percent below what it manages on weekdays, so the thinnest coverage lands when families tend to visit and when fewer eyes are watching. The inspection record backs that up: 82 deficiencies, 12 of them serious enough to involve harm or jeopardy, 4 tied to abuse, and $568,747 in federal fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. The most recent inspection was March 2026.
Saugus Center is a for-profit LLC with 80 certified beds, and the numbers that stand out most are on the inspection side. Sixty-six deficiencies sit on its current record, six of them serious enough to cause harm or put residents in jeopardy, plus two tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems, and there's $65,946 in fines across two penalties. Staffing runs about 3.17 nurse hours per resident day, roughly 18% under the national average, though turnover at 30% is actually better than the 45.8% norm. The last inspection was June 2025.
The Gardens At Country runs 86 certified beds in Swansea under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86. Weekend coverage dips about 5 percent below what the home provides on weekdays, so the thinnest shifts get even thinner. The inspection record is the harder read: 58 deficiencies, one tied to abuse, and four fines totaling $24,635, with the most recent inspection in June 2025. All three CMS star categories, health inspections, quality measures, staffing, land at 1 out of 5. If you're weighing this one, ask specifically how weekends and abuse-prevention training are handled.
Mill Town Health and Rehabilitation runs on thin staffing: 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop another 8% below its own weekday level. That's the kind of gap families feel on a Saturday afternoon when a call light goes unanswered. The inspection record is heavier still, 61 deficiencies, five serious enough to put residents in harm's way, seven tied to abuse, and $239,585 in fines against a for-profit LLC. Staff turnover sits at 52.8%, so the people caring for your relative are often new and still learning the building. If you're considering this one, ask hard questions about weekend coverage and how they've fixed the abuse findings.
Hadley Pointe runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage sits behind a record of 48 deficiencies, four at harm or jeopardy level and seven abuse-related, plus two fines totaling $85,596, with CMS placing the home in its Special Focus Facility program. Annual turnover of 70% is well above the 45.8% national average. The 154-bed for-profit corporation changed ownership within the past year, and the most recent inspection was January 17, 2025, with staffing and health inspection each landing a single star.
Maplewood Center runs 120 certified beds in Amesbury, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 2.99 hours per resident day, roughly a quarter below the national average of 3.86, with weekends running about 6% thinner than weekdays, and annual turnover at 55.2% against a national 45.8%. On the inspection side, CMS counts 67 deficiencies, including five at harm or jeopardy level and six tied to abuse, with two fines totaling $226,445. The home is in CMS's Special Focus Facility program, its last inspection was June 5, 2025, and it's owned by a for-profit limited liability company.
The Massachusetts Veterans Home at Holyoke runs 128 certified beds under state government ownership, and its nurse staffing sits at 8.21 hours per resident day. That's roughly double the national average of 3.86, which is unusual even for a government-run home. Weekend staffing drops about 11% below its own weekday level, so the coverage families see on a Saturday won't match a Tuesday. Its record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection on February 28, 2025. High staffing and a clean harm record don't erase the weekend gap, but they tell you where this home puts its resources.
Frequently asked questions
How many independently owned nursing homes are there in Massachusetts?
There are 117 independently owned Medicare-certified nursing homes in Massachusetts, 34% of the 341 nursing homes there.
Are independently owned nursing homes better staffed?
In Massachusetts they average 4.12 total nursing hours per resident per day, against 3.86 for all nursing homes in Massachusetts, a difference of +0.26 hours. Staff turnover averages 36.6% against 38.2%.
Which independently owned nursing home grades best in Massachusetts?