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Massachusetts

Nursing Home Staffing Profile — 2025Q3

339 facilities33,013 residents3.87 avg HPRD

vs National Average

-0.02 HPRD

National avg: 3.90 · Massachusetts: 3.87

📋

Massachusetts ranks among the lower-performing states for nursing home staffing, with an average of 3.87 HPRD — 0.02 hours below the national average. Only 76.4% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.65 HPRD, with 20.6% of facilities meeting the 0.75 research recommendation.

3.87

Average Total HPRD

All nursing staff combined

▼ 0.02 vs national

0.65

Average RN HPRD

Recommended: 0.75

▼ 0.04 vs national

76.4%

Meet CMS Benchmark

259 of 339 facilities

14.1%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

6.2%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.73

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Massachusetts's 339 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.67

avg HPRD

245 facilities (72%)

Non-Profit

4.35

avg HPRD

90 facilities (27%)

Government

5.63

avg HPRD

4 facilities (1%)

💡 Non-profit facilities in Massachusetts average 0.68 more HPRD than for-profit ones — about 19% higher staffing.

▲ Best Staffed in Massachusetts

Top 5 by total nurse HPRD

A+

SPAULDING NURSING AND THERAPY CENTER - BRIGHTON

NEW ENGLAND PEDIATRIC CARE

LEONARD FLORENCE CENTER FOR LIVING

MASSACHUSETTS VETERANS HOME AT HOLYOKE

THE MASSACHUSETTS VETERANS HOME AT CHELSEA

CHELSEA

6.79 HPRD

RN: 1.53

▼ Most Understaffed in Massachusetts

Bottom 5 by total nurse HPRD

339

TREMONT REHABILITATION & SKILLED CARE CENTER

LANESSA EXTENDED CARE

PALMER HEALTHCARE CENTER

WEBSTER MANOR REHABILITATION & HEALTH CARE CENTER

WEBSTER

3.00 HPRD

RN: 0.62

⚖️

Compare Two Facilities Side by Side

Pick any two Massachusetts nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Massachusetts — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Middlesex	70	3.98	0.73	81.4%	Mixed B/C
▸Worcester	50	3.82	0.56	76.0%	Mixed C/B
▸Essex	45	3.77	0.60	77.8%	Mostly C
▸Norfolk	33	3.94	0.65	84.8%	Mixed B/C
▸Bristol	28	3.71	0.56	78.6%	Mixed B/C
▸Plymouth	27	3.67	0.61	59.3%	Mixed B/C
▸Hampden	26	3.95	0.63	88.5%	Mixed B/D
▸Suffolk	22	4.36	0.89	72.7%	Mixed C/B
▸Barnstable	15	3.72	0.71	60.0%	Mixed C/B
▸Berkshire	13	3.79	0.53	69.2%	Mixed C/D
▸Hampshire	5	3.52	0.47	40.0%	Mostly C
▸Franklin	3	3.57	0.56	66.7%	Mostly C
▸Nantucket	1	3.70	0.65	100.0%	Mostly B
▸Dukes	1	4.93	1.70	100.0%	Mostly A

HPRD Range in Massachusetts

The spread between best and worst staffed facilities

3.50

25th pctile

3.73

Median

4.02

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.