Worth Considering
3
Facilities graded B or better with zero fines
Best Nursing Homes in Boston, Massachusetts
3 of 11 nursing homes in Boston (27%) meet our strict criteria. The Massachusetts statewide average is 29%.
3 recommended · 4 caution · 4 avoid · data
City Average
3.1
★
+0.00 vs state
Total Beds
1,369
across 11 facilities
High Risk Facilities
4
4 Grade F
$595,022 in combined fines
Zero Fines
4
/11
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 3?
The nursing home market in Boston, Massachusetts, is adequate but has notable concerns, with only 27% of the 11 facilities recommended. Families should be aware that while the top-rated facility, Boston Home, Inc, stands out, there are four homes in the avoid tier with a combined total of $484,481 in fines.
Exceptional (Grade A, Trust Score 90+)
- 1 BOSTON HOME, INC (THE) (95) — The Boston Home, Inc. stands out with a stellar Trust Score of 95/100 and an excellent CMS 5-star rating. As a non-profit facility, it prioritizes community-focused care, making it an outstanding choice for residents seeking quality and compassion in skilled nursing.
- 2 RECUPERATIVE SERVICES UNIT-HEBREW REHAB CENTER (90) — Recuperative Services Unit at Hebrew Rehab Center boasts a Trust Score of 90/100 and a solid CMS 5-star rating. This non-profit facility is dedicated to providing exceptional care in a supportive environment, ensuring residents receive the attention they deserve.
Qualified (Grade B, Trust Score 70-79)
- 3 LAUREL RIDGE REHAB AND SKILLED CARE CENTER (78) — Laurel Ridge Rehab and Skilled Care Center offers a Trust Score of 78/100 and a CMS 4-star rating. As a non-profit, it emphasizes community wellness, though its B grade suggests room for improvement in certain areas of care and services.
The other 8 Boston facilities didn't qualify — 4 carry Grade D or F ratings and 7 have fines totaling $595K.
Recommended
The Boston Home, Inc. stands out with a stellar Trust Score of 95/100 and an excellent CMS 5-star rating. As a non-profit facility, it prioritizes community-focused care, making it an outstanding choice for residents seeking quality and compassion in skilled nursing.
Recuperative Services Unit at Hebrew Rehab Center boasts a Trust Score of 90/100 and a solid CMS 5-star rating. This non-profit facility is dedicated to providing exceptional care in a supportive environment, ensuring residents receive the attention they deserve.
Laurel Ridge Rehab and Skilled Care Center offers a Trust Score of 78/100 and a CMS 4-star rating. As a non-profit, it emphasizes community wellness, though its B grade suggests room for improvement in certain areas of care and services.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Hidden Gem
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Boston Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 3.1 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 8?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 4 Grade F — critical inspection failures
- Facilities with fines
- 7 Have fines totaling $595,022
- Low-scoring facilities
- 2 Scored below B — Trust Scores under 70
- Caution group
- 4 Had good grades but fines disqualified them
Questions Boston Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Boston's city average is 3.1 stars
-
2
"Have you received any fines in the past 3 years?"
7 of 11 Boston facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Boston avg is 0 min
-
4
"What were your most recent inspection findings?"
Boston facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Boston, MA are recommended?
3 of 11 nursing homes in Boston (27%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Boston "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Boston?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.