Carlyle House

342 Winter Street · Framingham, MA · 01701 · 5088796100

55 certified beds For profit - Corporation

  • Inspection results have improved across recent cycles.

Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 76
Staffing 20% 66
Federal penalties 15% 59
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.063.48 min · 4.1 strong
RN hours / resident-day0.310.55–0.75
Weekend hours / resident-day3.60≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)2 · $25,263

Inspection citations (22 in the current record)

  • Actual harm · G January 27, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 25, 2026 · Resident Assessment and Care Planning

  • Actual harm · G January 27, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 25, 2026 · Quality of Life and Care

  • Potential for harm · D July 29, 2025

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected September 12, 2025 · Resident Rights

  • Potential for harm · D July 29, 2025

    Ensure each resident receives an accurate assessment.

    Corrected September 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 29, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 29, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected September 12, 2025 · Pharmacy Service

  • Potential for harm · D July 29, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected September 12, 2025 · Infection Control

  • Immediate jeopardy · J March 3, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 14, 2025 · Quality of Life and Care

  • Immediate jeopardy · J March 3, 2025 · found via complaint

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · D March 3, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 1, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected June 10, 2024 · Resident Rights

  • Potential for harm · D May 1, 2024

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected June 10, 2024 · Quality of Life and Care

  • Potential for harm · F May 1, 2024

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected June 10, 2024 · Nursing and Physician Services

  • Potential for harm · D May 1, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 10, 2024 · Infection Control

  • Potential for harm · D May 1, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected June 10, 2024 · Infection Control

  • No harm found · B May 1, 2024

    Ensure each resident receives an accurate assessment.

    Corrected June 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2022

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected December 6, 2022 · Resident Rights

  • Potential for harm · D November 7, 2022

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected December 6, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 6, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2022

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected December 6, 2022 · Quality of Life and Care

  • Potential for harm · D November 7, 2022

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 6, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2022

    Provide and implement an infection prevention and control program.

    Corrected December 6, 2022 · Infection Control

Federal penalties

DateTypeAmount / length
January 27, 2026Fine$9,110
March 3, 2025Fine$16,153

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225541 · certified since December 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.