# Massachusetts — Nursing home minimum staffing requirements by US state — hours per resident day, RN coverage mandates, and penalty structures after the 2026 federal repeal

For Massachusetts, total hprd minimum is 3.64; rn hprd minimum is 0.508; cna hprd minimum is none specified; rn on-site requirement is 1 RN/LPN Charge Nurse 24 hrs/7d/wk per unit; penalty for noncompliance is none specified, verified against its source on 2026-08-15.

- **State:** Massachusetts _(verified: appears in the quote below)_
- **Total HPRD minimum:** 3.64 _(verified: appears in the quote below)_
- **RN HPRD minimum:** 0.508 _(verified: appears in the quote below)_
- **CNA HPRD minimum:** none specified _(verified: appears in the quote below)_
- **RN on-site requirement:** 1 RN/LPN Charge Nurse 24 hrs/7d/wk per unit _(verified: appears in the quote below)_
- **Penalty for noncompliance:** none specified _(verified: appears in the quote below)_
- **Regulatory citation:** 105 Mass. Code Regs. 150.007 _(verified: appears in the quote below)_
- **Federal standard status:** repealed _(verified: appears in the quote below)_

## What the source says

> MA Sufficient Staff RN (inc.DON @.06) 0.51 Code of MA Regulations To meet the needs of residents and assure that measures, treatments and LPN 105 Mass. Code Regs. 150.007. other activities and services are carried out, recorded, and reviewed. Total

## Source

- https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf

Last verified: 2026-08-15. Review by: 2027-08-15.
Part of [Nursing home minimum staffing requirements by US state — hours per resident day, RN coverage mandates, and penalty structures after the 2026 federal repeal](https://referencesource.org/nursing-home-minimum-staffing-by-state/).