Massachusetts Skilled Nursing Facilities

Overview

Skilled Nursing facilities serve an important role in the continuum of health care services in Massachusetts, providing over 12 million patient days of service in 2024.

CHIA’s updated interactive dashboard, released in January 2026, examines the Commonwealth’s skilled nursing facilities at an industry level as well as at an individual facility level on measures of financial performance, quality of care, and utilization over a four-year period (2021-2024). As part of this update, the dashboard now includes information on nursing facility management companies including financial metrics such as total margin and their relationships to the nursing facilities.

Report Materials (January 2026)
Databook (Excel)

Key Findings

  • The skilled nursing facility median total margin increased from -1.6% in 2023 to -0.4% in 2024.
  • In 2024, aggregate skilled nursing facility total expenses exceeded aggregate revenues by $11.9 million.
  • Annualized expenses, which include cost of operations as well as management company fees and rent expenses (if applicable), totaled $5.12 billion in 2024; while annualized revenues, including patient service revenue, investment and non-operating income, and other business revenues (if applicable), totaled $5.13 billion.
  • Total resident days increased by 140,101 (1.2%) in 2024 compared with the prior calendar year.
Massachusetts Skilled Nursing Facilities

Interactive Dashboard

Updated February 27, 2026

Previous Publications

Recommended Links

Skilled Nursing Facility Cost Report Downloads

Access published cost report data for Massachusetts skilled nursing facilities, including financial performance, revenue, expenses, and operational data by year.

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Nursing Facility Cost Report Data Submissions

CHIA collects cost report information from nursing facilities in Massachusetts to support public policy, transparency initiatives, and health care payment policy development.

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