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.
Sachem Center runs on thinner nurse coverage than most homes, about 3.43 hours per resident day against a national average near 3.86, and weekends dip roughly 6% below what it manages on weekdays. Turnover is actually better than average at 38.5%, so the issue isn't retention so much as how many hands are on deck at once. The inspection record is the harder read: 43 deficiencies, four serious enough to involve harm or jeopardy, five tied to abuse, and three fines totaling $65,753, with the most recent inspection in April 2025. A for-profit limited liability company operates the 111-bed building, and its federal ratings sit at two stars across health inspections, quality measures, and staffing.
Colony Center For Health And Rehabilitation is a 92-bed for-profit home in Abington, and the numbers here are worth sitting with before you tour. Nurse staffing runs 3.52 hours per resident day, roughly 9% below the national average, and weekends drop about 11% below the home's own weekday level, so coverage thins out exactly when families tend to visit. The inspection record shows 52 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, plus 2 fines totaling $25,593. Staff turnover sits at 50%, above the 45.8% national figure, which matters because consistent caregivers know residents. CMS rated its last inspection 1 out of 5 stars, with quality measures also at 1.
Cape Cod Post Acute Care in Brewster runs 135 certified beds under for-profit LLC ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.35 hours per resident day, about 13 percent under the national average, and weekends drop roughly another 10 percent below what the home itself staffs on weekdays. Annual turnover is 50 percent, higher than the 45.8 percent national figure, and the inspection record shows 69 deficiencies, including 8 at the harm or jeopardy level and 2 tied to abuse. One fine totaling $298,483 is on file, and the most recent inspection was in May 2025. Ask about weekend coverage and turnover directly.
Oak Knoll runs 123 beds under corporate ownership, and its staffing sits just under the national average at 3.79 hours per resident day, close enough that the bigger issue is the weekends, which run about 12 percent thinner than weekdays. Turnover at 41.4 percent is actually a little better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record is: 27 deficiencies, including two at the harm level and one tied to abuse, plus a single $211,819 fine. With quality and staffing each at two stars and the last inspection dated February 2026, the pattern is thin coverage on weekends alongside a serious citation history.
Oxford Rehabilitation & Health Care Center runs 120 beds in Haverhill under for-profit LLC ownership, and its staffing sits at 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop another 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the heavier concern: 41 deficiencies, one at harm or jeopardy level, four tied to abuse, and $265,351 in fines across two penalties. Staff turnover at 36% is actually better than the 45.8% national figure, which suggests the problem isn't retention so much as how many hands are scheduled. A February 2026 inspection is recent, so the record reflects current conditions.
Haverhill Rehabilitation and Healthcare Center runs 128 certified beds under corporate ownership, and the staffing numbers tell the clearest story. At 3.53 nurse hours per resident day, it sits about 9% under the national average of 3.86, weekend coverage drops roughly 11% below its own weekday level, and annual turnover hits 56.5% against a national 45.8%. Inspectors have logged 43 deficiencies on the current record, including two at the harm or jeopardy level and five tied to abuse, with two fines totaling $29,749. The last inspection was March 19, 2026, and CMS gives the home a single star for staffing.
Adviniacare Newburyport runs 111 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. Turnover lands at 44.3%, close to the national 45.8%, so retention isn't the outlier here, thin daily coverage is. The inspection record carries 72 deficiencies, eight at harm or jeopardy level and four abuse-related, with five fines totaling $322,104. The last inspection was September 2025, so the record is current, not stale. A 1/5 staffing star and 2/5 quality measures tell you where the pressure shows up.
Somerset Ridge Center runs 135 certified beds under for-profit LLC ownership, and its state survey history comes out clean where it matters most, 16 deficiencies on record, but none at the harm or jeopardy level, and none abuse-related. Inspectors were last in the building in December 2025, so the picture is current. Where the numbers get less comfortable is staffing: 3.58 nurse hours per resident day sits about 7% under the national average, weekends drop roughly 14% below the home's own weekday levels, and annual turnover runs 53.7% against a national 45.8%. One fine totaling $214,420 appears on the record. The 4-star inspection rating and 2-star quality and staffing ratings tell you what kind of tradeoff you're looking at.
Harrington House runs 90 certified beds under corporate for-profit ownership, and the numbers around its nursing staff are worth your attention. Nurse staffing sits at 3.80 hours per resident day, just under the national average, but weekends drop roughly 23% below what the home staffs on weekdays, and annual turnover hits 57.9% against a national rate of 45.8%. Those two figures together mean less consistent coverage, especially when families tend to visit. The inspection record backs that up: 40 deficiencies, one serious enough to involve harm or jeopardy, two tied to abuse, and a $43,891 fine. The most recent inspection was in April 2025, so the picture is current.
Hathorne Hill runs on thinner staffing than most places, 3.67 nurse hours per resident day against a national average of 3.86, and it gets worse on weekends, when coverage drops roughly 10% below what the home itself staffs during the week. Nearly 54% of staff turned over in a year, well above the 45.8% national figure, which matters because unfamiliar caregivers miss things. The inspection history is a split picture: a recent December 2025 survey and no abuse citations, but 29 deficiencies on record, six serious enough to involve harm or jeopardy, and one fine of $242,785. A for-profit corporation owns the 120 beds. Families should ask specifically how weekend shifts are covered.
Fall River Healthcare runs 176 certified beds under for-profit LLC ownership, and the staffing numbers tell a story worth pausing on. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends dip roughly 9% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 49.7% tops the national figure, meaning the people providing care are frequently new. The inspection record is the harder part: 52 deficiencies, 10 at harm or jeopardy level, 7 tied to abuse, and four fines totaling $385,062. The most recent inspection was December 2025.
Brandon Woods of New Bedford has more nursing hours per resident than the typical home, 4.35 a day against a national average of 3.86, but that staffing edge comes with a catch: weekends run about 11% thinner than weekdays, and nearly half the nursing staff turns over each year. The inspection record is the real problem. Eighty deficiencies are on file, including eight at the harm or jeopardy level and ten tied to abuse, with one fine totaling $464,490. CMS has placed this for-profit, individually owned home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. The last inspection was December 16, 2024.
Plymouth Harborside is a 101-bed for-profit home that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The numbers behind that: 58 deficiencies on the current record, 9 of them at the harm or jeopardy level, plus 2 abuse-related citations and six fines totaling $359,529. Staffing sits at 3.56 nurse hours per resident day, about 8% under the national average, and weekends run roughly 12% thinner than weekdays. Annual turnover is 52.1%. Both its health inspection and quality measure ratings come in at 1 out of 5 stars. If you're considering this home, ask pointed questions about the care plan and who's actually on the floor on Saturdays.
Norwood Healthcare runs 170 certified beds under for-profit LLC ownership, and the numbers pull in opposite directions. Its nurse staffing sits about 10% under the national average, though turnover at 25% is well below the 45.8% national figure, and weekend coverage dips roughly 9% below its own weekday levels. The bigger problem is the inspection record: 68 deficiencies, seven at harm or jeopardy level, five abuse-related, and six fines totaling $190,588. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. A recent inspection date doesn't offset that history.
Regalcare At Wakefield carries 42 deficiencies on its current record, five of them serious enough to put residents in harm's way, and two tied to abuse. That's the number a family should weigh hardest, because a single star for health inspections means the state has found repeated problems across recent surveys, not one bad day. Staffing earns a single star too, so the people doing the hands-on care are stretched thin. The one bright spot is turnover: 30.2% of staff left last year against a national average near 46%, which suggests some consistency in who's showing up. But stable staff in a building with this inspection history doesn't erase what inspectors documented. The $63,843 fine and a survey dated just weeks ago tell you oversight here is active, not resolved.
Medway Country Manor runs 3.24 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekend staffing dips about 6% below what it manages on weekdays. The inspection record is the heavier issue: 67 deficiencies on file, seven at the harm or jeopardy level and six tied to abuse, plus four CMS fines totaling $280,591. Turnover at 40.8% is actually a little better than the 45.8% national figure, and the last inspection was recent, in March 2026. But CMS has placed this home in its Special Focus Facility program, which is reserved for a small share of homes with a persistent pattern of serious problems.
Regalcare At Taunton runs about 3.31 nurse hours per resident each day, roughly 14% under the national average of 3.86, and weekends drop about 15% below its own weekday staffing. The current inspection record carries 36 deficiencies, including one at the harm or jeopardy level and four related to abuse, and the health inspection rating sits at 1 out of 5. Annual turnover is 48.7%, a few points above the national figure. This is a for-profit corporate home with 100 certified beds, last inspected May 13, 2025. If you're considering it, ask directly how the abuse-related citations were resolved and what weekend coverage looks like on the floor.
Regalcare At Glen Ridge holds 164 certified beds under for-profit LLC ownership, and its health inspection record is the part that should worry you most: 77 deficiencies on file, 11 of them serious enough to involve actual harm or jeopardy, plus 9 abuse-related citations and $286,020 in fines across three incidents. Staffing tells a more mixed story. The 3.62 nurse hours per resident day sits about 6% under the national average, and weekends run roughly 9% thinner than weekdays, but turnover at 27.9% is well below the 45.8% national figure, meaning the staff it does have tends to stay. The last inspection was September 2025, so the record is recent rather than stale.
Blaire House of Tewksbury runs 131 beds as a for-profit corporation, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.24 hours per resident per day, roughly 16 percent under the national average, and it thins out further on weekends. Staff turnover is 50.8 percent a year against a 45.8 percent national figure, so the people caring for residents are changing often.
What stands out most is the inspection history: 70 deficiencies on the current record, including 8 tied to abuse and 2 serious enough to put residents in harm's way, plus $70,727 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems.
Salem Rehab Center runs on thinner staffing than most homes nationally, 3.62 nurse hours per resident day against an average of 3.86, and weekends drop about 9% below what the building manages on weekdays, so coverage is at its lightest exactly when families tend to visit. Roughly half the nursing staff turns over each year, a bit above the national rate, and the current inspection record carries 85 deficiencies, including 10 serious enough to put residents at risk of harm and 4 tied to abuse. Two fines totaling $252,785 have been levied, and the last inspection was September 2025.
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?