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Carlyle House

⌖ Framingham, MA · Middlesex County
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Medicare overall rating 1 of 5 stars
Certified beds55
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Carlyle House

Carlyle House is a 55-bed for-profit nursing home in Framingham, MA. Medicare rates it 1 out of 5 stars overall (much below average); the average in Massachusetts is 3.0. At its last full inspection (Jul 2025), inspectors found 7 problems, close to the Massachusetts average of 6.8. 2 citations in its recent inspections were for residents being harmed or put in immediate danger. Nurses and aides spend about 4 hr 22 min a day with each resident, more than the Massachusetts average of 3 hr 52 min. About 43% of its nursing staff left in the past year. Medicare fined it $25,263 in the last three years. Its quality ratings are similar for short-term rehab (3 of 5) and long-term care (4 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameCarlyle House
LocationMiddlesex County, Massachusetts
Address342 Winter Street, Framingham, MA 01701 · Middlesex County
CMS provider number225541
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceDecember 1, 1991 (34 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating1 of 5Much below average
Health inspections2 of 5Below average
Quality measures3 of 5Average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

1 strength and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Nurse staffing per resident4 hr 22 min a dayMassachusetts average: 3 hr 52 min
    Strength

About average

  • Health citations at last inspection7 (Jul 2025)Massachusetts average: 6.8. Most citations are minor and corrected within weeks.
    About average
  • Nursing staff turnover43% a yearMassachusetts average: 38%
    About average

Things to ask about

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  • Serious health citations2 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jan 2026 (within the past year). All 2 were later corrected.
    Ask about this
  • Fines and penalties2 fines totaling $25,263Federal penalties from the last three years, most recently in Jan 2026 (within the past year). The national average is $30,972 per home.
    Worth asking about
  • Registered nurse time per resident26 min a dayMassachusetts average: 39 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Massachusetts average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 3 of 5 (average)

  • Sent back to the hospital32.8%State average: 25.7%
    Worse than average
  • Needed an emergency room visit23.7%State average: 11.9%
    Worse than average
  • Newly given antipsychotic drugs0.0%State average: 1.4%
    Better than average

Physical therapist time: about 0 minutes per resident a day. That is less than the state average of 5 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury3.2%State average: 3.4%
    About average
  • Pressure sores (bedsores)1.4%State average: 4.2%
    Better than average
  • Given antipsychotic drugs28.2%State average: 21.4%
    Worse than average
  • Hospital stays per 1,000 resident days1.9State average: 1.9
    About average

Source: Medicare (CMS) quality measures, compared with the Massachusetts average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Massachusetts, Medicaid pays for 60% of resident days at a typical home.

  • 64% Medicaid
  • 13% Medicare
  • 23% Private pay, insurance and other
Beds in use, on average97%Massachusetts typical: 86%
Cost of care per resident day$374Massachusetts typical: $386

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 1 star now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 12 times.

Overall rating1★
Health inspections2★
Staffing1★
Quality of care3★
Nurse hours per resident per day4.4
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201953554.2
Jan 202044444.0
Jan 202134314.7
Jan 202244444.0
Jan 202334314.4
Jan 202455424.6
Feb 202544334.2
Feb 202611334.2
Sep 202612134.4

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.