Here are 72 Nursing Homes in Middlesex County, MA

Nurse hours

3.48 /day

Staff turnover

55%

Serious cites

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Royal Wayland Rehabilitation And Nursing Center runs 40 certified beds in Wayland, and the people who inspect it clearly find little to fault, a five-star health inspection rating, with the most recent visit in May 2025 and 19 deficiencies on the current record, just one of them serious enough to involve harm or jeopardy, and no abuse findings. But the numbers on the floor tell a different story. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent below the national average, and it thins further on weekends. Annual turnover of 54.5 percent runs well above the 45.8 percent national figure, which makes it hard to hold onto consistent caregivers even where inspections look strong.

Nurse hours

3.71 /day

Staff turnover

33%

Serious cites

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Beaumont Rehab & Skilled Nursing Ctr in Natick runs 53 certified beds under corporate for-profit 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 weekday coverage, which matters if your family visits on Saturdays and Sundays. Turnover is the bright spot: 32.5% against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. The trade-offs show elsewhere. Inspectors found 12 deficiencies, 2 serious enough to put residents at risk of harm, and one fine of $10,517. Quality measures score low despite a January 2025 inspection.

Nurse hours

3.51 /day

Staff turnover

30%

Serious cites

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Care One At Concord runs leaner on nursing hours than most homes, 3.51 per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops about 8% below its own weekday level. That thin margin matters more given six deficiencies on the current record, including one involving harm or jeopardy and one tied to abuse, plus a $7,901 fine. What works in its favor: staff turnover sits at 30.1%, well under the 45.8% national figure, so the people who are there tend to stay. A four-star inspection rating and a January 2026 survey suggest the problems aren't going unaddressed. Corporate-owned and for-profit, it's a home where continuity helps offset staffing that's below par.

Nurse hours

4.22 /day

Staff turnover

n/a

Serious cites

0

Sancta Maria, a church-affiliated nonprofit in Cambridge with 141 certified beds, runs nurse staffing at 4.22 hours per resident day, roughly 9% above the national average, though weekends dip about 8% below its own weekday levels. That staffing picture looks better than it actually grades: CMS gives the home 2 out of 5 stars for staffing and 2 for health inspections, and the current record holds 36 deficiencies, including one at the harm or jeopardy level and one abuse-related. The last inspection was March 25, 2026, so the findings are recent, not old history. The 3-star quality measure rating is the strongest number here. If you're weighing this home, ask directly about the weekend coverage gap, the abuse-related deficiency, and what changed since that March survey.

Nurse hours

3.62 /day

Staff turnover

43%

Serious cites

0

Palm Springs Post Acute runs 124 certified beds in Chelmsford under corporate for-profit ownership, and the staffing numbers are the first thing you'd want to know about. Total nurse coverage sits at 3.62 hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 13% below what the home staffs during the week. That matters for a family thinking about Saturday-night call bells. Turnover is 43.3%, which is slightly better than the 45.8% national figure, so aides and nurses aren't leaving faster than average. But the inspection record carries 28 deficiencies, including one at the harm level and two tied to abuse. The health inspection rating sits at 2 out of 5, with a recent survey date of November 2025.

Nurse hours

3.71 /day

Staff turnover

41%

Serious cites

0

Eliot Center runs 114 beds in Natick under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, with weekends roughly 7% thinner than weekdays. Turnover is 40.5%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. The bigger concern is the inspection record: 43 deficiencies with a 2-star health inspection rating, though none rose to harm or jeopardy and none involved abuse. The most recent inspection was January 2025, so the picture is current. Quality measures also land at 2 stars.

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.

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.

Nurse hours

3.33 /day

Staff turnover

42%

Serious cites

0

Sunny Acres runs lean on nursing hours, 3.33 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday coverage. That's the main thing pulling its staffing picture down. Where it looks steadier is on the clinical and inspection side: a 4-out-of-5 health inspection rating with a recent May 2025 survey, 23 deficiencies on record but none involving harm or abuse, and a 4-out-of-5 quality measure score. Turnover sits at 41.7%, slightly better than the 45.8% national figure, and it's a for-profit LLC. If your family member needs consistent weekday care, the numbers here are workable; weekend coverage is where I'd ask questions.

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.

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.

Nurse hours

4.09 /day

Staff turnover

39%

Serious cites

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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.

Nurse hours

4.15 /day

Staff turnover

n/a

Serious cites

0

Seven Hills Pediatric Center runs a nonprofit home in Groton with 83 certified beds, and its nurse staffing averages 4.15 hours per resident day, about 8 percent above the national average of 3.86. That raw number looks good until you notice weekends drop roughly 16 percent below the home's own weekday staffing, and CMS scores staffing at just 1 out of 5, the agency weighs consistency, not just the headline average. The health inspection record shows 11 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $12,735 and a last inspection on November 25, 2025. Quality measures score 5 out of 5, but that strong showing sits alongside inspection and staffing concerns, and for a pediatric center, weekend coverage gaps and an abuse-related finding are the things I'd ask about directly.

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.

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.

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.

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.

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.

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.

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.