| Carlyle House | |
| 342 Winter Street, Framingham, Massachusetts 01701 | |
| (508) 879-6100 | |
| Name | Carlyle House |
|---|---|
| Location | 342 Winter Street, Framingham, Massachusetts |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 55 |
| Occupancy Rate | 89.45% |
| Medicare ID (CCN) | 225541 |
| Legal Business Name | We DO Care, Inc |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1063566792 |
| Match | Possible same name, address or phone number |
| Organization Name | We DO Care, Inc |
| Doing Business As | Carlyle House |
| Address | 342 Winter St, Framingham, MA 01702 |
| Phone Number | 508-879-6100 |
| NPI Number | 1760306351 |
| Match | Possible same name, address or phone number |
| Organization Name | Autumn Hill Operator LLC |
| Doing Business As | Autumn Hill Rehabilitation and Healthcare Center |
| Address | 342 Winter St, Framingham, MA 01702 |
| Phone Number | 507-879-6100 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.36 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.43 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.23 | 0.86 |
| Nurse aide hours per resident per day | 2.71 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.79 | 3.42 |
| RN hours per resident per day on the weekend | 0.28 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 42.9% | 45.8% |
| Registered nurse turnover | 57.1% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $25,263 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jan 27, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Actual harm, isolated | Corrected by Feb 25, 2026 |
| Jan 27, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Feb 25, 2026 |
| Jul 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 12, 2025 |
| Jul 29, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 12, 2025 |
| Jul 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. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 12, 2025 |
| Jul 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 12, 2025 |
| Jul 29, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 12, 2025 |
| Mar 3, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Mar 14, 2025 |
| Mar 3, 2025 | 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. F0700, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Mar 14, 2025 |
| Mar 3, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| 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. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Jun 10, 2024 |
| May 1, 2024 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2024 |
| May 1, 2024 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2024 |
| May 1, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2024 |
| May 1, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2024 |
| May 1, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Jun 10, 2024 |
| Nov 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2022 |
| Nov 7, 2022 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2022 |
| Nov 7, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2022 |
| Nov 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. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2022 |
| Nov 7, 2022 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2022 |
| Nov 7, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.84 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.7 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.01 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.65 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 5 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.19 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.21 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.33 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.9 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.28 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.83 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.47 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.41 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.88 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 28.21 | 15.38 |
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