Carlyle House in Framingham has a 1-star overall rating, with 1-star staffing and 2-star health inspections; reported nurse staffing is just below the federal benchmark (4.06 vs. 4.1 hours/resident/day), and the facility has had $16,153 in fines plus a recent federal penalty.
Last inspection: January 27, 2026Penalties, last 24 months: $16,153recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0632.
Staffing detail
Registered nurses
0.31
Licensed practical nurses
1.19
Nurse aides
2.56
Weekend nursing
3.60
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 63%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
20.8%32.3%Worsening
Residents with a fall causing major injury
0%4.1%Worsening
Residents with pressure ulcers (bedsores)
10.1%1.2%Improving
Residents with a urinary tract infection
7.1%0%Improving
Residents who lost too much weight
23.5%8.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.3%15.2%Improving
Residents whose ability to walk got worse
—15%—
Long-stay residents on antianxiety or sleep medication
19.4%15.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
6%1.5%Improving
Residents with new or worsening incontinence
11.1%4.3%Improving
Residents with depressive symptoms
2.6%8.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—95.8%—
Long-stay residents given the pneumonia vaccine
100%93.9%Worsening
Short-stay residents given the seasonal flu vaccine
—74.5%—
Short-stay residents given the pneumonia vaccine
78.3%63.3%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: J
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $16,153 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,153 in total fines.
Federal fine
Mar 3, 2025
$16,153
Operator & ownership
Ownership
For profit - Corporation
Occupancy
53 residents on an average day (96% of 55 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.