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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 161 to 180 of 224, best-graded first.

C

67/100

Vantage At Hampden Llc

Hampden, MA · Hampden County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
46%
Serious cites
0

Vantage At Hampden runs 100 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.73 hours per resident day, about 3% under the national average of 3.86. Weekends drop roughly 7% below its own weekday coverage, and annual turnover hits 46.4%, slightly above the national figure. The inspection history is the real concern: nine deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, plus a $16,801 fine. The most recent inspection was February 2025. A four-star health inspection rating sits alongside a one-star quality measure score, the kind of split families should ask about directly.

C

67/100

Fall River Jewish Home

Fall River, MA · Bristol County

CMS 1/562 bedsFor-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
42%
Serious cites
0

Fall River Jewish Home runs 62 beds under for-profit LLC ownership, and its nurse staffing sits at 3.03 hours per resident day, roughly 22% under the national average of 3.86. Weekends dip about 5% below its own weekday numbers, so coverage thins out when families tend to visit. Turnover is 41.8%, a bit better than the 45.8% national figure, but the inspection record is the real weight here: 70 deficiencies, five at harm or jeopardy level, ten abuse-related, and a $52,702 fine. The last inspection was June 10, 2025. Quality measures score well; staffing and inspections do not.

C

67/100

Leominster Rehabilitation And Nursing Center

Leominster, MA · Worcester County

CMS 1/5106 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
34%
Serious cites
0

Leominster Rehabilitation and Nursing Center runs about 3.41 nurse hours per resident day, roughly 12 percent under the national average, and weekends drop another 6 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 43 deficiencies, one serious enough to reach harm or jeopardy, and seven tied to abuse. A single $26,033 fine and a two-star inspection rating point to problems that persist rather than one bad survey. Turnover at 33.8 percent is actually better than the national 45.8 percent, and the most recent inspection was November 2025, so the picture is current.

C

67/100

Royal Cape Cod Nursing & Rehabilitation Center

Buzzards Bay, MA · Barnstable County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
39%
Serious cites
0

Royal Cape Cod runs lean on nursing hours, 3.28 per resident day against a national average of 3.86, and weekends drop roughly 11% below its own weekday coverage. That matters most on Saturdays and Sundays, when families often visit and problems tend to surface. The home's 39.3% turnover is actually better than the 45.8% national figure, and its last inspection was recent (January 2026), so the record is current. But 16 deficiencies sit on file, including one at the harm level and one tied to abuse, plus a $9,004 fine. For-profit, LLC-owned, 99 beds. Ask about weekend RN coverage and what changed after that abuse citation.

C

66.5/100

Hathaway Manor Extended Care

New Bedford, MA · Bristol County

CMS 2/5142 bedsNon-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
46%
Serious cites
0

Hathaway Manor runs 142 beds as a nonprofit, and its nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 15% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record is the heavier concern: 49 deficiencies, including 6 at harm or jeopardy level and 6 tied to abuse, with three fines totaling $34,887 and a 2/5 inspection rating. Staff turnover of 45.7% is essentially the national rate, so retention isn't the outlier here, the survey history is. The most recent inspection was January 2025.

C

66.5/100

Brighton Post Acute Care

Brighton, MA · Suffolk County

CMS 3/578 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
53%
Serious cites
0

Brighton Post Acute Care runs 78 beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.74 nurse hours per resident day against a national average of 3.86, with weekends running roughly 20% thinner than weekdays. That gap matters because weekends are when residents still need help. Annual turnover sits at 52.9% versus 45.8% nationally, so caregivers cycle through faster than average. The current record shows 31 deficiencies, including one at the harm level and one tied to abuse, plus a single $200,070 fine. Quality measures score well, but the staffing rating doesn't, and the last inspection was November 2025.

C

66/100

Center For Extended Care At Amherst

Amherst, MA · Hampshire County

CMS 1/5134 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
39%
Serious cites
0

Center For Extended Care At Amherst runs 134 certified beds under for-profit partnership ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 14% under the national figure of 3.86, with weekends about 3% thinner than weekdays. Turnover of 39.3% is better than the 45.8% national average, so the workforce is comparatively stable, but the inspection record is where this home struggles: 34 deficiencies, including 5 at harm or jeopardy level and 2 tied to abuse, plus one fine of $28,915. The most recent inspection was June 2025, and the low health inspection rating reflects how much has accumulated on that record.

C

66/100

Nemasket Rehabilitation And Healthcare Center

Middleborough, MA · Plymouth County

CMS 3/5102 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
49%
Serious cites
0

Nemasket Rehabilitation runs 3.52 nurse hours per resident day, roughly 9% under the national average, and the gap widens on weekends when staffing drops about 13% below its own weekday levels. That thin coverage shows up in the federal staffing rating, which sits at the bottom of the scale, and in a turnover rate of 48.5%, higher than the 45.8% national figure. Inspections are a different story: a recent March 2025 survey and 17 deficiencies on record with none at the harm level, though two are abuse-related. The for-profit operator has kept serious health and safety citations off the books, but the daily caregiving hours are where this home comes up short.

C

66/100

Adviniacare At Provincetown

Provincetown, MA · Barnstable County

CMS 1/541 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
48%
Serious cites
0

Adviniacare At Provincetown runs 41 beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, which matters when you're the family member calling on a Sunday. Turnover is 48.1%, above the national 45.8%. The inspection record shows 37 deficiencies, including three at harm or jeopardy level and one abuse-related, with a single fine of $11,782 and a health inspection rating of 2 out of 5. The most recent inspection was March 2025, so the picture is current. Quality measures score 3 out of 5.

C

66/100

Care One At Millbury

Millbury, MA · Worcester County

CMS 1/5154 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
46%
Serious cites
0

Care One At Millbury runs 154 beds 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 8% below its own weekday level, so the coverage you see on a Tuesday isn't what you get on a Sunday. Turnover is 45.7%, essentially the national average, so that's not the outlier here. The inspection record is: 37 deficiencies, five at harm or jeopardy level, three fines totaling $95,138, and a 1-out-of-5 health inspection rating as of the April 2025 survey. Quality measures score well at 4/5, but that's resident care data, not the building's safety record.

C

65.5/100

Royal Of Fairhaven Nursing Center

Fairhaven, MA · Bristol County

CMS 3/5107 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Royal Of Fairhaven is a 107-bed for-profit home run by a limited liability company, and staffing is where it struggles most, the federal staffing rating sits at just one star, well below what you'd want to see for a building this size. Inspectors have logged 17 deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, though none involved abuse. One fine totaling $8,648 has been levied. The good news is that the last inspection was recent, in March 2025, and the health inspection rating lands at a middling three stars. Quality measures come in at two stars. If you're considering this home, ask specifically about direct-care staffing levels on evenings and weekends.

C

65/100

Kimwell Nursing And Rehabilitation

Fall River, MA · Bristol County

CMS 1/5124 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
40%
Serious cites
0

Kimwell runs on leaner nurse staffing than most homes, 3.58 hours per resident day against a national average of 3.86, and weekends dip about 13% below what the home itself staffs on weekdays. That gap matters, because 24 deficiencies sit on its current record, including one at the harm level and one tied to abuse, with a $8,278 fine. The two-star inspection and one-star quality ratings line up with that history. Turnover at 40% is actually better than the 45.8% national figure, so leadership isn't the core problem here. The last inspection was March 2026, so the record is recent, not stale. If you're weighing this one, ask directly how weekends are covered and what changed after the harm-level finding.

C

65/100

Fitchburg Healthcare

Fitchburg, MA · Worcester County

CMS 1/5160 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
42%
Serious cites
0

Fitchburg Healthcare runs 160 beds under for-profit LLC ownership, and its staffing sits at 3.51 nurse hours per resident day, about 9% under the national average of 3.86. Weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 39 deficiencies, including one at the harm-or-jeopardy level and one abuse-related, plus a $33,180 fine. Staff turnover at 42% is slightly better than the 45.8% national figure, but that's a small consolation against a 1-out-of-5 inspection rating and a February 2026 inspection that's now behind it. Ask about the abuse deficiency directly before you decide anything.

C

65/100

Fitchburg Rehabilitation And Nursing Center

Fitchburg, MA · Worcester County

CMS 1/587 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
31%
Serious cites
0

Fitchburg Rehabilitation and Nursing Center runs on 3.13 nursing hours per resident day, about 19% under the national average, and weekend coverage drops roughly 8% below what it manages on weekdays. The inspection record is the bigger concern: 41 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with two fines totaling $43,719. Staff turnover is 30.8%, which is actually better than the 45.8% national average, that's a real point in its favor. But a 1/5 staffing rating and a 1/5 health inspection rating, owned by a for-profit LLC, mean the thin coverage and the deficiency history are the things to weigh before you decide.

C

65/100

Southbridge Rehabilitation & Health Care Center

Southbridge, MA · Worcester County

CMS 2/5144 bedsFor-profitMedicaid
Nurse hours
3.22 /day
Staff turnover
36%
Serious cites
0

Southbridge Rehabilitation runs 144 beds under a for-profit LLC, and the number that stands out is nurse staffing: 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover sits at 36.3%, better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours are short. The current record shows 31 deficiencies, none at harm or jeopardy level, one abuse-related, with an inspection dated April 2026. Quality measures score low, and low staffing usually explains why.

C

65/100

Lanessa Extended Care

Webster, MA · Worcester County

CMS 1/596 bedsFor-profitMedicaid
Nurse hours
3.06 /day
Staff turnover
25%
Serious cites
0

Lanessa runs lean on nursing hours, about 3.06 per resident per day against a national average of 3.86, and weekends drop another 7% below its own weekday coverage. The inspection record is the bigger concern: 71 deficiencies, three of them at harm or jeopardy level and four tied to abuse, with a single $119,962 fine and a survey completed in February 2025. Ownership is for-profit partnership, and CMS gives one star for health inspections and two for quality measures, even though staffing earns three. Turnover at 25% actually beats the 45.8% national figure, so this isn't a retention problem, it's what the building does with the staff it keeps.

C

64/100

Westborough Healthcare

Westborough, MA · Worcester County

CMS 2/5117 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
42%
Serious cites
0

Westborough Healthcare runs 117 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 3.65 nurse hours per resident day sits about 6% under the national average of 3.86, and weekends dip roughly 5% below the home's own weekday levels. Turnover lands at 42.4%, a touch better than the 45.8% national figure, but that's the strongest number here. The inspection record shows 32 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $8,648 fine. The last inspection was February 2026. Federal quality measures score 1 out of 5 stars, and staffing sits at 2, worth weighing carefully against what your family needs.

C

64/100

Bourne Manor Extended Care Facility

Bourne, MA · Barnstable County

CMS 1/5142 bedsNon-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
40%
Serious cites
0

Bourne Manor runs 142 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. Weekends dip about 5% below its own weekday levels, so coverage thins when families tend to visit. The bigger concerns are on the record: 40 deficiencies, including 5 at harm or jeopardy level and 2 abuse-related, plus one fine of $48,575. Staff turnover at 40% is below the 45.8% national average, which helps. But a 2/5 inspection rating and 1/5 quality measures, with the most recent inspection in January 2025, point to a home where clinical care and compliance need watching.

C

64/100

Ayer Valley Rehab And Nursing

Ayer, MA · Middlesex County

CMS 1/5123 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
58%
Serious cites
0

Ayer Valley Rehab And Nursing runs about 3.65 nursing hours per resident per day, roughly 5% under the national average, and weekends drop about 13% below what the home staffs during the week. Annual turnover sits at 58.1% against a national 45.8%, so more than half the nursing staff leaves each year. The inspection record is the heavier concern: 80 deficiencies, seven at harm or jeopardy level, three tied to abuse, and two fines totaling $63,034, with the most recent inspection in March 2025. A for-profit limited liability company operates the 123-bed home.

C

64/100

Royal Meadow View Center

North Reading, MA · Middlesex County

CMS 4/5113 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
58%
Serious cites
0

Royal Meadow View Center runs about 113 beds in North Reading under for-profit LLC ownership, and the staffing numbers are where the trouble shows. Nurses give residents roughly 3.45 hours of care per day, about 11 percent under the national average, and weekends drop another 10 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 57.7 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. Inspections look decent on the surface, with no harm-level deficiencies, but 34 total citations including two abuse-related ones, and a staffing rating of 2 out of 5, tell the fuller story.

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