How much does a nursing home cost in Massachusetts?
The median nursing home cost in Massachusetts is $14,250 per month for a private room and $13,180 per month for a semi-private room in 2026, based on the Genworth Cost of Care Survey. That's roughly $171,000 per year for a private room.
Massachusetts nursing home costs run 46% above the national median, among the highest in the country.
2026 Massachusetts senior care costs at a glance
| Care type | Massachusetts median/month | National median | Difference |
|---|---|---|---|
| Nursing home (private) | $14,250 | $9,733 | +46% |
| Nursing home (semi-private) | $13,180 | $8,669 | +52% |
| Memory care | $8,250 | $6,244 | +32% |
| Assisted living | $6,850 | $4,995 | +37% |
| Home health aide (hourly) | $35 | $33 | +6% |
See your exact spend-down timeline for Massachusetts
Enter your savings, income, and care type to see how long your money lasts before reaching Massachusetts Medicaid asset limits.
Open the Massachusetts calculator →Nursing home costs by Massachusetts city
Costs vary by metro area within the state. Urban markets typically run 10–25% above state medians, while rural areas can be 10–20% below.
City-level estimates are based on 2026 Genworth metro-area data. Individual facility costs vary 20–40% from these medians depending on amenities, staffing ratios, and room type.
Massachusetts Medicaid for nursing home care
Massachusetts Medicaid covers nursing home care for residents who meet both medical eligibility (need for skilled nursing care) and financial eligibility (limited assets and income). Understanding the rules before you need them can save your family hundreds of thousands of dollars.
Massachusetts Medicaid 2026 asset limits
Individual applicant: $2,000 in countable assets
Married couple, one spouse applying: Community spouse may keep up to $148,620 under the Community Spouse Resource Allowance, plus the home, one vehicle, and personal belongings
The 5-year look-back period in Massachusetts
Massachusetts Medicaid reviews all asset transfers made within 60 months (5 years) of your application date. Gifts to family, property transfers below market value, or large unexplained withdrawals trigger a penalty period that delays Medicaid eligibility — during which you must private-pay.
Massachusetts's 2026 penalty divisor is approximately $380 per day. A $50,000 unexplained transfer would create roughly a 132-day penalty period, costing your family approximately $62,700 in private-pay costs.
This is why elder law attorneys consistently advise families to begin Medicaid planning at least 5 years before nursing home care is needed.
Find a Massachusetts elder law attorney
The National Academy of Elder Law Attorneys maintains a state-by-state directory of certified elder law attorneys.
Find a Massachusetts attorney →How Massachusetts compares to neighboring states
Cost differences across state lines can be substantial. Some families consider relocating for care, particularly if adult children live across a border.