Nursing homes across Middlesex County, Massachusetts, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Meadow Green runs a 123-bed for-profit operation in Waltham, and the staffing numbers are the first thing to look at. Total nurse hours sit at 3.92 per resident day, just barely above the national average, but the staff star rating is 1 out of 5, and annual turnover is 64.7% against a national average of 45.8%. That's a lot of people cycling through, and the weekend gap means coverage thins out when families tend to visit.
The inspection record is harder to get past: 63 deficiencies, including 6 tied to abuse and 2 at the harm or jeopardy level, with $195,559 in fines. The most recent inspection was February 2026.
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.
Willow Brook runs 142 beds under corporate ownership, and the staffing numbers are the first thing worth noting: 3.68 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 9% below the home's own weekday coverage. That matters because turnover here is actually slightly better than average at 43.2%, so the issue isn't retention so much as how many hands are scheduled. The inspection record is heavier, 56 deficiencies, including one at the harm level and three tied to abuse, plus a $10,358 fine. CMS rated the last inspection 2 out of 5 stars. A recent September 2025 survey means the picture is current, not stale.
Park Avenue Health Center runs 89 beds in Arlington under for-profit LLC ownership, and the staffing picture is mixed. Nurses provide 3.59 hours per resident day, about 7% under the national average of 3.86, and weekends dip roughly 5% below the home's own weekday levels. Annual turnover of 37.8% is actually better than the 45.8% national figure, which counts for something in a field where retraining costs are real. The trouble sits elsewhere: 30 deficiencies on record, including five at harm or jeopardy level and five tied to abuse, plus three fines totaling $113,612. The most recent inspection was December 2025. Staffing holds up reasonably; the inspection record is the harder problem here.
Marlborough Hills runs 186 beds under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends dipping about 9% below its own weekday levels. That thin coverage matters more given what inspectors found: 40 deficiencies on the current record, two at harm or jeopardy level and one tied to abuse, plus a $71,202 fine, from a March 2025 inspection. Staff turnover of 27.3% is genuinely lower than the 45.8% national figure, so there's some consistency in the workforce. But a 1/5 health inspection rating and 1/5 quality measure rating against 2/5 for staffing tell you where the trouble concentrates.
Northwood runs about 2.83 nursing hours per resident day, roughly 27% under the national average of 3.86, and it doesn't add help on weekends, when staffing dips another 3% below its own weekday level. The tradeoff isn't explained by retention: turnover is 23.8%, well below the national 45.8%, so people tend to stay. What the record shows instead is a pattern of problems: 55 deficiencies, three at harm or jeopardy level, five tied to abuse, and two fines totaling $165,780. The most recent inspection was August 2025, and the health inspection rating sits at 1 out of 5.
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.
Pine Knoll runs on 3.39 nursing hours per resident per day, roughly 12 percent under the national average, and weekend staffing drops about 5 percent below what it manages on weekdays, so the thinnest coverage lands when families tend to visit and when fewer eyes are watching. The inspection record backs that up: 82 deficiencies, 12 of them serious enough to involve harm or jeopardy, 4 tied to abuse, and $568,747 in federal fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. The most recent inspection was March 2026.
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.
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.
Oc Reading Center is a for-profit LLC home with 123 beds, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 5% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover is 57.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record carries 52 deficiencies, including 4 at harm or jeopardy level and 3 tied to abuse, plus a $54,360 fine. The most recent inspection was December 31, 2025.