★★★★★CMS 5/5169 bedsNon-profitMedicaid
- Nurse hours
- 4.90 /day
- Staff turnover
- 45%
- Serious cites
- 0
Bethany Skilled Nursing Facility runs on 4.90 nurse hours per resident day, roughly 27% above the national figure, and weekends dip only about 7% below its own weekday staffing, a modest drop for a 169-bed home. Inspectors visited recently, in June 2025, and the home holds a 5-star health inspection rating, though the current record still shows four deficiencies, two of them serious enough to reach harm or jeopardy level, plus one fine of $9,318. Staff turnover sits at 45.2%, essentially the national average of 45.8%, which means this nonprofit retains caregivers about as well as everyone else. Strong staffing and a clean recent inspection carry the weight here; the harm-level citations are what hold it back.
★★★★★CMS 5/5333 bedsFor-profitMedicaid
- Nurse hours
- 4.09 /day
- Staff turnover
- 30%
- Serious cites
- 0
St Patrick's Manor runs 333 beds in Framingham under corporate ownership, and its staffing is genuinely a bright spot: 4.09 nurse hours per resident day, about 6% above the national average, with turnover at 30.1% against a national 45.8%. Weekends thin out roughly 10% below weekday coverage, which is worth asking about if your family visits then. The concern sits in inspections. Twenty-three deficiencies are on the current record, four serious enough to reach harm or jeopardy level and three tied to abuse, with $33,157 in fines across three penalties. The most recent inspection was May 2026. Strong daily care hours and relatively stable staff, weighed against a troubling inspection history.
★☆☆☆☆CMS 1/555 bedsFor-profitMedicaid
- Nurse hours
- 4.36 /day
- Staff turnover
- 43%
- Serious cites
- 0
Carlyle House runs 4.36 nurse hours per resident day, about 13% above the national average, and turnover at 42.9% is slightly better than the 45.8% norm. Those numbers sound decent until you notice CMS rates staffing 1 out of 5 and weekend coverage drops roughly 13% below its own weekday level. The inspection record carries 22 deficiencies, four of them at the harm or jeopardy level, with two fines totaling $25,263 and a 2/5 health inspection rating. Last inspection was July 2025. Despite the above-average raw staffing hours, the harm-level citations and thin weekend coverage are what families should weigh.
★★★★☆CMS 4/5124 bedsFor-profitMedicaid
- Nurse hours
- 3.58 /day
- Staff turnover
- 24%
- Serious cites
- 0
Casa De Ramana runs leaner than the average nursing home on nurse hours, 3.58 per resident day against a national 3.86, and weekends dip roughly 10% below its own weekday staffing. That's worth knowing if your family visits mainly on Saturdays and Sundays. Turnover is the bright spot: 24.1% annually, roughly half the national rate, which suggests a steadier crew than most for-profit LLC homes. Twenty deficiencies sit on the current record, including one at harm or jeopardy level and three tied to abuse, with a single $8,512 fine. The last inspection was November 2024, so the record is fairly current.
★★★☆☆CMS 3/5123 bedsFor-profitMedicaid
- Nurse hours
- 3.79 /day
- Staff turnover
- 41%
- Serious cites
- 0
Oak Knoll runs 123 beds under corporate ownership, and its staffing sits just under the national average at 3.79 hours per resident day, close enough that the bigger issue is the weekends, which run about 12 percent thinner than weekdays. Turnover at 41.4 percent is actually a little better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record is: 27 deficiencies, including two at the harm level and one tied to abuse, plus a single $211,819 fine. With quality and staffing each at two stars and the last inspection dated February 2026, the pattern is thin coverage on weekends alongside a serious citation history.