#1Weston, MA · Middlesex County
★★★★★CMS 5/570 bedsNon-profitMedicaid
- Nurse hours
- 6.80 /day
- Staff turnover
- 31%
- Serious cites
- 0
Campion Health & Wellness runs on 6.80 nurse staffing hours per resident day, roughly 76% above the national average of 3.86, a gap that shows up on weekends too, where hours dip only about 5% below the weekday pace. Staff turnover sits at 30.8% against a national average of 45.8%, and the home carries a single deficiency on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in May 2025. It's a 70-bed nonprofit affiliated with a church, and its CMS stars come back 5/5 across health inspections, quality measures, and staffing. One family review so far, and it's a 5/5.
#2Holyoke, MA · Hampden County
★★★★★CMS 5/540 bedsNon-profitMedicaid
- Nurse hours
- 5.28 /day
- Staff turnover
- 27%
- Serious cites
- 0
Mary's Meadow runs on 5.28 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, turnover of 27.1% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your visits land on Saturdays or Sundays. The inspection record shows 10 deficiencies with none at the harm level and none tied to abuse, and the most recent state visit was in August 2025. As a church-affiliated nonprofit with 40 beds, it answers to a mission rather than shareholders, and the numbers above suggest that shows up in how it's run.
#3Chelsea, MA · Suffolk County
★★★★★CMS 5/5100 bedsNon-profitMedicaid
- Nurse hours
- 7.34 /day
- Staff turnover
- 31%
- Serious cites
- 0
Nurse staffing at Leonard Florence Center for Living runs 7.34 hours per resident day, roughly 90% above the national average of 3.86, so direct care hours are generous rather than tight. Weekend coverage dips about 6% below its own weekday level, a modest gap. Annual turnover sits at 31.2%, well under the 45.8% national figure, and the nonprofit corporation that runs it has kept its inspection record current through November 2025. The eight deficiencies on file include none at the harm or jeopardy level and nothing related to abuse, with 5/5 stars across health inspections, quality measures, and staffing.
#4Stoughton, MA · Norfolk County
★★★★★CMS 5/5123 bedsFor-profitMedicaid
- Nurse hours
- 4.27 /day
- Staff turnover
- 21%
- Serious cites
- 0
Nurse staffing at Copley At Stoughton runs 4.27 hours per resident day, about 11 percent above the national average, and weekend coverage dips roughly 8 percent below its own weekday levels, so ask how that gap gets filled. Annual turnover of 20.6 percent sits well under the national 45.8 percent, which matters for whether you see the same faces month to month. The inspection record is the counterweight: 22 deficiencies, one at harm or jeopardy level and two abuse-related, plus a $10,517 fine, with the most recent inspection in December 2025. For-profit partnership ownership, 123 beds. Strong staffing and quality marks, a thinner inspection history.
#5S Natick, MA · Middlesex County
★★★★★CMS 5/555 bedsFor-profitMedicaid
- Nurse hours
- 4.19 /day
- Staff turnover
- 39%
- Serious cites
- 0
Riverbend Of South Natick runs on 4.19 total nurse hours per resident day, roughly 8% above the national figure, and its weekend staffing dips about 9% below its own weekday level, so care thins out somewhat on Saturdays and Sundays. Staff turnover sits at 38.5%, lower than the 45.8% national rate, which suggests people tend to stick around here more than at the average home. The current record shows 19 deficiencies, none at the harm level, though one is abuse-related. That last inspection was recent, in August 2025.
#6Middleboro, MA · Plymouth County
★★★★☆CMS 4/5107 bedsNon-profitMedicaid
- Nurse hours
- 5.42 /day
- Staff turnover
- 33%
- Serious cites
- 0
Nurse staffing here runs 5.42 hours per resident day, roughly 40% above the national average of 3.86, and weekends dip only about 3% below the home's own weekday level, a fairly small gap compared to what many homes show. Staff turnover sits at 33.3%, well below the national 45.8%, which matters for whether aides and nurses stick around long enough to know your mother's routines. The tradeoff is in inspections: 14 deficiencies on the current record, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was September 2025. Nonprofit ownership under a corporation, 107 certified beds.
#7Bedford, MA · Middlesex County
★★★★★CMS 5/5179 bedsNon-profitMedicaid
- Nurse hours
- 5.17 /day
- Staff turnover
- 32%
- Serious cites
- 0
Carleton-Willard Village runs a nonprofit operation in Bedford with 179 certified beds, and the caregiving hours stand out: 5.17 per resident day, roughly a third more than the national average of 3.86, with weekend coverage dipping only slightly below weekdays. Staff turnover of 32.3% also beats the 45.8% national figure, which matters for continuity. The caution signs sit on the inspection side, 11 deficiencies on the current record, five serious enough to involve harm or jeopardy, one tied to abuse, and two fines totaling $25,497, all from an inspection dated February 2025. Strong staffing and quality scores, but a recent survey that found real problems.
#8Holyoke, MA · Hampden County
★★★★★CMS 5/5164 bedsFor-profitMedicaid
- Nurse hours
- 3.62 /day
- Staff turnover
- 25%
- Serious cites
- 0
Care One At Holyoke runs 164 beds under for-profit LLC ownership, and its last health inspection came through in September 2025 with ten deficiencies on record, none at the harm or jeopardy level, none tied to abuse. Nurse staffing sits at 3.62 hours per resident day, about 6 percent under the national average of 3.86, and weekends dip roughly 13 percent below the home's own weekday coverage. What stands out is retention: annual turnover of 25.4 percent is well below the 45.8 percent national figure, meaning the aides and nurses here tend to stay. Inspections, quality measures, and staffing each earned top CMS marks, so the thin margins on hours per resident are the main thing worth watching, not the care record itself.
#9North Billerica, MA · Middlesex County
★★★★★CMS 5/580 bedsNon-profitMedicaid
- Nurse hours
- 8.11 /day
- Staff turnover
- 31%
- Serious cites
- 0
New England Pediatric Care runs 80 certified beds as a nonprofit, and the staffing number is the first thing that stands out: 8.11 nurse hours per resident day, roughly double the national average of 3.86. Weekend coverage does dip about 21% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 30.7%, well under the national 45.8%, which matters for kids who need consistent caregivers. Five deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star inspection and quality history.
#10Hingham, MA · Plymouth County
★★★★☆CMS 4/5132 bedsNon-profitMedicaid
- Nurse hours
- 5.15 /day
- Staff turnover
- 41%
- Serious cites
- 0
Linden Ponds runs 5.15 nurse hours per resident day, roughly a third more than the national average of 3.86, and its 41% staff turnover sits below the national rate of 45.8%, a real edge on the two things families worry about most. Weekend staffing dips about 12% below weekdays, though, so the coverage your relative gets on a Saturday won't quite match Tuesday. The health inspection side is less comfortable: six deficiencies, two of them at harm or jeopardy level and one abuse-related, with one fine of $12,735, and the last inspection was April 2026. The five-star quality measure rating reflects good clinical outcomes, but those harm-level findings are worth asking the administrator about directly.
#11Norwell, MA · Plymouth County
★★★★★CMS 5/5142 bedsFor-profitMedicaid
- Nurse hours
- 3.99 /day
- Staff turnover
- 29%
- Serious cites
- 0
Southwood At Norwell runs a tight ship on the numbers that matter most. Staffing sits at 3.99 nurse hours per resident day, a bit above the national average, and turnover is where this home really separates itself: 28.7% versus 45.8% nationally, meaning caregivers tend to stay. The ten deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in January 2026. Weekend coverage dips about 11% below weekday levels, worth asking about if your family visits Saturdays or Sundays. For a for-profit partnership, the consistency here is unusual.
#12Medfield, MA · Norfolk County
★★★★★CMS 5/542 bedsFor-profitMedicaid
- Nurse hours
- 4.54 /day
- Staff turnover
- 35%
- Serious cites
- 0
Thomas Upham House runs on a small scale, 42 certified beds in Medfield, corporate-owned, and the staffing numbers are its clearest strength. At 4.54 nurse hours per resident day, it sits about 18% above the national average, and weekend coverage dips only around 8% below weekday levels, a smaller drop than many homes show. Annual turnover of 35% beats the 45.8% national figure, which matters for whether caregivers actually know the residents. The current inspection record lists 11 deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. Its most recent inspection was in November 2025, so the picture is current rather than stale.
#13Edgartown, MA · Dukes County
★★★☆☆CMS 3/5106 bedsNon-profitMedicaid
- Nurse hours
- 5.97 /day
- Staff turnover
- 44%
- Serious cites
- 0
Navigator Homes of Martha's Vineyard runs on unusually deep staffing for a nursing home: nearly six nurse hours per resident day, about 55% above the national average, and weekend coverage dips only modestly below weekdays. Turnover sits right around the national figure, so the clinical team is fairly stable. The trade-off shows up in inspections, where the home holds a below-average two stars and 16 deficiencies on its current record, including one abuse-related citation, though none reached harm or jeopardy level, and the most recent inspection was in March 2026. Quality measures rate well above average. High hands-on care paired with inspection problems is the pattern here.
#14W Concord, MA · Middlesex County
★★★★★CMS 5/5151 bedsNon-profitMedicaid
- Nurse hours
- 4.44 /day
- Staff turnover
- 27%
- Serious cites
- 0
Rivercrest runs 4.44 nurse hours per resident day, roughly 15% above the national figure, and its weekend staffing only dips about 6% below weekdays, a narrow gap by industry standards. The nonprofit's 27.3% turnover sits well under the 45.8% national average, meaning the people showing up are largely the same people over time. Five deficiencies on record, none involving harm or abuse, with an inspection completed in August 2025. Read together, these numbers describe a home that is staffed and stable rather than merely passing.
#15Boston, MA · Suffolk County
★★★★★CMS 5/5123 bedsNon-profitMedicaid
- Nurse hours
- 7.35 /day
- Staff turnover
- 31%
- Serious cites
- 0
Spaulding Brighton runs nurse staffing at 7.35 hours per resident day, roughly double the national figure of 3.86. That's the kind of number that shows up in daily care, not on a brochure. Weekend coverage dips about 14% below its own weekday level, and annual turnover sits at 30.5%, better than the 45.8% national average, so the people providing that care are more likely to still be there next year.
The inspection record is strong: a 5/5 health inspection rating, and six total deficiencies with none at the harm or jeopardy level. One is abuse-related, which is worth asking about directly. The nonprofit's last survey was March 5, 2026, so the picture is recent.