Selling a skilled nursing facility in Massachusetts

Massachusetts at a glance

Massachusetts has 341 Medicare- and Medicaid-certified skilled nursing facilities with 40,961 certified beds, and on average 82.0% of those beds are occupied, above the national average of 80.3%.

Source: CMS Provider Information file, August 2026. The full Massachusetts picture, rates and every building are on SNFRadar, the market record we built and publish free.

What a buyer reads first in Massachusetts

The numbers a buyer pulls before the first call, for the typical Massachusetts building against the nation. Your own building's are on its SNFRadar page.

Sources: CMS Provider Information file, August 2026 (occupancy, staffing, turnover, star ratings: averages across certified buildings); Medicare cost reports (full-year filings), as SNFRadar compares them (medians, the same figures each building's SNFRadar page is compared against).

What moves value in Massachusetts

Occupancy. 82.0% of Massachusetts's certified beds are occupied, above the national 80.3%. Full buildings are the norm here, so a buyer will ask why yours is not, or price in the referral strength if it is.

Payer mix and the Medicaid rate. Medicaid pays for 67% of resident days in the median Massachusetts building, close to the national 66%. Small shifts between Medicaid and Medicare census move value, which is why buyers ask for census by payer, month by month. Massachusetts's Medicaid rate files are on SNFRadar.

Revenue and margin. Net patient revenue runs $390 per patient day in the median Massachusetts filing, close to the national $373, and the median net margin is 1.9% against 3.6%. With thin margins common, buyers price on what they can fix, so a seller who can show where the costs sit gets paid for it.

Staffing. Massachusetts's buildings average 3.86 nurse staffing hours per resident per day, close to the national 3.86, and nurse turnover runs 38.2% a year against 45.8%. A stable staff is easier to show here, and buyers notice a building that is the exception.

Inspection record. 43% of Massachusetts buildings are rated four or five stars by Medicare and 39% one or two, against 40% and 41% nationally. Every buyer reads the last three inspections before pricing; each building's are on its SNFRadar page.

Size and ownership type. The average Massachusetts building has 120 certified beds, against 107 nationally. 73% are for-profit, 26% non-profit and 1% government, and 66% are part of a chain.

Where the beds are

Massachusetts's largest counties by certified beds. Each opens that county's buildings on SNFRadar.

How a sale works

1. A first call. What you want from the sale, and when. No listing, no blast.
2. A value from the record. Your building's own numbers and the trades around it. How valuation works
3. Vetted buyers under confidentiality, bidding against each other, not against you.
4. Letter of intent, then the purchase agreement and the operations transfer agreement. The full process
5. Change of ownership. Massachusetts's licensure filings plus Medicare and Medicaid, timed so billing does not stop. CHOW and Medicaid

Our recent closings

All five closings, with the press coverage they drew.

Questions owners ask