2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

Senior Care & Assisted Living Costs in Boston, MA

2026 monthly care rates for Boston (Suffolk County), local Census affordability metrics, and 11 CMS-certified care facilities.

Assisted Living🏠
$8,370/mo
$100,440/yr
+35% vs U.S. avg
Memory Care🧠
$10,210/mo
$122,520/yr
+35% vs U.S. avg
In-Home Care🤝
$47.28/hr
$9,010/mo (44h/wk)
+35% vs U.S. avg
Nursing Home (Semi)🏥
$12,940/mo
Private: $14,590/mo
+35% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$8,370/mo
Memory Care$10,210/mo
Home Care$47.28/hr
Nursing Semi$12,940/mo
Nursing Priv$14,590/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $633k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Boston, MA

40.9 hrs/wk Break-even threshold

At Boston, MA's average caregiver rate of $47.28/hr, hiring in-home care equals the $8,370/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$4,097/mo

Saves $4,273/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$9,014 vs. $8,370/mo

Full-time home care costs $644/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$16,389/mo

Assisted Living saves $8,019/mo; Memory Care averages $10,210/mo.

Boston vs. Massachusetts & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Suffolk County economic indicators.

Boston, MA$8,370/mo
Massachusetts State Average$7,750/mo
U.S. National Median$6,200/mo

Suffolk County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $92,859/yr ($7,738/mo)
Median Home Value $680,700
Median Gross Rent $2,069/mo
Massachusetts Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Boston, MA

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

German Center For Extended Care
2222 Centre Street, Boston, MA 02132 • 6173251230
133 Certified Beds Non profit - Corporation CCN: 225540
5/5 CMS Rating
Spaulding Nursing And Therapy Center - Brighton
100 N Beacon Street, Boston, MA 02134 • 6177269701
123 Certified Beds Non profit - Corporation CCN: 225014
5/5 CMS Rating
Laurel Ridge Rehab And Skilled Care Center
174 Forest Hills Street, Boston, MA 02130 • 6174050249
120 Certified Beds Non profit - Corporation CCN: 225469
5/5 CMS Rating
Boston Home, Inc (The)
2049 Dorchester Avenue, Boston, MA 02124 • 6173264265
96 Certified Beds Non profit - Corporation CCN: 225434
5/5 CMS Rating
Armenian Nursing & Rehabilitation Center
431 Pond Street, Boston, MA 02130 • 6175222600
83 Certified Beds Non profit - Corporation CCN: 225417
4/5 CMS Rating
Recuperative Services Unit-Hebrew Rehab Center
1200 Centre Street, Boston, MA 02131 • 6173258000
50 Certified Beds Non profit - Corporation CCN: 225759
4/5 CMS Rating
Sherrill House
135 South Huntington Avenue, Boston, MA 02130 • 6173656024
196 Certified Beds Non profit - Corporation CCN: 225201
3/5 CMS Rating
Presentation Rehab And Skilled Care Center
10 Bellamy Street, Boston, MA 02135 • 6179473568
122 Certified Beds Non profit - Corporation CCN: 225486
3/5 CMS Rating
The Benjamin Healthcare Center
120 Fisher Avenue, Boston, MA 02120 • 8607380231
164 Certified Beds For profit - Individual CCN: 225654
2/5 CMS Rating
Care Village At Parkway
1190 Vfw Parkway, Boston, MA 02132 • 6173251688
141 Certified Beds For profit - Limited Liability company CCN: 225497
2/5 CMS Rating
North End Rehabilitation And Healthcare Center
70 Fulton Street, Boston, MA 02109 • 7818798548
100 Certified Beds For profit - Limited Liability company CCN: 225506
2/5 CMS Rating

Frequently Asked Questions About Senior Care in Boston

The estimated median cost of assisted living in Boston, MA is $8,370 per month ($100,440 per year), adjusted for Suffolk County housing and income data.
A semi-private room in a skilled nursing facility in Boston averages $12,940 per month, while a private room averages $14,590 per month.
In-home caregiver services in Boston, MA average $47.28 per hour, or roughly $9,010 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in Massachusetts is $2,901 per individual applicant.

Compare Senior Care Costs in Nearby Massachusetts Cities