State plate · MA
Assisted living in Massachusetts
Massachusetts licenses assisted living through Executive Office of Aging & Independence, under the license types Assisted Living Residence (certified); Special Care Residence units. Massachusetts does not publish a downloadable list with capacity. CDC's 2020 survey estimated 290 residential care communities with 18,900 beds. HUD's active-loan file shows 14 FHA-insured assisted living loans in Massachusetts with $87 million outstanding as of September 30, 2026.
Licensing
- Licensing agency
- Executive Office of Aging & Independence
- License types
- Assisted Living Residence (certified); Special Care Residence units
- Official program page
- mass.gov
- Facility list
- XLSX (2026-06-25 (not saved locally; parsed in a browser))
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | Massachusetts | US |
|---|---|---|
| Communities | 290 | 30,600 |
| Beds | 18,900 | 1,197,600 |
| Average beds per community | 65 | 39 |
| For-profit | 78.0% | 81.9% |
| Chain affiliated | 67.1% | 61.4% |
| Medicaid certified | 28.7% | 43.6% |
| Dementia-only communities | 11.3% | 10.5% |
| Dementia-only or with a dementia unit | 45.0% | 20.5% |
| Residents 85 and older | 50.4% | 49.9% |
| Residents with Alzheimer disease or other dementias | 42.7% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 14
- Outstanding
- $87 million
- Median note rate
- 3.50%
- Endorsed since FY2001
- 41
Since fiscal 2001 HUD has endorsed 41 FHA-insured assisted living loans in Massachusetts for $319.2 million of original principal, 27 of them for new construction or substantial rehabilitation, and 2 since fiscal 2021. The active file also lists 1 board and care loans in the state.
| Property (HUD name) | City | Units | Endorsed | Rate | Balance | Matures |
|---|---|---|---|---|---|---|
| Windosr Place of WilmingtonFHA 02322149 | Wilmington | 104 | Jun 2014 | 4.21% | $14,654,588 | Jul 2049 |
| Rivercourt Assisted LivingFHA 02343310 | Groton | 74 | Sep 2011 | 3.87% | $7,782,881 | Feb 2042 |
| Rogerson HouseFHA 02343350 | Boston | 40 | May 2022 | 3.39% | $7,641,869 | Jan 2062 |
| Prospect HouseFHA 02322071 | Revere | 114 | Nov 2012 | 2.50% | $6,780,575 | Dec 2047 |
| The Arbors at TauntonFHA 02343343 | Taunton | 87 | Oct 2015 | 3.50% | $6,434,381 | May 2050 |
| Arbors at ChicopeeFHA 02343326 | Chicopee | 98 | Jul 2012 | 2.80% | $6,147,070 | Aug 2052 |
| Cadbury CommonsFHA 02343346 | Cambridge | 74 | Apr 2021 | 2.85% | $6,053,190 | Jan 2049 |
| The Arbors at WestfieldFHA 02343317 | Westfield | 95 | Nov 2011 | 4.10% | $5,878,664 | Dec 2051 |
| Arbors at AmherstFHA 02343344 | Amherst | 82 | Oct 2015 | 3.50% | $5,848,316 | May 2049 |
| Orchard Hill at SudburyFHA 02322163 | Sudbury | 45 | Jan 2015 | 3.70% | $4,787,918 | Feb 2050 |
| The Victorian ChathamFHA 02322199 | North Chatham | 80 | Dec 2019 | 3.43% | $4,504,928 | Jan 2055 |
| Glen at Grove ALFHA 02343323 | Braintree | 65 | Aug 2012 | 2.75% | $3,856,111 | Aug 2041 |
| Ayer Assisted Living ResidFHA 02343253 | Ayer | 73 | Dec 2004 | 4.00% | $3,339,221 | Dec 2044 |
| Grove Manor EstatesFHA 02343312 | Braintree | 70 | Oct 2011 | 4.35% | $3,251,391 | May 2036 |
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
Own or are buying an assisted living or memory care building in Massachusetts? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.
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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.