Nursing Homes and Facilities


Make Nursing Homes safer, and less needed.

Everyone deserves to live a full life with dignity. However, Covid-19 has robbed many of that right — in just over five months more than 5,600 people have died in 379 Massachusetts nursing homes, 88% of the 429 homes in the state, and the toll increases daily. These deaths comprise 15% of all nursing home residents in the state and nearly 66% of all Covid-19 deaths in the Commonwealth. Over 24,000 nursing home residents and staff have tested positive. The mortality rate of infected nursing home residents is more than 22%, three times the rate of the general population.

There can no longer be any doubt about the urgency of the need for comprehensive change to the nursing home model as the predominant institution for long-term care of seniors and people with disabilities. Not only is a fundamental restructuring of facility operations necessary, but as a coalition of advocates with first-hand experience, we are here to say it can be done. New public policies are urgently required to promote community-based services while improving the conditions inside existing facilities. These places remain far too vulnerable at a time when the threat of a Covid-19 resurgence remains high.

Facts and Issues


See the State Legislative Endorsements page and the Federal Legislative Endorsements page for a list of all Dignity Alliance supported bills.


2023-03-20 Spotlight: Everyone in a nursing home deserves a single room

The government should require that owners give residents private space — or it should take over the facilities and replace ...
Read More about Single Rooms

2023-03-13 Spotlight on Nursing Home Administrator Hours

LTCCC Alert: Nursing Home Administrator Hours Down 20% Since Pandemic Long Term Care Community Coalition March 9, 2023 Editor’s note: ...
Read More about LTC Admin Hours

This is outrageous re: Nursing Home Closures

‘This is outrageous’: Advocates urge state to take control of four nursing homes slated to close Paul Lanzikos, on behalf ...
Read More about Outrageous Globe article

Letter to DPH re: Nursing Home Closures

Paul Lanzikos, on behalf of DignityMA, has sent the following letter to the Department of Public Health regarding the closure ...
Read More DPH letter

Letter to AG re: Nursing Home Closures

Paul Lanzikos, on behalf of DignityMA, has sent the following letter to the Attorney General on March 8, 2023, regarding ...
Read More AG letter

2023-02-26 Spotlight on Nursing Home Closures in Western MA

‘It’s flooding an already completely congested market.’ Nursing home closures in Western Mass. leave families and hospitals scrambling. Boston Globe, ...
Read More about Nursing Home Closures

Positions and Actions

  • January 12, 2021Audit Nursing Home Complaints – A letter was sent to State Auditor Suzanne Bump, asking for a follow up on the audit of nursing home complaints from July, 1, 2016 – June 30, 2018. DAM is interested in the effects of the recommended increase in investigative staff, as well as the effects on nursing home complaints during Covid-19. Among the topics of concern is the quality of care delivery due to staffing shortages and pandemic related issues, no onsite presence of public officials and family members, possible systemic delays of investigations, information on complaint backlogs, cross-reference information on deaths, efforts to get residents back into the community, data on how many residents cannot provide written informed consent and have no guardian or health care proxy agent, and the overuse and misuse of psychotropic medications. The detailed letter is available at DAM Auditor Letter on Nursing Home Complaints.docx.