Every Medicare-certified nursing home in Massachusetts, graded on inspections, staffing, turnover
and enforcement history.
12 homes in the state sit in the federal Special Focus programme.
Odd Fellows Home of Massachusetts runs 100 certified beds in Worcester, and its staffing sits at 3.74 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 9% below weekdays, but turnover is 38%, better than the 45.8% national figure, which means this home keeps its nurses longer than many places do. The harder numbers are on the inspection side: 32 deficiencies on record, including three at the harm or jeopardy level and three abuse-related, plus a $106,301 fine. Its last inspection was March 2026. Quality measures score 1 out of 5, so whatever good the retention does, the care outcomes and compliance record are where families should focus their questions.
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.
The Center At Blue Hills runs 3.37 nurse hours per resident day, roughly 13 percent under the national average of 3.86, and weekends dip another 7 percent below its own weekday staffing. That thin coverage shows up in a CMS staffing rating of 2 out of 5 and a health inspection rating of 2 out of 5, with 22 deficiencies on the current record, one at harm or jeopardy level and two tied to abuse. A single fine of $8,278 has been levied. The quality measure score of 5 out of 5 stands out against those numbers, and it's worth asking how that measure is collected before weighing it equally. The most recent inspection was November 20, 2025.
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.
Mission Care At Holyoke runs on 3.69 nurse hours per resident day, roughly 5% under the national average, and weekends drop about 9% below its own weekday staffing. That thinner weekend coverage matters because the inspection record shows 43 deficiencies, including four at harm or jeopardy level and five tied to abuse, with $32,920 in fines across two penalties. Staff turnover sits at 44.8%, basically in line with the national 45.8%, so retention isn't the outlier here. A state inspection in June 2025 is recent enough that the findings reflect current conditions rather than old problems since fixed. For-profit LLC ownership, 125 beds.
Highland Park Rehabilitation and Healthcare Center is a 195-bed for-profit home in Chelsea, and the numbers worth knowing start with staffing: 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86. Weekend coverage drops about 7% below what the home itself staffs on weekdays, and turnover sits at 48.6%, a bit above the national 45.8%. The inspection record is the bigger concern: 77 deficiencies, five of them abuse-related, with the most recent inspection dated March 2026. No deficiency currently rises to harm or jeopardy level, which matters. But 77 findings and a one-star health inspection rating point to a home where problems get cited repeatedly. Ask about the abuse-related deficiencies specifically, and about who's actually on the floor on weekends.
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.
Sarah S Brayton Center runs 183 certified beds in Fall River under for-profit LLC ownership, and the staffing picture is mixed in a way worth understanding. Its 3.43 nurse hours per resident day sits about 11% under the national average, and weekends drop roughly another 10% below its own weekday level, so coverage thins out right when families tend to visit. Turnover at 38.7% actually beats the national 45.8%, which suggests some stability in who's showing up. The trouble is what inspections found: 51 deficiencies on the current record, including one at harm or jeopardy level and three tied to abuse, plus a $151,920 fine. CMS rated the last inspection 2 out of 5, and that was in February 2026.
Berkshire Rehabilitation & Skilled Care Center is a 57-bed for-profit home in Sandisfield, and the numbers that stand out most are on the inspection side. Its record carries 28 deficiencies, including two at the harm or jeopardy level and six tied to abuse, a serious pattern for a building this size, and one that CMS rates just 2 out of 5 stars for health inspections. Nurse staffing runs 3.29 hours per resident day, about 15% under the national average, and weekends drop roughly 17% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover, at 42.9%, is actually slightly better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled in the first place.
If you're weighing Jewish Healthcare Center, the numbers pull in two directions. The state inspection record is genuinely clean for a 141-bed home, one harm-level deficiency out of 17 total, no abuse findings, and a recent survey in January 2026, and residents score well on the federal quality measures. Staffing is the problem. Total nurse hours sit near zero per resident day against a national average around 3.86, weekend coverage drops roughly 17% below weekdays, and 71% of staff turned over in a year versus about 46% nationally. That combination, good outcomes on paper, thin and unstable coverage, is what holds the grade down. Ask how they actually fill a weekend shift before you decide.
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.
Twin Oaks Center runs on thin staffing, 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends dip further. That shortfall shows up in its federal ratings: one star each for health inspections and staffing, two for quality measures. The inspection record behind that single star includes 58 deficiencies, four of them serious enough to put residents at risk of harm, and three tied to abuse. The one fine on file is modest at $2,186, but the volume and severity of cited problems matter more. Turnover sits near the national average at 44.3 percent, so that's not the problem here. The last inspection was in June 2025.
Fairview Commons runs a 146-bed nonprofit home in Great Barrington, and the numbers show a building under real strain. Nurse staffing sits at 3.73 hours per resident day, just under the national average, but weekends drop about 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 56%, well above the 45.8% national figure, which means many of the people caring for residents are still learning the building. Its record carries 36 deficiencies, including two at the harm level and three tied to abuse, plus a $74,354 fine. Last inspection was July 2025, recent enough that this is a current picture, not an old one.
Vantage At West Springfield runs 168 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.54 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 53% outpaces the 45.8% national figure, meaning the people caring for your relative are often new. The record shows 32 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus one fine of $13,748. That inspection is recent, December 2025, so the picture is current, not stale history.
Aspen Hill runs 146 certified beds in Haverhill 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 16% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 46%, essentially tracking the national rate, so continuity isn't unusually bad, but it isn't a strength either. The inspection record is the heavier concern: 51 deficiencies on the current record, including 5 at harm or jeopardy level and 4 abuse-related, plus three fines totaling $134,274. The most recent inspection was January 8, 2026.
Wedgemere runs lean on nursing hours, 3.56 per resident day, roughly 8% under the national average, and weekends are thinner still, about 11% below its own weekday coverage. The inspection record is the bigger concern: 50 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $129,794 fine, with federal health and staffing ratings both at the bottom of the scale. Staff turnover, at 43.8%, is actually slightly better than the 45.8% national average, so retention isn't the main problem here. The last inspection was in January 2025, so the record is recent. If you're considering this home, ask directly how the abuse deficiency was resolved and what weekend coverage looks like on the evening shift.
Adviniacare At Northbridge runs 154 beds under for-profit LLC ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 13% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is 38%, which is actually better than the 45.8% national figure, and the inspection record is recent, clean at the harm level, and free of abuse citations. But 33 deficiencies and a one-out-of-five quality measure score tell you the day-to-day care outcomes aren't matching the inspection result.
Hampden Post Acute runs 3.63 nurse hours per resident day, roughly 6% under the national figure, and weekends drop about 10% below its own weekday levels. The bigger number is turnover: 63.9% of nursing staff left over the year, against a national average near 46%. Inspections look solid on the surface, a 4-out-of-5 star rating, with the most recent visit in January 2026, but the record carries 23 deficiencies, one serious enough to involve harm or jeopardy. Ownership is a for-profit limited liability company. With 135 beds and a 1-star staffing rating, the question for your family is whether the coverage holds up on a Saturday, not whether the last survey went well.
Vantage At Westfield runs 98 beds under corporate ownership, and the staffing numbers are the first thing to look at: 3.49 nurse hours per resident day, roughly 10% under the national average, with weekends dipping about 8% below its own weekday levels. That thin coverage shows up in the inspection record too, 27 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Annual turnover sits at 50%, above the 45.8% national figure, which means unfamiliar faces are common. The last inspection was January 2025, so the record is recent. Nothing here is catastrophic, but the pattern is consistent: less staff time, more cited problems.