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224 Chain-Owned Nursing Homes in Massachusetts

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.

Nursing hours per resident per day

3.73

All homes in Massachusetts: 3.86

Worse than the local average

Nurse staff turnover

38.9%

All homes in Massachusetts: 38.2%

Worse than the local average

Average ElderGrade score

73.5/100

All homes in Massachusetts: 75.2/100

Worse than the local average

Grade spread

A
B
C

36 grade A, 107 grade B, 68 grade C, 13 grade D,

The best-graded chain-owned home in Massachusetts is Leonard Florence Center For Living in Chelsea, MA, grade A, 96/100.

Every chain-owned nursing home in Massachusetts

Showing 121 to 140 of 224, best-graded first.

B

73/100

Regalcare At Sudbury

Sudbury, MA · Middlesex County

CMS 2/5142 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
32%
Serious cites
0

Vantage At Sudbury runs 142 certified beds under corporate ownership, and its staffing sits at 3.59 nurse hours per resident day, about 7% under the national average, with weekends dipping roughly 9% below its own weekday levels. Turnover is the bright spot at 31.9%, well under the 45.8% national figure, which suggests people tend to stay. The trouble is elsewhere: 44 deficiencies on the current record, including one at the harm level and three tied to abuse, plus a $15,672 fine and a recent March 2026 inspection. Two out of five on health inspections and quality measures tells you where the problems concentrate.

B

73/100

Masconomet Rehabilitation And Healthcare Center

Topsfield, MA · Essex County

CMS 3/5123 bedsFor-profitMedicaid
Nurse hours
3.68 /day
Staff turnover
55%
Serious cites
0

Masconomet Rehabilitation runs 3.68 nurse hours per resident day, roughly 5% under the national average, and weekends dip about 8% below its own weekday levels, so the thinnest coverage comes when families tend to visit. Staff turnover is 54.8% against a national 45.8%, meaning more than half the nursing staff leaves each year, and CMS rates staffing 2 out of 5. The 13 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was March 2026, so the record is current and free of serious findings. Ownership is a for-profit limited liability company.

B

72/100

Charlwell House Health And Rehabilitation

Norwood, MA · Norfolk County

CMS 1/5124 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
27%
Serious cites
0

Charlwell House runs on about 3.36 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip another 8 percent below its own weekday levels. What stands out is the inspection record: 63 deficiencies, four of them serious enough to cause harm or jeopardy, plus one tied to abuse, and the health inspection rating sits at 2 out of 5. Turnover is genuinely low, 27 percent against a national 45.8, and staffing earns 4 stars despite the thin hours. It's a for-profit LLC with 124 beds, last inspected in May 2025. The quality measure score of 1 out of 5 is the piece families should ask about directly.

B

72/100

Care One At Northampton

Northampton, MA · Hampshire County

CMS 4/5125 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
50%
Serious cites
0

Care One At Northampton runs 125 certified beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see: 3.58 nurse hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday levels. That thinner weekend coverage matters, because that's often when families visit and when problems surface. Annual turnover hits 50%, above the 45.8% national figure, so the people caring for residents change over fairly often. The inspection record shows 21 deficiencies, three serious enough to reach harm or jeopardy level and one tied to abuse, plus two fines totaling $39,819. Its quality measure rating is strong, but that reflects charted care, not the staffing and inspection problems underneath.

B

72/100

North Adams Commons Nursing & Rehabilitation Cente

North Adams, MA · Berkshire County

CMS 5/5119 bedsNon-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
44%
Serious cites
0

North Adams Commons runs a nonprofit home with 119 beds, and the health inspection record is the strongest part of the picture, a five-star rating there, with the most recent inspection in December 2025 and 14 deficiencies on file, none of them causing harm or involving abuse. Staffing is a different story: 3.87 nurse hours per resident day sits essentially at the national average of 3.86, and the two-star staffing rating reflects that. Weekend coverage drops about 14% below weekday levels, and turnover runs 44%, just under the national 45.8%. Quality measures land at three stars. So what you have is a clean inspection history paired with staffing that's merely average and thins out on weekends.

B

72/100

Windsor Nursing & Retirement Home

South Yarmouth, MA · Barnstable County

CMS 2/5120 bedsNon-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
38%
Serious cites
0

Windsor Nursing & Retirement Home runs 120 certified beds in South Yarmouth under nonprofit ownership, and its staffing sits just barely above the national average at 3.91 nurse hours per resident day. Turnover is genuinely better than most, 37.7% against a national 45.8%, but weekends run about 14% thinner than weekdays, so care can feel different depending on when you visit. The inspection record is where it gets concerning: 24 deficiencies, including one at the harm level, and a $12,386 fine. Quality measures score 1 out of 5 even as staffing earns 4, and the last inspection was March 2026. Ask about that harm-level citation and weekend coverage specifically.

B

72/100

Woburn Rehabilitation And Nursing Center

Woburn, MA · Middlesex County

CMS 2/5140 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
36%
Serious cites
0

Woburn Rehabilitation and Nursing Center runs 140 beds under corporate ownership, and its staffing sits just above the national average at 3.95 nurse hours per resident day. That margin is thin, and weekends dip about 11% below the home's own weekday coverage, so the care you'd see on a Saturday may look lighter than what the weekday number suggests. Staff turnover of 36.1% is meaningfully better than the 45.8% national average, which matters for consistency. The inspection record is the harder read: 34 deficiencies on file, including one at the harm level and two tied to abuse, plus a $8,512 fine. The last inspection was in January 2025.

B

72/100

Craneville Rehabilitation And Skilled Care Center

Dalton, MA · Berkshire County

CMS 4/589 bedsFor-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
52%
Serious cites
0

Craneville runs on thinner staffing than most homes, and the gap widens on weekends. At 3.67 nurse hours per resident day, it sits about 5% under the national average of 3.86, and weekend coverage drops roughly 12% below what the home provides Monday through Friday. Annual turnover of 52.3% is higher than the 45.8% national figure, which means aides and nurses cycle through faster than average, worth asking how that affects who's actually on the floor. The health inspection side looks better: a 4-out-of-5 rating with no deficiencies at the harm or jeopardy level and nothing abuse-related on a record of 18 total. Its last inspection was in April 2025.

B

72/100

Royal Nursing Center, Llc

Falmouth, MA · Barnstable County

CMS 3/5121 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
42%
Serious cites
0

Royal Nursing Center runs 121 beds in Falmouth under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover lands at 41.5%, a bit better than the 45.8% national figure, and the inspection record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $8,278. Its last inspection was December 2025, so the record is recent. Quality measures score well; staffing and inspections are where the gaps sit.

B

72/100

Andover Forest Post Acute Care Center

North Andover, MA · Essex County

CMS 3/5142 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
39%
Serious cites
0

Andover Forest runs 142 beds in North Andover under corporate ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 14% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 44 deficiencies, five of them serious enough to involve harm or jeopardy, plus three fines totaling $44,265. On the positive side, turnover at 38.9% beats the 45.8% national figure, and the quality measure rating is strong. But a 2/5 inspection score and staffing below average carry real weight.

B

72/100

Wachusett Manor

Gardner, MA · Worcester County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
44%
Serious cites
0

Wachusett Manor runs 3.29 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 10% below its own weekday pace, that staffing pattern is what sits behind its two-star staffing rating. The record shows 42 deficiencies, three of them serious enough to put residents at harm or jeopardy, though none are abuse-related, and the most recent inspection was September 2025. Turnover at 43.5% actually edges the national figure of 45.8%, so retention isn't the weak spot. A for-profit LLC with 96 beds, it earns four stars on quality measures but the direct-care hours are thin where it counts.

B

72/100

Westford Nursing And Rehabilitation Center

Westford, MA · Middlesex County

CMS 4/5123 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
53%
Serious cites
0

Westford Nursing and Rehabilitation Center runs 123 certified beds under for-profit LLC ownership, and its staffing picture is the main thing to understand. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 52.5% is well above the 45.8% national figure, meaning aides and nurses cycle through steadily. The health inspection side looks better, with a recent July 2025 survey and a strong inspection rating, but the record still carries 33 deficiencies, including one at harm level and one abuse-related.

B

71/100

Blaire House Of Milford

Milford, MA · Worcester County

CMS 1/573 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
39%
Serious cites
0

Blaire House Of Milford runs 73 certified beds under corporate ownership, and its staffing is the one number that holds up, 4.09 nurse hours per resident day, about 6% above the national average, with turnover at 39% against a national 45.8%. Weekends dip roughly 8% below weekday coverage, which is worth asking about directly. The inspection record is where the picture darkens: 55 deficiencies on file, three of them at harm or jeopardy level and six tied to abuse, plus one fine of $38,610. The last inspection was May 2025, so this is current, not stale. Quality measures sit at 1 out of 5 stars. Ask about the abuse deficiencies and what changed since.

B

71/100

Webster Manor Rehabilitation & Health Care Center

Webster, MA · Worcester County

CMS 2/5135 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
41%
Serious cites
0

Webster Manor runs lean on nursing staff, 3.27 hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday coverage. That thinner weekend schedule matters most when families visit and when residents need help with meals, mobility, and toileting. The home holds 42 deficiencies on its current record, including two tied to abuse, though none rose to the harm or jeopardy level. Its last inspection was in April 2025, so the picture is recent. Turnover sits at 41.4%, a bit better than the 45.8% national figure, which suggests some stability among the aides and nurses who stay. For-profit corporate ownership and a two-star inspection rating round out what the numbers show.

B

71/100

Regalcare At Worcester

Worcester, MA · Worcester County

CMS 2/5160 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
34%
Serious cites
0

Regalcare At Worcester runs 160 beds under corporate ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average of 3.86, with weekend coverage dipping about 5 percent below its own weekday levels. Turnover is a genuine bright spot: 34 percent against a national average near 46 percent, so the people here tend to stay. The record shows 31 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection came in April 2025, so the picture is current. The weak spot is quality measures, which CMS scores at 1 out of 5 despite a 3 out of 5 on inspections.

B

71/100

Regalcare At Courtyard-Medford

Medford, MA · Middlesex County

CMS 1/5224 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
27%
Serious cites
0

Staffing at Regalcare At Courtyard-Medford runs a little under the national average, and weekends dip about 7% below its own weekday levels, so the coverage you see midweek isn't quite what you get on a Saturday. The bigger concern is the inspection record: 80 deficiencies, six at the harm or jeopardy level and seven tied to abuse, plus $165,163 in CMS fines. That record is why federal regulators placed this 224-bed for-profit home in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Turnover is genuinely low by industry standards, which helps, but low turnover only goes so far when the last inspection, in March 2025, still left that many findings on the books.

B

71/100

Life Care Center Of Merrimack Valley

Billerica, MA · Middlesex County

CMS 2/5124 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
39%
Serious cites
0

Life Care Center of Merrimack Valley runs 4.09 nurse hours per resident day, about 6% above the national average, and its 38.8% turnover is better than the 45.8% typical elsewhere. Those are real strengths. But weekend staffing drops roughly 12% below weekday levels, and the inspection record is where the trouble sits: 27 deficiencies, four at harm or jeopardy level, one abuse-related, plus a $161,920 fine. A 2/5 inspection rating against a 4/5 quality measure rating usually means the day-to-day care looks fine on paper until something goes wrong. A December 2025 inspection is recent enough to reflect current conditions. Ask about weekend coverage and the abuse deficiency specifically.

B

71/100

Agawam North Rehab And Nursing

Agawam, MA · Hampden County

CMS 1/5124 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
45%
Serious cites
0

Agawam North Rehab And Nursing runs 124 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.65 hours per resident day, roughly 6% under the national average. Weekends dip about 14% below its own weekday level, so coverage thins out right when families tend to visit. The current inspection record shows 28 deficiencies, none at the harm or jeopardy level and none abuse-related, with one fine totaling $86,130 and a survey as recent as April 2025. Staff turnover runs 44.5%, slightly better than the national rate of 45.8%. CMS rates the health inspection side 1 out of 5 stars, though quality measures come in at 4 out of 5.

B

70/100

Hermitage Healthcare (The)

Worcester, MA · Worcester County

CMS 2/5101 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
21%
Serious cites
0

Hermitage Healthcare runs 101 certified beds in Worcester under corporate for-profit ownership, and its staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. What stands out is turnover: 21% against a national average near 46%, meaning aides and nurses here tend to stay, which matters more for daily care than any single inspection score. The current record shows 33 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. Quality measures score 1 out of 5, the weakest mark on the file.

B

70/100

Williamstown Commons Nursing & Rehab

Williamstown, MA · Berkshire County

CMS 3/5180 bedsNon-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
37%
Serious cites
0

Williamstown Commons runs 180 certified beds under nonprofit ownership, and its nurse staffing sits right at the national average, 3.85 hours per resident day against 3.86 nationwide. Weekends drop about 12% below its own weekday levels, so coverage thins when families tend to visit. Turnover is 37.4%, better than the 45.8% national figure, which matters for consistency of care. The inspection record shows 19 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was March 2026, and CMS gives it middle marks across staffing and health inspections, with a 2/5 on quality measures weighing the overall picture down.

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?
Leonard Florence Center For Living in Chelsea, MA, grade A, 96 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 224 graded chain-owned homes in Massachusetts, 36 grade A and 13 grade D or F.
Do chain-owned nursing homes in Massachusetts accept Medicaid?
220 of the 224 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Massachusetts