Carlyle House has received an F grade based on CMS data, with a score of 28/100 — placing it among the lowest-rated nursing facilities in Massachusetts. Families considering this Framingham facility should carefully review its inspection history and quality metrics.
Staffing levels at Carlyle House exceed national averages, with 4.23 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.42 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 22 deficiencies at Carlyle House, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.23 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.42 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.09 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.72 | 2.4 | Above Average |
| Weekend Total Nursing | 3.63 | 3.8 | Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0656 Severity GDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jan 26, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 26, 2026 · Quality of Life and Care Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andJul 28, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Jul 28, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Jul 28, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.4% | 4.5% | Average |
| Falls with major injury | 1.1% | 3.0% | Better |
| On antipsychotic medication | 24.1% | 14.5% | Worse |
| Urinary tract infections | 4.0% | 2.5% | Worse |
| ADL decline (daily activities) | 12.1% | 14.0% | Better |
| Excessive weight loss | 16.3% | 7.5% | Worse |
| New/worsened incontinence | 7.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $16,153
How This Grade Was Calculated
This facility's grade of F is based on a score of 28 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Massachusetts
- B
- CHERMITAGE HEALTHCARE (THE)WORCESTER
- A
- BKnollwood Nursing CenterWORCESTER
- CLIFE CARE CENTER OF LEOMINSTERLEOMINSTER