Barnstable County is home to about 210,000 residents and has a large senior community, with those aged 65 and over accounting for well over 30% of the population. This coastal community is situated in the eastern region of Cape Cod and is home to upscale spasunique shops and arts and cultural amenities. Residents enjoy access to several libraries, including the Hyannis Public Library and the historic Sturgis Library, where they can check out print and digital media and participate in book clubs and discussion groups. The region is also home to several senior centers, providing an enriching social environment for retirees.  

There are approximately 16 assisted living facilities in Barnstable County, with facilities ranging in size from as small as 23 beds up to 132 beds. As is typical of the region, assisted living is fairly expensive, with care costs exceeding the state and national averages at $6,338 per month. 

Directory of Assisted Living Facilities in Barnstable County, MA

Atria Woodbriar

339-389 Gifford Street, Falmouth, MA, 02540

My aunt came to Atria Woodbriar after several years in another assisted living residence so we have some perspective . From day she was welcomed and well cared for by everyone. The executive directo … (read more)
My aunt came to Atria Woodbriar after several years in another assisted living residence so we have some perspective . From day she was welcomed and well cared for by everyone. The executive directo … (read more)

Keystone Place at Buzzards Bay

218 Main St., Buzzards Bay, MA, 02532

My wife and I have been living here in Keystone Place at Buzzards Bay for two years now. They have an excellent staff and the place is constantly maintained. They’ve got some exercise classes, good fo … (read more)
My wife and I have been living here in Keystone Place at Buzzards Bay for two years now. They have an excellent staff and the place is constantly maintained. They’ve got some exercise classes, good fo … (read more)

Thirwood Place

237 N Main St, South Yarmouth, MA, 02664

I visited Thirwood Place for my father, and it was quite impressive. The staff was very friendly and helpful. I saw a two-bedroom in the assisted living portion, and it was very nice and clean. They s … (read more)
I visited Thirwood Place for my father, and it was quite impressive. The staff was very friendly and helpful. I saw a two-bedroom in the assisted living portion, and it was very nice and clean. They s … (read more)

Maplewood at Brewster

820 Harwich Road, Brewster, MA, 02631

From the first visit in October until now, May, we have been very happy with the entire Maplewood experience. The building and grounds are beautiful, the common areas are impressive and the rooms are … (read more)
From the first visit in October until now, May, we have been very happy with the entire Maplewood experience. The building and grounds are beautiful, the common areas are impressive and the rooms are … (read more)

Mill Hill Residence, a Maplewood at Mayflower Place Community

164 Route 28, West Yarmouth, MA, 02673

Beautiful spacious Modern facility with many amenities and activities. Staff is very dedicated and extremely helpful and caring.
Beautiful spacious Modern facility with many amenities and activities. Staff is very dedicated and extremely helpful and caring.

Decatur House

176 Main Street, Sandwich, MA, 02563

My mother is in Decatur House for respite, and it’s been amazing. Her apartment is very comfortable. The only complaint she has is it’s just very quiet right now and we’re gonna relate that to mostly … (read more)
My mother is in Decatur House for respite, and it’s been amazing. Her apartment is very comfortable. The only complaint she has is it’s just very quiet right now and we’re gonna relate that to mostly … (read more)

Maplewood at Mayflower Place

579 Buck Island Road, West Yarmouth, MA, 02673

Maplewood at Mayflower Place has recently been taken over by a Connecticut company and their prices have gone way up, so we just backed off. They’ve redone a lot of the facility. I saw one room which … (read more)
Maplewood at Mayflower Place has recently been taken over by a Connecticut company and their prices have gone way up, so we just backed off. They’ve redone a lot of the facility. I saw one room which … (read more)

Brookdale Cape Cod

790 Falmouth Road, Hyannis, MA, 02601

My impression of Brookdale Cape Cod was good. It’s a nice facility, and the people were nice. They showed us around, and they had open rooms and a library. We also had lunch there.
My impression of Brookdale Cape Cod was good. It’s a nice facility, and the people were nice. They showed us around, and they had open rooms and a library. We also had lunch there.

Heatherwood At Kings Way

100 Heatherwood Dr., Yarmouth Port, MA, 02675

Heatherwood at Kings Way has a nice setting. The buildings are clean and attractive. I have friends who live there and they enjoy it. They like the community. The food is good. Assisted living is avai … (read more)
Heatherwood at Kings Way has a nice setting. The buildings are clean and attractive. I have friends who live there and they enjoy it. They like the community. The food is good. Assisted living is avai … (read more)

Heritage at Falmouth

140 Terrace Heun Dr, Falmouth, MA, 02540

We were able to see a variety of apartments at Heritage at Falmouth that were very nice, very bright, airy, and seemed to have ample room. They had a movie theater and a very nice kitchen that anyone … (read more)
We were able to see a variety of apartments at Heritage at Falmouth that were very nice, very bright, airy, and seemed to have ample room. They had a movie theater and a very nice kitchen that anyone … (read more)

Broad Reach Healthcare

390 Orleans Road, North Chatham, MA, 02650

The caring of the staff is evident. The dining room is elegant, food beautifully served. There were optional programs available to participate in; the grounds are lovely.
The caring of the staff is evident. The dining room is elegant, food beautifully served. There were optional programs available to participate in; the grounds are lovely.

Pleasant Bay Nursing & Rehabilitation Center

383 South Orleans Rd, Brewster, MA, 02631

They seem really short staffed now and under a lot of stress. Treatments are done in groups, not individualized.
They seem really short staffed now and under a lot of stress. Treatments are done in groups, not individualized.

Cape Regency Rehabilitation & Health Care Center

120 South Main Street , Centerville, MA, 02632

The caregivers are very good at Brookside Regency. They are on their fourth care director so clearly they have management problems. My mother was in a dementia unit and she was not crazy about the act … (read more)
The caregivers are very good at Brookside Regency. They are on their fourth care director so clearly they have management problems. My mother was in a dementia unit and she was not crazy about the act … (read more)

Paying for Assisted Living in Barnstable County

The Genworth 2020 Cost of Care Survey reports that nationally, seniors pay approximately $4,300 per month for assisted living, but care costs range drastically throughout the country based on factors such as local living costs and licensing requirements. Seniors in Massachusetts pay some of the highest costs in the United States, with rates coming in at $6,085 per month, on average. In Barnstable County, which has comparable senior care fees with its largest city, Barnstable Town, seniors pay even more, with average monthly fees of $6,338.  

The Cost of Assisted Living in Nearby Cities

The average assisted living rate in Barnstable County exceeds the state median by about 4% at $6,338, making it the most expensive area in Massachusetts for this type of care. In the Boston area, fees are closer to the state median at $6,100. In Pittsfield, seniors pay $5,789 per month, and in Springfield, assisted living care costs are a little lower at $5,750. Worcester is the most cost-effective option in the state, with monthly rates averaging $5,488. Across state lines, care costs are lower than in Barnstable County, with seniors paying $4,950 per month in the Providence area of Rhode Island and $5,753 in Hartford, Connecticut.  

$6338

Barnstable County/Barnstable Town

$6085

Massachusetts

$4300

The United States

$6100

Boston

$5789

Pittsfield

$5750

Springfield

$5488

Worcester

$4950

Providence, RI

$5753

Hartford, CT

Financial Assistance for Assisted Living in Barnstable County

Seniors in Barnstable County who require assistance with the cost of services at an ALR are fortunate to have a number of options at their disposal. As part of the Massachusetts Medicaid State Plan, seniors can receive financial aid through the Group Adult Foster Care program and Money Follows the Person (MFP) waiver program. Low-income seniors are also eligible to apply for an optional state supplement (OSS) to be added to their Supplemental Security Income (SSI) payment.

Learn more about these programs, plus who’s eligible, on our Assisted Living in Massachusetts page.

Financial Assistance for Assisted Living in Barnstable County

More Ways to Pay for Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Some additional ways to finance assisted living costs include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

For more information about different ways to finance assisted living, visit our Assisted Living in Massachusetts page.

Free Assisted Living Resources in Barnstable County

ResourceContact Service
Elder Services of Cape Cod and the Islands, Inc.(508) 394-4630Elder Services of Cape Cod and the Islands, Inc., is a local nonprofit agency that administers services to seniors in the Barnstable County area. As the designated Area Agency on Aging, it arranges free and low-cost services, including long-term care screening, which provides the required screening for those seeking Medicaid-reimbursed services in assisted living facilities. It provides options counseling, a short-term decision support process that guides seniors in evaluating their long-term care needs, as well as a long-term care ombudsman program that advocates on behalf of those in assisted living.
Barnstable Adult Community Center (508) 862-4750The Barnstable Adult Community Center is located in the heart of Barnstable County and offers an engaging environment that promotes social connections and recreational opportunities. Among its activities are art classes, technology support, social clubs, travel talks and cooking classes, as well as special events, workshops and intergenerational activities. Its robust wellness program includes cooking demonstrations, health talks and fitness activities to support health aging, as well as ask-a-nurse sessions, blood pressure screenings and foot care clinics. The center also provides health insurance counseling, a telephone reassurance program and a community resource library to help older adults connect with local services and supports.
Cape Cod Vet Center(508) 778-0124The Cape Cod Vet Center is centrally located in Hyannis and provides a wide array of services for qualifying veterans and their dependents. At this location, veterans can get help with applying for benefits that may help cover assisted living expenses, including veterans’ home placement, the Aid and Attendance or Housebound benefit and the VA pension. The center is open on weekdays during normal business hours, and services are provided by appointment only. In some cases, appointments may be available outside of normal operating hours to accommodate a senior’s schedule.
South Coastal Counties Legal Services, Inc.(508) 775-7020South Coastal Counties Legal Services, Inc., is a local nonprofit agency that provides free legal services to seniors aged 60 and over. At the Hyannis office, seniors can obtain assistance with applying for federal benefits such as Medicare and Social Security, as well as help with resolving issues related to healthcare, housing or finances.
SHINE(800) 243-4636SHINE is the statewide senior health insurance information program. This federally funded program provides seniors with free assistance and guidance with insurance-related issues, helping them make educated decisions regarding their long-term care and financial planning. Volunteer counselors are trained to answer questions and help seniors compare health insurance and prescription drug plans, sort their medical bills and identify and resolve billing errors. Counselors can also assist income-qualifying seniors with finding programs that can help them cover insurance and healthcare costs.

Assisted Living Laws and Regulations in Barnstable County

Barnstable County-area assisted living communities must adhere to the comprehensive set of state laws and regulations that all assisted living communities in Massachusetts are required to follow. Visit our Assisted Living in Massachusetts page for more information about these laws.

Assisted Living Laws and Regulations in Barnstable County