Nursing Homes in Framingham, Massachusetts

Framingham has 5 Medicare-certified nursing homes with 804 beds. The city average CMS rating is 2.6 stars, which is at Massachusetts's state average of 2.9 stars. 0 facilities earn a B grade or better and are recommended for family consideration.

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Worth Considering

Facilities graded A or B that meet our quality standards

0 recommended 0 mixed 3 avoid
See our top picks

City Average

2.6

-0.30 vs state

Total Beds

804

across 5 facilities

High Risk Facilities

2

0 under CMS review

0 with abuse citations

Nurse Availability

40 min

RN time per resident daily

Below CMS recommendation

Well Staffed

3

exceed staffing threshold

60% of facilities

Zero Fines

0 /5

passed all inspections

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Trend

0

improved vs last year

0 declined

B

Top Rated in Framingham

Bethany Skilled Nursing Facility

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About Nursing Home Care in Framingham

Framingham, MA, presents a mixed bag for families seeking nursing home care. The standout is Bethany Skilled Nursing Facility, which has a Grade B and a solid 5-star CMS rating, making it one of the only two facilities that meet our standards in the area. Unfortunately, the overall market is concerning, with a city average of just 2.6 stars and limited good options available.

For families considering care, Bethany Skilled Nursing Facility is the best choice, known for its high quality of care and positive reputation. Additionally, Framingham Rehabilitation and Nursing Center is worth a look; it’s well-staffed and has consistently received positive feedback from families, although it falls short of the standout performance of Bethany. However, options are limited, and if you’re not satisfied, it’s advisable to explore facilities in nearby cities like Natick or Sudbury.

On the flip side, there are several facilities to avoid. Skip Oak Knoll Rehabilitation and Healthcare Center, which has racked up a staggering $326K in fines and holds a Grade F. St. Patrick's Manor and Carlyle House also received a Grade F, indicating serious deficiencies in care. As a practical tip, always visit facilities in person, ask to see the common areas, and talk to staff and residents to get a real feel for the environment.

Framingham at a Glance

Good News

  • 2 community-run facilities (non-profit)
  • 3 facilities have more nurses than required
  • 1 facility earned 5-star CMS rating

Be Aware

  • 2 facilities have serious problems—check before visiting
  • Some facilities have less nurse time than recommended

What's Changing

  • 5 facilities stayed the same
  • Overall: Framingham is stable

Questions Framingham Families Should Ask

Based on what we found in local inspection data

1

How many RN hours per resident do you provide daily?

CMS recommends 0.75 hrs; Framingham avg is 0.67 hrs (40 min)

2

Have you received any fines in the past 3 years?

0 of 5 Framingham facilities have zero fines

3

What were your most recent inspection findings?

Ask for specifics—2 local facilities have serious deficiencies

4

What is your staff-to-resident ratio on weekends?

Weekend staffing often differs from weekday levels

Finding Quality Nursing Home Care in Framingham, Massachusetts

Framingham, Massachusetts's Middlesex County seat, has 5 Medicare-certified nursing homes with approximately 804 beds. Families have solid options to choose from.

Framingham vs. Massachusetts: Near State Average

Framingham nursing homes perform near the state average on key quality metrics. The city's average CMS rating of 2.60 stars is close to Massachusetts's statewide average of 2.90 stars.

0 of 5 facilities earn a B grade or better. Families should still research carefully, as 2 facilities have significant concerns.

Understanding Our Trust Score System

The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:

  • Health Inspection Results — Recent deficiencies, their severity, and patterns over time
  • Staffing Levels — RN hours, total nursing hours, and weekend staffing
  • Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
  • Penalties — Fines, payment denials, and enforcement actions
  • Complaints — Substantiated complaints and their severity

In Framingham, 0 facilities score a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.

Staffing: A Significant Concern in Framingham

Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.

Framingham facilities average 0.67 RN hours per resident day, which falls below the CMS-recommended threshold of 0.75 hours. The typical Framingham resident receives approximately 40 minutes of RN attention daily—compared to the 45 minutes experts recommend.

3 Framingham facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.

Ownership: Mix of For-Profit and Non-Profit

Framingham has 2 non-profit nursing homes and 3 for-profit facilities. 2 of 5 facilities are chain-owned, with the remainder independently operated.

Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average, though ownership type alone does not guarantee quality. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports.

Nearby Alternatives Worth Considering

Families may also want to consider nearby Massachusetts cities for additional options. The following Massachusetts cities offer multiple nursing home options:

Frequently Asked Questions

How many nursing homes are in Framingham, Massachusetts?

Framingham has 5 Medicare-certified nursing homes with a total of 804 beds. The city average CMS rating is 2.6 stars, which is below Massachusetts's state average of 2.9 stars.

What are the best nursing homes in Framingham?

Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in Framingham include:

  • Bethany Skilled Nursing Facility — Grade B, 78/100 Trust Score
  • Casa De Ramana Rehabilitation Center — Grade C+, 68/100 Trust Score
  • St Patrick's Manor — Grade F, 21/100 Trust Score

These facilities have strong inspection records and staffing levels.

Which Framingham nursing homes should I avoid?

We flag 2 facilities in Framingham as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.

We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.

The Bottom Line on Framingham Nursing Homes

Framingham offers typical nursing home options for the state. Focus your search on the 0 facilities graded A or B, particularly those with zero fines and strong staffing. Avoid the 2 high-risk facilities flagged in our analysis.

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