Other senior care options in Middlesex County:

Best Nursing Homes in Middlesex County, MA

Why trust this guide? Our editorial team analyzed 8 nursing homes in Middlesex County, MA using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MA
Reviewed by
Last updated
Dec 2025
We analyzed
8 homes
Other senior care options in Middlesex County:
Avg Overall CMS Rating: 3.4/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Middlesex County, MA. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.9/ 5The average Staffing Rating across all CMS-certified nursing homes in Middlesex County, MA. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 3.1/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Middlesex County, MA. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Middlesex County

The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.

8 facilities compared · CMS & MA Dept. of Health data

Life Care Center of Nashoba Valley
NH
MC
Littleton
120
Facility 120
MA AVG 94
Rank #63 / 280
85.4%
Facility 85.4%
MA AVG 82%
Rank #47 / 96
+4%
4.16
Facility 4.16
MA AVG 3.93
Rank #24 / 93
-14%+6%
$0
Facility $0
MA AVG $76.6k
Rank #1 / 94
15
Facility 15
MA AVG 32.7
Rank #21 / 93
5.0
Facility 5.0
MA AVG 7.2
Rank #31 / 93
-112-
5
Facility 5
MA AVG 53
Rank #486 / 499
Shari Laroche
$14.4M
Facility $14.4M
MA AVG $17.4M
Rank #28 / 96
$10.1M
Facility $10.1M
MA AVG $6.5M
Rank #40 / 96
70%
Facility 70%
MA AVG 43.6%
Rank #74 / 96
225569
Life Care Center of Acton
NH
Acton (East Acton)
155
Facility 155
MA AVG 94
Rank #26 / 280
74.2%
Facility 74.2%
MA AVG 82%
Rank #69 / 96
-9%
3.73
Facility 3.73
MA AVG 3.93
Rank #58 / 93
-51%-5%
$0
Facility $0
MA AVG $76.6k
Rank #1 / 94
16
Facility 16
MA AVG 32.7
Rank #24 / 93
5.3
Facility 5.3
MA AVG 7.2
Rank #34 / 93
1125-
39
Facility 39
MA AVG 53
Rank #319 / 499
Christopher Foye
$13.2M
Facility $13.2M
MA AVG $17.4M
Rank #43 / 96
$9.1M
Facility $9.1M
MA AVG $6.5M
Rank #48 / 96
68.6%
Facility 68.6%
MA AVG 43.6%
Rank #60 / 96
225191
The Leonard Florence Center
NH
ADC
HC
MC
PC
RC
Chelsea (Admirals Hill)
100
Facility 100
MA AVG 94
Rank #94 / 280
96.7%
Facility 96.7%
MA AVG 82%
Rank #4 / 96
+18%
4.76
Facility 4.76
MA AVG 3.93
Rank #10 / 93
0%+21%
$0
Facility $0
MA AVG $76.6k
Rank #1 / 94
13
Facility 13
MA AVG 32.7
Rank #17 / 93
4.3
Facility 4.3
MA AVG 7.2
Rank #23 / 93
-98-
88
Facility 88
MA AVG 53
Rank #63 / 499
Adam Ernst
$20.6M
Facility $20.6M
MA AVG $17.4M
Rank #27 / 96
$14.3M
Facility $14.3M
MA AVG $6.5M
Rank #16 / 96
69.6%
Facility 69.6%
MA AVG 43.6%
Rank #28 / 96
225775
Belmont Manor Nursing & Rehabilitation Center
NH
MC
Belmont (Waverley Square)
156
Facility 156
MA AVG 94
Rank #25 / 280
--
4.72
Facility 4.72
MA AVG 3.93
Rank #11 / 93
+8%+20%
$18.5k
Facility $18.5k
MA AVG $76.6k
Rank #71 / 94
28
Facility 28
MA AVG 32.7
Rank #50 / 93
7.0
Facility 7.0
MA AVG 7.2
Rank #58 / 93
119A+
79
Facility 79
MA AVG 53
Rank #123 / 499
Stewart Karger
$21.2M
Facility $21.2M
MA AVG $17.4M
Rank #42 / 96
$14.5M
Facility $14.5M
MA AVG $6.5M
Rank #12 / 96
68.6%
Facility 68.6%
MA AVG 43.6%
Rank #8 / 96
225419
Carleton-Willard Village
NH
CH
IL
Bedford
179
Facility 179
MA AVG 94
Rank #12 / 280
--
5.34
Facility 5.34
MA AVG 3.93
Rank #6 / 93
+7%+36%
$25.5k
Facility $25.5k
MA AVG $76.6k
Rank #74 / 94
11
Facility 11
MA AVG 32.7
Rank #9 / 93
2.8
Facility 2.8
MA AVG 7.2
Rank #6 / 93
533A+
6
Facility 6
MA AVG 53
Rank #485 / 499
Carleton Willard Homes Inc
$39.8M
Facility $39.8M
MA AVG $17.4M
Rank #2 / 96
$21.3M
Facility $21.3M
MA AVG $6.5M
Rank #3 / 96
53.5%
Facility 53.5%
MA AVG 43.6%
Rank #80 / 96
225273
CareOne at Concord
NH
MC
RC
Concord (Old Road To Nine Acre Corner)
135
Facility 135
MA AVG 94
Rank #42 / 280
85.3%
Facility 85.3%
MA AVG 82%
Rank #48 / 96
+4%
3.85
Facility 3.85
MA AVG 3.93
Rank #43 / 93
-77%-2%
$7.9k
Facility $7.9k
MA AVG $76.6k
Rank #50 / 94
4
Facility 4
MA AVG 32.7
Rank #2 / 93
1.3
Facility 1.3
MA AVG 7.2
Rank #1 / 93
1128-
24
Facility 24
MA AVG 53
Rank #386 / 499
-
$17.4M
Facility $17.4M
MA AVG $17.4M
Rank #17 / 96
$10.4M
Facility $10.4M
MA AVG $6.5M
Rank #42 / 96
59.8%
Facility 59.8%
MA AVG 43.6%
Rank #93 / 96
225663
Sudbury Pines Extended Care
NH
HC
MC
RC
Sudbury
92
Facility 92
MA AVG 94
Rank #120 / 280
92.3%
Facility 92.3%
MA AVG 82%
Rank #22 / 96
+13%
4.10
Facility 4.10
MA AVG 3.93
Rank #31 / 93
-43%+4%
$0
Facility $0
MA AVG $76.6k
Rank #1 / 94
38
Facility 38
MA AVG 32.7
Rank #69 / 93
9.5
Facility 9.5
MA AVG 7.2
Rank #79 / 93
-90-
43
Facility 43
MA AVG 53
Rank #301 / 499
Roberta Henderson
$11.5M
Facility $11.5M
MA AVG $17.4M
Rank #73 / 96
$7.1M
Facility $7.1M
MA AVG $6.5M
Rank #71 / 96
61.5%
Facility 61.5%
MA AVG 43.6%
Rank #22 / 96
225531
Life Care Center of Merrimack Valley
NH
Billerica (North Billerica)
124
Facility 124
MA AVG 94
Rank #50 / 280
85.8%
Facility 85.8%
MA AVG 82%
Rank #46 / 96
+5%
4.24
Facility 4.24
MA AVG 3.93
Rank #24 / 93
-38%+8%
$161.9k
Facility $161.9k
MA AVG $76.6k
Rank #89 / 94
31
Facility 31
MA AVG 32.7
Rank #58 / 93
7.8
Facility 7.8
MA AVG 7.2
Rank #63 / 93
-104-
40
Facility 40
MA AVG 53
Rank #313 / 499
Karen Babb
$13.9M
Facility $13.9M
MA AVG $17.4M
Rank #38 / 96
$9.3M
Facility $9.3M
MA AVG $6.5M
Rank #36 / 96
66.7%
Facility 66.7%
MA AVG 43.6%
Rank #43 / 96
225546
Overview of Life Care Center of Nashoba Valley

Life Care Center of Nashoba Valley is an idyllic retreat nestled in the serene Foster Street, Littleton, MA, that offers nursing care and rehabilitation. Here, residents enjoy the highest quality of care and assistance around the clock, ensuring comfort and convenience. The community also features secured memory care units, ideal for residents with memory-related needs.

Ensuring residents’ well-being, the community conducts a jam-packed calendar of fun activities and engaging programs tailored to their leisure and wellness. Prioritizing residents’ health, diverse dining options are served based on their dietary needs and preferences. The community also hosts a Parkinson’s Support group, ensuring those with the same condition find solace in a supportive environment. Residents also enjoy the community’s beautifully maintained grounds, library, and serene courtyards, creating the perfect setting for a wondrous retirement.

Contact Life Care Center of Nashoba Valley

Overview of The Leonard Florence Center

Enjoy a combination of comfort and quality care with The Leonard Florence Center, a compassionate community in Chelsea, MA, offering excellent short-term rehabilitation and long-term care. They cater to an intimate number of residents to guarantee focused and personalized care. In addition to daily living assistance and nursing care, residents here have access to regular in-house physician and nurse visits for added comfort and care. Therapy services and treatment plans are tailor-made to match residents’ unique needs and requirements to ensure they effectively improve their conditions.

Residents also enjoy the comfort of having cozy and spacious accommodations with private baths for their convenience. To ensure residents maintain healthy diets and proper nutrition, they consistently serve them delicious and well-balanced meals tailored to their dietary needs and preferences. Amenities like a salon, library, cafe, spa, and outdoor patios are also available to enhance residents’ comforts and living conditions. At The Leonard Florence Center, residents are well-equipped to thrive against their conditions in a warm and nurturing environment.

Contact The Leonard Florence Center

Overview of Life Care Center of Acton

Beautifully set in the tree-lined neighborhood of Great Road, Acton, MA, Life Care of Acton is an idyllic retreat that offers nursing care and rehabilitation. The community strives to meet residents’ healthcare needs, providing top-tier care and assistance 24/7 while respecting their independence. With purposely designed amenities and welcoming spaces, residents will surely feel at ease.

Fun activities and engaging programs are also conducted to keep residents active and socially connected. Fall prevention, medication management, wound care, post-surgical care, and therapy services are also available, ensuring residents find the care they need. Here, residents have delightful and healthy meals that cater to their dietary needs, ensuring the finest dining experience. Amenities include a library, fire safety systems, beautifully manicured grounds, and spacious courtyards.

Contact Life Care Center of Acton

Overview of Belmont Manor Nursing & Rehabilitation Center

Belmont Manor is an idyllic community located near recreation sites and convenient local amenities on Agassiz Avenue, Belmont, MA, that offers skilled nursing. The community features a wide range of care options, including podiatry, respite care, short-term rehabilitation, and therapy services, alongside Alzheimer’s special care unit, ensuring residents can find the care they need. As a Medicaid- and Medicare-certified community, the community strives to ease residents’ financial challenges.

Aside from their healthcare needs, the community also conducts fun recreational activities and engaging social events to keep residents active and happy. Accommodating residents’ dietary needs, dietitian-approved meals are served for a delightful dining experience. The community is great for those who need supplementary care to live comfortably in their golden years.

Contact Belmont Manor Nursing & Rehabilitation Center

Overview of Carleton-Willard Village

Experience the finest things in retirement living with Carleton-Willard Village, a non-profit community in Bedford, MA, dedicated to offering skilled nursing care, rehabilitation, and assisted living. Residents enjoy utmost comfort and safety in their well-appointed accommodations with easy access to cozy common areas and amenities like their hair salon, auditorium, and the Victoria Café. Dedicated to helping residents live their best lives without worries, the community provides them with comprehensive care services, including daily living assistance, therapy services, and more.

Those living with memory conditions will thrive in a safe and secure environment with access to a multi-level activity program designed to give them enriching experiences that nurture their overall well-being. Dining is a cozy and satisfying experience in the community with its flexible dining options and well-prepared meals that suit residents’ individual dietary needs and preferences.

Contact Carleton-Willard Village

CareOne at Concord

57 Old Road To Nine Acre Corner, Concord, MA 01742
Overview of Careone at Concord

Make your dream retirement happen with Careone at Concord, a warm and welcoming community in Concord, MA, designed for rehabilitation, long-term care, and memory care. They help residents avoid rehospitalization by offering them physician-led programs tailored to their unique needs and circumstances. Those living with chronic conditions are guaranteed a high quality of life with complex medical services, such as medication management and health monitoring services available to them.

Individuals living with memory conditions like Alzheimer’s and other forms of dementia are provided with a range of care and supportive services tailored to improve their cognition and physical functioning. Thoughtful amenities like movie theaters, restaurant-style dining, and daily housekeeping are also available to make residents’ lives more comfortable and pleasing. At Careone at Concord, they ensure residents are equipped with all the tools and support they need to thrive and live their best lives.

Contact CareOne at Concord

Overview of Sudbury Pines Extended Care

Sudbury Pines Extended Care is a family-owned and operated care home in Sudbury, MA, offering a relaxing environment for short-term rehabilitation and long-term care. They offer the services of a large skilled nursing community in a serene and intimate environment that caters to residents’ unique needs and preferences. They help residents maximize their abilities by providing them tailored physical, occupational, and speech therapies, alongside a well-equipped gym.

With the help of their dedicated activities and recreational personnel, residents have access to an array of enriching activities and programs that nurture their overall well-being. Three delicious and healthy meals are also served daily with flexible dining options to accommodate residents’ preferences. Here, residents enjoy a combination of comfort, quality care, and enriching experiences in a cozy and supportive environment.

Contact Sudbury Pines Extended Care

Overview of Life Care Center of Merrimack Valley

Peacefully surrounded by lush trees in Boston Road, North Billerica, MA, Life Care Center of Merrimack Valley is an outstanding community that offers skilled nursing and rehabilitation. Here, residents keep peace of mind with the community’s comprehensive care services tailored to their unique needs and preferences. With a compassionate and highly trained team available 24/7, residents receive the highest quality of care and assistance, ensuring their comfort and safety.

Residents are also encouraged to enjoy a variety of recreational activities and social events to keep them active and socially engaged. The community also offers fall prevention, wound care, medication management, post-surgical care, and therapy services, to meet residents’ ever-changing needs. Mealtimes also foster comfort and meet dietary needs, with delightful and nutritious meals. Make the most out of your best years surrounded by the community’s state-of-the-art amenities and cozy spaces.

Contact Life Care Center of Merrimack Valley

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Middlesex County, MA

What's the difference between assisted living and a nursing home in Massachusetts?

Assisted living in Massachusetts is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Massachusetts Medicaid cover nursing home care?

Yes — Massachusetts Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 8 nursing homes in Middlesex County, MA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Middlesex County, MA?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Middlesex County, MA, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Middlesex County, MA?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.