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Nursing homes in Massachusetts

Massachusetts has 341 Medicare- or Medicaid-certified nursing homes in 14 counties, with 40,920 certified beds in total. The state average CMS overall rating is 3.0 of 5 against a national average of 3.0, and homes report 3.86 nurse staffing hours per resident per day against 3.86 nationally.

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Massachusetts against the national average

MeasureMassachusettsUnited States
Overall rating (1 to 5)3.03.0
Health inspection rating3.02.8
Staffing rating3.12.9
Nurse staffing hours per resident per day3.863.86
Registered nurse hours per resident per day0.650.69
Nursing staff turnover38.2%45.8%
Health deficiencies in the latest inspection6.89.2
Fines per home, past three years0.80.9

Averages are published by CMS. Health inspection ratings are set within each state, so compare them across states with care.

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Cities with at least 3 homes, by the city in each home's CMS address. Every home is also listed by county below.

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Nursing home rules and contacts in Massachusetts

Federal rules on residents' rights, discharge notices and Medicare coverage are the same in every state. These are the offices to call in Massachusetts, and the rules the state sets for itself.

Minimum staffing
Massachusetts requires long-term care facilities licensed as Level I (intensive nursing and rehabilitative care), Level II (skilled nursing care) or Level III (supportive nursing care) to provide, since April 1, 2021, at least 3.58 hours of care per resident per day, of which at least 0.508 hours must be care by a registered nurse. Staffing must also be sufficient to meet residents' nursing care needs based on acuity, resident assessments, care plans, census and other relevant factors. Source: 105 CMR 150.007(B)(2)-(5); 105 CMR 150.001 (definitions of Levels I-IV)
Personal needs allowance (Medicaid)
MassHealth's personal needs allowance for a resident of a nursing facility, licensed rest home or chronic-disease hospital is $72.80 per month. MassHealth lists the same $72.80 figure for 2023 through 2026. The amount was raised to $72.80 in 2007. Source: 130 CMR 520.026(A)(1); MassHealth Program financial guidelines; Long Term Care Facility Bulletin 96 (Nov. 2007)
Holding a bed during a hospital stay or leave
MassHealth pays a nursing facility to reserve a bed for up to 20 consecutive days while a MassHealth member is on medical leave (a hospital inpatient or observation stay), if the regulation's conditions are met; the bed may not be occupied while reserved. After a leave of 20 days or fewer, the home must let the member return unless the member no longer needs its services. If the hospital stay is longer than 20 days, or the bed-hold conditions are not met, the home must immediately readmit the member to the next available bed in a semiprivate room, unless the member no longer requires the home's services. MassHealth also pays for nonmedical leave of up to 10 days per 12-month period, if the regulation's conditions are met, including a written authorization from the attending physician or primary care provider in the member's record. Source: 130 CMR 456.425, 456.426, 456.427, 456.431, 456.432 (MassHealth Nursing Facility Manual, Transmittal Letter NF-64, 09/08/25)
Discharge notice
MassHealth's nursing facility transfer and discharge rules define a resident as anyone receiving care in a nursing facility, whether or not the person is a MassHealth member. The home must give at least 30 days' written notice (or notice as soon as practicable in listed situations, such as danger to health or safety, urgent medical needs, or a stay of under 30 days), hand-delivered to the resident and mailed to the legal representative, in 12-point or larger type, stating the right to a hearing before MassHealth's Board of Hearings, giving the name, address and phone number of the local long-term-care ombudsman office, and stating that free legal assistance may be available. If the hearing request reaches the Board within 30 days of the notice, the home must not move the resident until 30 days after the decision. By state law, a resident who requests a hearing may not be discharged unless a referee finds the home prepared the resident for a safe and orderly move to another safe and appropriate place. Source: 130 CMR 456.402, 456.701-456.704; M.G.L. c. 111, s. 70E
When private funds run out
Massachusetts Attorney General rules make it an unfair or deceptive practice for a nursing home that has a Medicaid provider agreement to require an applicant to agree to pay private rates for a set period before applying for Medicaid. A security deposit from a private-pay resident may not exceed one month's charges, must be held in an interest-bearing escrow account in a Massachusetts bank, and must be returned with interest within 30 days after notice that the resident is eligible for Medicaid long-term care coverage. A home with no Medicaid, Medicare or other public-program contract must disclose in writing, at admission and yearly, that a resident may be transferred or discharged if the resident stops paying privately. Source: 940 CMR 4.01, 4.02(8), 4.03(2)(a), 4.05(10) (Office of the Attorney General, under M.G.L. c. 93A, s. 2(c))

Checked against Massachusetts state sources on Oct 11, 2026. Rules and phone numbers change, so confirm with the office listed. For the rules that apply in every state, see residents' rights, how to file a complaint and how Medicaid pays for a nursing home.

Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026.