224 of the 341 Medicare-certified nursing homes in Massachusetts (66%) are chain-owned, and all are listed below. 36 of the 224 graded homes earn an A and 13 earn a D or F. They average 3.73 nursing hours per resident per day, 0.13 hours below the 3.86 for every home in Massachusetts. Leonard Florence Center For Living in Chelsea grades highest at A (96 out of 100).
How chain-owned homes in Massachusetts compare
This group set against every nursing home in Massachusetts, from the current CMS release.
Mission Care At Holyoke runs on 3.69 nurse hours per resident day, roughly 5% under the national average, and weekends drop about 9% below its own weekday staffing. That thinner weekend coverage matters because the inspection record shows 43 deficiencies, including four at harm or jeopardy level and five tied to abuse, with $32,920 in fines across two penalties. Staff turnover sits at 44.8%, basically in line with the national 45.8%, so retention isn't the outlier here. A state inspection in June 2025 is recent enough that the findings reflect current conditions rather than old problems since fixed. For-profit LLC ownership, 125 beds.
Highland Park Rehabilitation and Healthcare Center is a 195-bed for-profit home in Chelsea, and the numbers worth knowing start with staffing: 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86. Weekend coverage drops about 7% below what the home itself staffs on weekdays, and turnover sits at 48.6%, a bit above the national 45.8%. The inspection record is the bigger concern: 77 deficiencies, five of them abuse-related, with the most recent inspection dated March 2026. No deficiency currently rises to harm or jeopardy level, which matters. But 77 findings and a one-star health inspection rating point to a home where problems get cited repeatedly. Ask about the abuse-related deficiencies specifically, and about who's actually on the floor on weekends.
Willow Brook runs 142 beds under corporate ownership, and the staffing numbers are the first thing worth noting: 3.68 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 9% below the home's own weekday coverage. That matters because turnover here is actually slightly better than average at 43.2%, so the issue isn't retention so much as how many hands are scheduled. The inspection record is heavier, 56 deficiencies, including one at the harm level and three tied to abuse, plus a $10,358 fine. CMS rated the last inspection 2 out of 5 stars. A recent September 2025 survey means the picture is current, not stale.
Park Avenue Health Center runs 89 beds in Arlington under for-profit LLC ownership, and the staffing picture is mixed. Nurses provide 3.59 hours per resident day, about 7% under the national average of 3.86, and weekends dip roughly 5% below the home's own weekday levels. Annual turnover of 37.8% is actually better than the 45.8% national figure, which counts for something in a field where retraining costs are real. The trouble sits elsewhere: 30 deficiencies on record, including five at harm or jeopardy level and five tied to abuse, plus three fines totaling $113,612. The most recent inspection was December 2025. Staffing holds up reasonably; the inspection record is the harder problem here.
Sarah S Brayton Center runs 183 certified beds in Fall River under for-profit LLC ownership, and the staffing picture is mixed in a way worth understanding. Its 3.43 nurse hours per resident day sits about 11% under the national average, and weekends drop roughly another 10% below its own weekday level, so coverage thins out right when families tend to visit. Turnover at 38.7% actually beats the national 45.8%, which suggests some stability in who's showing up. The trouble is what inspections found: 51 deficiencies on the current record, including one at harm or jeopardy level and three tied to abuse, plus a $151,920 fine. CMS rated the last inspection 2 out of 5, and that was in February 2026.
Berkshire Rehabilitation & Skilled Care Center is a 57-bed for-profit home in Sandisfield, and the numbers that stand out most are on the inspection side. Its record carries 28 deficiencies, including two at the harm or jeopardy level and six tied to abuse, a serious pattern for a building this size, and one that CMS rates just 2 out of 5 stars for health inspections. Nurse staffing runs 3.29 hours per resident day, about 15% under the national average, and weekends drop roughly 17% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover, at 42.9%, is actually slightly better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled in the first place.
Fairview Commons runs a 146-bed nonprofit home in Great Barrington, and the numbers show a building under real strain. Nurse staffing sits at 3.73 hours per resident day, just under the national average, but weekends drop about 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 56%, well above the 45.8% national figure, which means many of the people caring for residents are still learning the building. Its record carries 36 deficiencies, including two at the harm level and three tied to abuse, plus a $74,354 fine. Last inspection was July 2025, recent enough that this is a current picture, not an old one.
Vantage At West Springfield runs 168 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.54 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 53% outpaces the 45.8% national figure, meaning the people caring for your relative are often new. The record shows 32 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus one fine of $13,748. That inspection is recent, December 2025, so the picture is current, not stale history.
Aspen Hill runs 146 certified beds in Haverhill under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 16% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 46%, essentially tracking the national rate, so continuity isn't unusually bad, but it isn't a strength either. The inspection record is the heavier concern: 51 deficiencies on the current record, including 5 at harm or jeopardy level and 4 abuse-related, plus three fines totaling $134,274. The most recent inspection was January 8, 2026.
Wedgemere runs lean on nursing hours, 3.56 per resident day, roughly 8% under the national average, and weekends are thinner still, about 11% below its own weekday coverage. The inspection record is the bigger concern: 50 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $129,794 fine, with federal health and staffing ratings both at the bottom of the scale. Staff turnover, at 43.8%, is actually slightly better than the 45.8% national average, so retention isn't the main problem here. The last inspection was in January 2025, so the record is recent. If you're considering this home, ask directly how the abuse deficiency was resolved and what weekend coverage looks like on the evening shift.
Adviniacare At Northbridge runs 154 beds under for-profit LLC ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 13% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is 38%, which is actually better than the 45.8% national figure, and the inspection record is recent, clean at the harm level, and free of abuse citations. But 33 deficiencies and a one-out-of-five quality measure score tell you the day-to-day care outcomes aren't matching the inspection result.
Hampden Post Acute runs 3.63 nurse hours per resident day, roughly 6% under the national figure, and weekends drop about 10% below its own weekday levels. The bigger number is turnover: 63.9% of nursing staff left over the year, against a national average near 46%. Inspections look solid on the surface, a 4-out-of-5 star rating, with the most recent visit in January 2026, but the record carries 23 deficiencies, one serious enough to involve harm or jeopardy. Ownership is a for-profit limited liability company. With 135 beds and a 1-star staffing rating, the question for your family is whether the coverage holds up on a Saturday, not whether the last survey went well.
Vantage At Westfield runs 98 beds under corporate ownership, and the staffing numbers are the first thing to look at: 3.49 nurse hours per resident day, roughly 10% under the national average, with weekends dipping about 8% below its own weekday levels. That thin coverage shows up in the inspection record too, 27 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Annual turnover sits at 50%, above the 45.8% national figure, which means unfamiliar faces are common. The last inspection was January 2025, so the record is recent. Nothing here is catastrophic, but the pattern is consistent: less staff time, more cited problems.
Royal Wood Mill Center runs 94 certified beds in Lawrence under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends drop about 14% below its own weekday coverage, and annual turnover hits 50% against a national 45.8%. The current inspection record carries 26 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse. CMS gives it 3 stars for health inspections, 2 for quality measures, and 2 for staffing, with the most recent inspection dated March 25, 2026. Those aren't disqualifying numbers on their own, but the abuse-related citations and harm-level findings are the parts worth asking the administrator about directly before you decide.
Mount Carmel Care Center sits in Lenox with 69 certified beds and a church-affiliated nonprofit owner, and its nurses put in 4.10 hours per resident day, roughly 6% above the national average, with weekend coverage running about 6% thinner than its own weekdays. That staffing edge is real, but it's undercut by 73.3% annual turnover against a 45.8% national figure, meaning the people providing that care are largely new to the building. The record shows 22 deficiencies, one serious enough to trigger a harm-level citation, plus a single $46,410 fine. The most recent inspection closed in April 2025, so the picture is current. Good daily coverage, unstable workforce, and a recent serious finding, that's the tension worth weighing.
Royal Of Cotuit runs on 3.32 nurse hours per resident day, about 14% under the national average of 3.86, and weekends drop roughly 13% below its own weekday staffing. That thinner weekend coverage matters because this for-profit LLC carries 35 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse, with $7,901 in fines. Staff turnover sits at 47.7%, slightly above the national 45.8%, and all three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. The most recent inspection was March 31, 2026. If you're weighing this one, ask directly how weekends are covered and what changed after those abuse-related findings.
Lee Healthcare runs 88 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.18 nurse hours per resident day against a national average of 3.86, with weekends running roughly 9% thinner than weekdays. That shortfall shows up in who stays and who leaves, annual turnover of 62.3% against a national 45.8% means roughly three in five caregivers are new each year, and it's hard to build familiarity with residents that way. The current inspection record carries 34 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related. State inspectors were last in on September 10, 2025, and the quality measure rating sits at 1 out of 5.
Southeast Rehabilitation & Skilled Care Center is a 171-bed for-profit home in North Easton with a record that should give you pause. Inspectors have logged 67 deficiencies, including 3 at the harm or jeopardy level and 6 tied to abuse, and CMS rates all three of its star categories, health inspections, quality measures, and staffing, at just one out of five. Its 3.13 nurse staffing hours per resident day runs about 19 percent below the national average, and weekends dip roughly 10 percent below its own weekday levels. The one bright spot is turnover: 27.5 percent against a national average of 45.8 percent, meaning the staff who are there tend to stay. The most recent inspection was July 31, 2025, with a single fine of $11,947 on record.
Northwood runs about 2.83 nursing hours per resident day, roughly 27% under the national average of 3.86, and it doesn't add help on weekends, when staffing dips another 3% below its own weekday level. The tradeoff isn't explained by retention: turnover is 23.8%, well below the national 45.8%, so people tend to stay. What the record shows instead is a pattern of problems: 55 deficiencies, three at harm or jeopardy level, five tied to abuse, and two fines totaling $165,780. The most recent inspection was August 2025, and the health inspection rating sits at 1 out of 5.
Plymouth Rehabilitation runs 186 certified beds under corporate ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 14% below what the home itself staffs on weekdays, so the weakest coverage lands when families tend to visit. Turnover is the one number that beats the norm: 30.5% against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record is the harder read, 47 deficiencies, three at harm or jeopardy level, three tied to abuse, and a $141,373 fine, with the most recent inspection in February 2026. All three CMS star ratings land at 2 out of 5.
Frequently asked questions
How many chain-owned nursing homes are there in Massachusetts?
There are 224 chain-owned Medicare-certified nursing homes in Massachusetts, 66% of the 341 nursing homes there.
Are chain-owned nursing homes better staffed?
In Massachusetts they average 3.73 total nursing hours per resident per day, against 3.86 for all nursing homes in Massachusetts, a difference of -0.13 hours. Staff turnover averages 38.9% against 38.2%.
Which chain-owned nursing home grades best in Massachusetts?