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Massachusetts Senior Living Options & Resources

Senior Living in Massachusetts: What You Need to Know

Massachusetts is home to 1,221,349 residents aged 65 and older, representing 17.5% of the state's 6.9 million population. As one of the nation's most senior-friendly states, Massachusetts offers a robust network of 56 senior living communities spanning 22 cities, from the Greater Boston metropolitan area to the Pioneer Valley and Cape Cod. The state's commitment to quality healthcare is evidenced by world-renowned institutions like Massachusetts General Hospital, Brigham and Women's Hospital, and the extensive Partners HealthCare network, providing seniors with exceptional medical support throughout their retirement years.

Senior living options in Massachusetts include assisted living residences, memory care communities specializing in dementia and Alzheimer's care, independent living facilities, skilled nursing homes, and comprehensive in-home care services. The state's geographic distribution of senior communities reflects population density, with significant concentrations in Greater Boston suburbs like Newton (5 communities), Danvers (4 communities), and Plymouth (4 communities), while MetroWest communities in Burlington, Chelmsford, Framingham, and Woburn each host 3 communities.

The cost landscape in Massachusetts reflects the state's high quality of life and comprehensive healthcare infrastructure. At $8,260 monthly for assisted living and $12,988 for semi-private nursing home care, Massachusetts costs run approximately 40% above national averages of $5,900 and $9,277 respectively. These premium prices correspond with the state's high median household income of $101,341 and exceptional care standards. Massachusetts ranks among the top states for healthcare quality and senior services, with rigorous licensing requirements ensuring resident safety and wellbeing.

Massachusetts's climate features four distinct seasons with cold, snowy winters and warm, pleasant summers—a consideration for seniors with mobility concerns or those seeking year-round outdoor activities. However, the state compensates with rich cultural offerings, proximity to beaches and mountains, excellent public transportation in metro areas, and vibrant senior communities. State programs including MassHealth (Massachusetts Medicaid) provide critical support for eligible seniors, while the state's Senior Care Options (SCO) program integrates Medicare and Medicaid benefits for comprehensive coverage.

Types of Senior Living Care in Massachusetts

Average Cost of Senior Care in Massachusetts

Senior care costs in Massachusetts significantly exceed national averages, reflecting the state's high cost of living and exceptional healthcare quality. Assisted living averages $8,260 monthly compared to the national average of $5,900, while semi-private nursing home care costs $12,988 versus $9,277 nationally—approximately 40% above the national benchmark. Private nursing home rooms average $14,904 monthly, and home health aide services run about $8,750 monthly. Regional variations exist, with Greater Boston commanding premium prices while MetroWest and South Shore communities may offer more moderate rates. MassHealth provides financial assistance for eligible seniors, and many communities accept the Massachusetts Senior Care Options program to help offset costs.

Assisted Living

Community-based residential care

$9,058

per month

$108,696/yr

44% above national avg

Nursing Home (Private Room)

24/7 skilled nursing care

$15,543

per month

$186,515/yr

31% above national avg

Nursing Home (Semi-Private)

Shared room nursing care

$14,448

per month

$173,375/yr

36% above national avg

Home Health Aide

In-home personal care

$7,245

per month

$86,944/yr

9% above national avg

Homemaker Services

In-home housekeeping & meals

$7,245

per month

$86,944/yr

12% above national avg

Adult Day Health Care

Daytime supervision & activities

$2,405

per month

$28,860/yr

13% below national avg

40% above national average

Frequently Asked Questions About Senior Living in Massachusetts

How much does senior living cost in Massachusetts?
Massachusetts senior living costs run approximately 40% above national averages. Assisted living averages $8,260 monthly compared to the national average of $5,900, while semi-private nursing home care costs $12,988 versus $9,277 nationally. Private nursing home rooms average $14,904 monthly, and home health aide services cost approximately $8,750 monthly. Greater Boston commands the highest prices, while MetroWest and regional communities may offer more moderate rates.
How many senior living communities are in Massachusetts?
Massachusetts has 56 senior living communities distributed across 22 cities throughout the state. The greatest concentration is found in Greater Boston suburbs, with Newton hosting 5 communities, Danvers and Plymouth each with 4, and Burlington, Chelmsford, Framingham, Woburn, and Quincy each offering 3 communities. This network serves the state's 1.2 million seniors aged 65 and older.
Does Massachusetts Medicaid cover assisted living?
Yes, MassHealth (Massachusetts Medicaid) covers assisted living services for eligible seniors through Home and Community-Based Services (HCBS) Waiver programs, including the Frail Elder Waiver. The Senior Care Options (SCO) program also integrates Medicare and MassHealth benefits for dually eligible seniors. Eligibility is based on income, assets, and medical necessity, with specific financial thresholds determined by the state. Not all assisted living communities accept MassHealth, so families should verify acceptance when researching options.
What are the best cities for senior living in Massachusetts?
Newton leads with 5 communities and offers affluent suburban living with excellent public transit access. Danvers (4 communities) provides North Shore charm with coastal proximity and lower costs than Boston. Plymouth (4 communities) delivers waterfront retirement with historical character. Burlington, Chelmsford, Framingham, and Woburn (3 communities each) offer MetroWest convenience with balanced costs and strong healthcare access. These cities combine quality communities, healthcare infrastructure, and diverse lifestyle amenities.
What healthcare advantages does Massachusetts offer seniors?
Massachusetts ranks among the nation's top states for healthcare quality, featuring world-renowned institutions like Massachusetts General Hospital, Brigham and Women's Hospital, Dana-Farber Cancer Institute, and the Mass General Brigham system. The state has the highest rate of insured residents nationally, comprehensive senior care programs through MassHealth, and leading research universities conducting cutting-edge aging and dementia research. Nearly every community has convenient access to exceptional medical specialists and facilities.
How does Massachusetts's climate affect senior living choices?
Massachusetts experiences four distinct seasons with cold, snowy winters and warm summers, which can impact seniors with mobility concerns or cold sensitivity. Many communities offer covered walkways, indoor amenities, and transportation services to mitigate winter challenges. The seasonal changes appeal to lifelong New Englanders who appreciate fall foliage, spring gardens, and summer coastal access. Seniors considering Massachusetts should evaluate their comfort with winter weather and ensure their chosen community provides adequate seasonal support and indoor programming.

Major Cities with Senior Living Options in Massachusetts

Cities ranked by number of communities.

Newton

Population 88,504
Seniors (65+) 18.7 %
Communities 5
Explore Newton Senior Living

Plymouth

Population 7,649
Seniors (65+) 21.1 %
Communities 4
Explore Plymouth Senior Living

Chelmsford

Communities 4
Explore Chelmsford Senior Living

Danvers

Population 27,910
Seniors (65+) 21.3 %
Communities 4
Explore Danvers Senior Living

Burlington

Population 26,169
Seniors (65+) 21.5 %
Communities 3
Explore Burlington Senior Living

Dedham

Population 25,150
Seniors (65+) 20.6 %
Communities 3
Explore Dedham Senior Living

Framingham

Population 71,805
Seniors (65+) 16.6 %
Communities 3
Explore Framingham Senior Living
View all 22 cities

Cities in Massachusetts

Acton
1 community
Agawam
1 community
Andover
2 communities
Arlington
2 communities
Ashland
1 community
Attleboro
1 community
Auburn
1 community
Barnstable
2 communities
Bedford
1 community
Billerica
2 communities
Boston
1 community
Braintree
1 community
Brookline
2 communities
Burlington
3 communities
Canton
1 community
Chelmsford
4 communities
Cohasset
1 community
Danvers
4 communities
Dartmouth
3 communities
Dedham
3 communities
East Longmeadow
2 communities
Easton
1 community
Fairhaven
1 community
Falmouth
2 communities
Framingham
3 communities
Franklin
2 communities
Hanover
1 community
Hanson
1 community
Haverhill
1 community
Hingham
1 community
Holyoke
1 community
Hopedale
1 community
Hudson
1 community
Ipswich
1 community
Leominster
2 communities
Lexington
1 community
Lincoln
1 community
Lynnfield
1 community
Malden
1 community
Mansfield
2 communities
Marblehead
1 community
Marlborough
1 community
Mashpee
1 community
Medford
1 community
Melrose
1 community
Milford
1 community
Millis
1 community
Natick
1 community
Needham
1 community
Newburyport
2 communities
Newton
5 communities
North Andover
2 communities
North Attleborough
1 community
Norton
1 community
Norwood
2 communities
Peabody
1 community
Plymouth
4 communities
Quincy
3 communities
Raynham
1 community
Reading
2 communities
Salem
1 community
Shrewsbury
1 community
Southwick
1 community
Swampscott
2 communities
Tewksbury
1 community
Wakefield
1 community
Walpole
1 community
Waltham
1 community
Wareham
1 community
Watertown
1 community
Wayland
3 communities
Westfield
1 community
Wilbraham
1 community
Winchester
1 community
Woburn
3 communities
Worcester
1 community
Wrentham
1 community

All Communities in Massachusetts

Showing 1-10 of 119 communities

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