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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 141 to 160 of 224, best-graded first.

B

70/100

Poet's Seat Healthcare Center

Greenfield, MA · Franklin County

CMS 2/563 bedsFor-profitMedicaid
Nurse hours
3.00 /day
Staff turnover
55%
Serious cites
0

Poet's Seat Healthcare Center runs on 3.00 nurse staffing hours per resident day, about 22% under the national average of 3.86, and weekends dip roughly 6% below its own weekday level. That thin coverage helps explain the one-out-of-five staffing rating from CMS, and it sits next to 54.7% annual turnover against a national average of 45.8%, meaning the aides and nurses at the bedside keep changing. The inspection record shows 43 deficiencies, three serious enough to cause harm or jeopardy, one tied to abuse, plus a $5,541 fine. The five-star quality measure score reflects how residents' conditions are tracked, not how many hands are free to help. The last inspection was May 2025.

B

70/100

Fairhaven Healthcare Center

Lowell, MA · Middlesex County

CMS 2/5169 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
50%
Serious cites
0

Fairhaven runs on thinner nurse staffing than most homes in the country, 3.23 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, which is when families often notice call bells going unanswered longer. Turnover sits at 49.5%, above the national 45.8%, meaning roughly half the nursing staff leaves each year. On inspections, the record shows 43 deficiencies, including one at the harm level and two tied to abuse, with one fine of $15,030; the most recent inspection was September 2025. The for-profit LLC structure doesn't tell you how care feels day to day, but combined with a 2-out-of-5 on health inspections, quality measures, and staffing alike, the pattern here is consistent rather than a one-time slip.

B

70/100

Regalcare At Quincy

Quincy, MA · Norfolk County

CMS 1/571 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
38%
Serious cites
0

Regalcare At Quincy runs 71 beds under for-profit LLC ownership, and its inspection record is the main thing to know: 29 deficiencies on the current record, including one at the harm or jeopardy level, with a single fine of $10,773. A one-star health inspection rating backs that up, and the last inspection came in April 2025, so this isn't a stale file. Staffing sits at 3.73 hours per resident day, about 3% under the national average, and weekends run roughly 12% thinner than weekdays. Turnover of 38.3% is better than the 45.8% national figure, which helps, but it doesn't offset the inspection history. If you're considering this home, ask directly how the harm-level deficiency was resolved and what weekend coverage looks like.

C

69/100

Care One At Redstone

East Longmeadow, MA · Hampden County

CMS 2/5254 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
47%
Serious cites
0

Care One At Redstone runs 254 beds in East Longmeadow under for-profit LLC ownership, and the numbers suggest a building that struggles with the basics. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, and weekends dip roughly 9% below what the home itself manages on weekdays, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 51 deficiencies, four of them serious enough to involve harm or jeopardy, plus one tied to abuse. Staff turnover at 46.8% edges past the national rate, meaning aides and nurses cycle through steadily. A recent August 2025 inspection is a plus, but the pattern across staffing and survey history is worth weighing carefully.

C

69/100

Cape Heritage Rehabilitation & Health Care Center

Sandwich, MA · Barnstable County

CMS 2/5123 bedsFor-profitMedicaid
Nurse hours
3.10 /day
Staff turnover
40%
Serious cites
0

Cape Heritage runs about 3.1 nursing hours per resident day, roughly a fifth under the national average of 3.86, and weekends drop another 11% below its own weekday staffing. That thinner coverage shows up in its CMS ratings: two stars each for staffing and health inspections, with 56 deficiencies on the current record, including three at the harm or jeopardy level and four tied to abuse. Turnover sits at 40.4%, which is actually a little better than the 45.8% national figure, and the most recent inspection was in May 2025, so the picture is fairly current. This is a for-profit limited liability company operating 123 certified beds.

C

69/100

The Guardian Center

Brockton, MA · Plymouth County

CMS 1/5123 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
41%
Serious cites
0

The Guardian Center runs 3.29 nursing hours per resident day, roughly 15 percent under the national average of 3.86, and weekends dip about 10 percent below its own weekday numbers, so the thinnest coverage lands exactly when families tend to visit. Turnover at 41.1 percent is slightly better than the 45.8 percent national figure, but a 61-deficiency record with three at harm or jeopardy level and three abuse-related citations is a lot to carry, and the 1/5 quality measure rating reflects it. The last inspection was April 30, 2025, and the 2/5 inspection rating suggests those findings weren't minor paperwork issues.

C

69/100

Regalcare At Lowell

Lowell, MA · Middlesex County

CMS 1/590 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
30%
Serious cites
0

Regalcare At Lowell holds 90 certified beds and is owned by a for-profit corporation. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 10% below the home's own weekday levels. Turnover among nursing staff is 30%, which is lower than the national 45.8%. That staffing picture earns 4 out of 5 stars from CMS. The problem sits elsewhere: 29 deficiencies on the current record, two at harm or jeopardy level and one abuse-related, plus two fines totaling $91,558. The last inspection was March 10, 2026, and the health inspection rating is 1 out of 5.

C

68/100

Adviniacare Newton Wellesley

Wellesley, MA · Norfolk County

CMS 4/5110 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
21%
Serious cites
0

Adviniacare Newton Wellesley runs lean on nursing hours, 3.59 per resident day against a national average of 3.86, with weekends dipping roughly 8% below its own weekday staffing. That thin coverage matters more given the inspection record: 43 deficiencies, four serious enough to cause harm or jeopardy, five tied to abuse, and a $132,408 fine. Staff turnover is genuinely low at 20.7%, well under the national 45.8%, so the people who stay tend to stay. But the last inspection was December 2025 and the quality measure score is strong while staffing sits at two stars. The pattern is a home that charts well on paper outcomes but runs short-staffed enough to draw repeated state findings.

C

68/100

Port Rehabilitation And Healthcare Center

Newburyport, MA · Essex County

CMS 2/5123 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
56%
Serious cites
0

Port Rehabilitation and Healthcare Center runs 123 certified beds in Newburyport under corporate, for-profit ownership. Nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average, and it thins out further on weekends, when coverage drops about 13% below the home's own weekday level. Annual turnover is 55.9%, well above the 45.8% national figure, that much churn usually means families meet a lot of new faces. The inspection record shows 22 deficiencies, two of them abuse-related, though none rose to harm or jeopardy. A recent August 2025 inspection is a point in its favor. Strong quality-measure scores don't cancel out thin staffing.

C

68/100

Charlene Manor Extended Care Facility

Greenfield, MA · Franklin County

CMS 2/5123 bedsNon-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
51%
Serious cites
0

Charlene Manor runs 123 beds in Greenfield under nonprofit ownership, and its last inspection was recent, February 2026, which matters, because what that inspection record shows is a lot of history: 47 deficiencies, two of them at the harm or jeopardy level and three tied to abuse. Fines total just under $100,000 across three penalties. Staffing sits slightly under the national average at 3.75 hours per resident day, and it thins out on weekends by roughly 13% compared with weekdays, when coverage is already close to average. Turnover runs about 50.7%, above the national figure. None of these numbers alone is disqualifying, but together they point to a home where the daily margin for error is thinner than most.

C

68/100

West Newton Healthcare

West Newton, MA · Middlesex County

CMS 1/5123 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
54%
Serious cites
0

West Newton Healthcare runs 123 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends dip roughly 8% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 53.5% runs well above the 45.8% national figure, so caregivers cycle through faster than residents can get used to them. The inspection record is heavier still: 82 deficiencies, including one at harm or jeopardy level and two tied to abuse, plus a $184,166 fine. A December 2025 inspection is recent, but recent isn't the same as clean.

C

68/100

Melrose Healthcare

Melrose, MA · Middlesex County

CMS 1/5106 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
33%
Serious cites
0

Melrose Healthcare is owned by a for-profit limited liability company and holds 106 certified beds. Nurse staffing runs about 3.49 hours per resident day, roughly 10 percent under the national average, and weekends dip about 5 percent below weekdays. Turnover sits at 32.9 percent, better than the 45.8 percent national figure. What stands out is the inspection record: 67 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $49,324 fine. CMS places it in the Special Focus Facility program, and the most recent inspection was April 9, 2025.

C

68/100

Watertown Rehabilitation And Nursing Center

Watertown, MA · Middlesex County

CMS 1/5163 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
30%
Serious cites
0

Watertown Rehabilitation and Nursing Center runs 163 beds under for-profit LLC ownership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekend coverage barely changes from weekdays, so that shortfall isn't a weekend problem; it's constant. Turnover is the one bright spot at 30.2%, well below the 45.8% national figure, which suggests some stability in the workforce even if there aren't enough hands. The inspection record is the bigger concern: 62 deficiencies, including one at harm or jeopardy level and three abuse-related, with a $56,440 fine and a survey as recent as May 2025.

C

68/100

Sippican Rehabilitation And Healthcare Center

Marion, MA · Plymouth County

CMS 4/5123 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
56%
Serious cites
0

Sippican runs 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekend coverage drops about 11% below its own weekday levels. Staff turnover sits at 56.2% against a national 45.8%, and the federal staffing rating lands at 2 out of 5, that combination is what pulls the overall picture down, even though the quality measure score is perfect at 5 out of 5. The inspection record shows 17 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $8,788. The most recent inspection was May 19, 2026, so the record is current. A for-profit limited liability company operates the 123-bed home.

C

68/100

Alliance Health At Marie Esther

Marlborough, MA · Middlesex County

CMS 4/578 bedsNon-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
61%
Serious cites
0

Alliance Health At Marie Esther is a 78-bed nonprofit home in Marlborough, and its inspection record is genuinely solid, a four-star health inspection rating and a recent survey from September 2025. But seven deficiencies sit on the current record, including one at the harm level and one tied to abuse, plus a $7,901 fine. Where the numbers get uncomfortable is staffing. At 3.76 nurse hours per resident day, it runs slightly under the national average, weekends fall about 7% below its own weekday levels, and annual turnover hits 61.2% against a national 45.8%. The quality measure rating sits at two stars. A stable inspection history, but the people providing daily care are stretched and cycling through fast.

C

67/100

Blueberry Hill Rehabilitation And Healthcare Ctr

Beverly, MA · Essex County

CMS 1/5132 bedsFor-profitMedicaid
Nurse hours
3.44 /day
Staff turnover
25%
Serious cites
0

Blueberry Hill runs 132 certified beds under corporate ownership, and its staffing sits at 3.44 nurse hours per resident day, roughly 11 percent under the national average, with weekends running about 7 percent thinner than weekdays. What stands out most is the inspection record: 70 deficiencies, nine of them serious enough to put residents at risk of harm and six tied to abuse, plus three fines totaling $231,459. The one genuinely bright spot is turnover at 24.7 percent, well below the national 45.8 percent, which suggests a staff that largely stays put. But steady staff and thin hours can't offset that inspection history, the most recent look came in December 2025.

C

67/100

Oakhill Healthcare

Middleboro, MA · Plymouth County

CMS 2/5123 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
54%
Serious cites
0

Oakhill Healthcare runs 123 beds in Middleboro under for-profit LLC ownership, and the staffing numbers tell a consistent story. Nurses provide 3.51 hours per resident per day, roughly 9% under the national average of 3.86, and weekends drop about 6% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 53.7%, well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new. The inspection record shows 47 deficiencies, including four tied to abuse, with no harm-level citations; the most recent inspection was in January 2026. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5.

C

67/100

Worcester Rehabilitation & Health Care Center

Worcester, MA · Worcester County

CMS 1/5160 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
24%
Serious cites
0

Nurse staffing at Worcester Rehabilitation runs about 15% under the national average, and weekends drop roughly another 11% below what the home already staffs on weekdays. That thin coverage shows up in the inspection record too: 54 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus three fines totaling $81,776. The one number working in its favor is turnover, 23.5% against a national average near 46%, meaning the aides and nurses who are there tend to stay. Its last inspection was in May 2025, so the record is current, not stale. With 160 beds under for-profit partnership ownership, ask specifically how many nurses are on the floor on a Saturday night.

C

67/100

Regalcare At Holyoke

Holyoke, MA · Hampden County

CMS 1/5102 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
49%
Serious cites
0

Regalcare At Holyoke runs 102 certified beds under for-profit limited liability ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average, and it thins out further on weekends, about 11% below the home's own weekday level. Staff turnover is 48.6%, higher than the 45.8% national figure, so the people caring for residents change often. The current record shows 44 deficiencies, including 2 at the harm or jeopardy level and 3 abuse-related, with one fine of $13,153. Inspections were last done in June 2025, and CMS rates the home 2 out of 5 on health inspections, 1 on quality measures, and 2 on staffing.

C

67/100

Brandon Woods Of Dartmouth

South Dartmouth, MA · Bristol County

CMS 2/5118 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
50%
Serious cites
0

Brandon Woods of Dartmouth runs 118 certified beds under corporate ownership, and its nurse staffing sits right at the national average of 3.86 hours per resident day. That sounds fine until you notice weekends run about 11% thinner than weekdays, and turnover hits 49.6%, nearly four points above the national rate. The inspection record is the bigger concern: 40 deficiencies, five of them serious enough to involve harm or jeopardy, plus three tied to abuse. Three fines totaling $31,009 are on file, and the last inspection was February 2025. Federal ratings put health inspections and quality measures both at 2 out of 5. If you're weighing this one, ask hard questions about weekend coverage and how they've addressed those abuse-related findings.

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