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Nursing homes in Massachusetts

Massachusetts has 341 certified nursing homes in 14 counties. Select a county or a city to see its homes in one table.

Counties

Counties of Massachusetts with a certified nursing home, in order of name
CountyHomesCertified bedsMedian overall ratingCitations for each 100 bedsFines
Barnstable151,664228.3$396,409
Berkshire131,447418.9$160,423
Bristol283,826225.7$1,804,443
Dukes1106315.1$0
Essex455,285326.2$2,592,483
Franklin3306335.3$133,467
Hampden263,044321.7$263,573
Hampshire5668227.7$163,118
Middlesex728,714325.5$2,802,952
Nantucket145524.4$0
Norfolk333,752326.6$771,296
Plymouth273,300421.6$1,002,841
Suffolk222,737323.4$640,229
Worcester506,067321.1$1,061,923

Citations are the health citations of the last three survey cycles. Fines are the fines in the CMS penalties file, about three years.

Cities

Cities with two or more certified nursing homes. The number is the count of homes.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed the data on .

Massachusetts in figures

The nursing homes in Massachusetts have 40,961 certified beds. They have about 33,602 residents on an average day. 39% of the homes have a CMS overall rating of 1 or 2 stars. In the nation, the share is 41%. 69 homes have an overall rating of 5 stars.

The homes have 24.3 health citations for each 100 certified beds in the last three survey cycles. The figure for the nation is 26.8. CMS lists 265 fines with a total of $11,793,157 for these homes in its penalties file. CMS also lists 8 payment denials. 7 homes have the CMS abuse icon.

Nursing homes in Massachusetts by CMS overall rating
Overall ratingHomesShareUS share
5 of 56920%20%
4 of 57622%19%
3 of 56018%19%
2 of 56619%20%
1 of 56720%21%

F-tags in the state

The requirements that the citations in this state name most often.

F-tags with the most citations in Massachusetts, three survey cycles
F-tagRequirement (CMS text)Citations
F0880Provide and implement an infection prevention and control program.497
F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.497
F0658Ensure services provided by the nursing facility meet professional standards of quality.439
F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.423
F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.386
F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.354
F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.342
F0695Provide safe and appropriate respiratory care for a resident when needed.249
F0677Provide care and assistance to perform activities of daily living for any resident who is unable.222
F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.222
F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.218
F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.209

Chains in the state

Fines by year

The CMS penalties file holds about three years. The first year and the last year are not complete.

Fines for nursing homes in Massachusetts by year, from the CMS penalties file
YearPenaltiesFines
202367$2,750,967
2024115$5,354,829
202569$2,853,825
202622$833,536

Record by month

One page for each month: the surveys with citations, the penalties, and the changes in the CMS update of that month.

Monthly record of nursing homes in Massachusetts, the latest month first
MonthSurveys with citationsCitationsPenaltiesFinesRecorded changes
August 2026000$00
July 2026110$00
June 202619290$00
May 202622572$29,4150
April 2026401631$35,8600
March 2026372286$487,9600
February 20263621111$255,2560
January 2026441872$25,0450
December 2025442192$76,9370
November 2025361233$33,3350
October 20259116$72,3900
September 2025421903$219,2030
August 2025321933$38,2810
July 2025271202$171,0590
June 2025361906$334,1100
May 2025422366$308,4480
April 20255137313$431,1190
March 2025393047$301,6180
February 20254334412$603,6080
January 2025412906$263,7170
December 2024362654$941,5600
November 2024332526$325,2750
October 2024543386$291,0980
September 2024372446$271,1890

The site has no recorded change for Massachusetts. It records changes at each CMS update.

Questions

How many nursing homes in Massachusetts are Special Focus Facilities?
CMS lists 2 homes in Massachusetts as Special Focus Facilities and 10 as candidates. The table of homes on each county page and city page marks these homes.
Which F-tags have the most citations in Massachusetts?
F-tag 880 has 497 citations in the last three survey cycles. F-tag 656 has 497. F-tag 658 has 439.
What changed in Massachusetts in the last CMS update?
The site has no recorded change for Massachusetts. At each CMS update, the site compares the tracked values of each home.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The CSV file on this page has one row for each home in Massachusetts.