๐Ÿฅ Long-Term Care / Assisted Living / Group Home ยท Massachusetts

Massachusetts: what a medical director of a long-term care / assisted living / group home must do

Whether Massachusetts requires a physician medical director for a long-term care / assisted living / group home, the qualifications you need, and the duties the rule assigns.

Medical directorMedical director required
Title in the ruleMedical Director
Research date2026-09-03

Qualifications

Physician. For Specialized Nursing Care Facilities for Children (SNFCs), a pediatrician experienced in developmental disabilities must also be appointed.

Duties the rule assigns

  • Implement resident care policies and coordinate medical care in the facility
  • Advise on medical and resident-care policies
  • Review admission and discharge procedures
  • Oversee medical records management
  • Ensure emergency medical care protocols exist
  • Evaluate the facility's overall resident-care program
  • Spend at least 4 hours/month in the facility on supervisory/advisory functions (staff physicians may share this time commitment with the medical director)

Notes

Applies to facilities licensed to provide Level I, II, or III long-term care under 105 CMR 150 (skilled nursing through rest-home-level care). Massachusetts Assisted Living Residences are licensed separately (under EOEA/651 CMR, not 105 CMR 150) and were not confirmed to carry the same medical-director requirement โ€” verify which licensure track a given facility falls under.

Sources (1)

Every agreement Massachusetts names ยท Long-Term Care / Assisted Living / Group Home in other states