nursing home in Framingham, MA
Casa de Ramana Rehabilitation Center
485 Franklin Street, Framingham, MA 01702 · (508) 872-8801
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Casa de Ramana Rehabilitation Center at a glance
Casa de Ramana Rehabilitation Center is a 124-bed for-profit nursing home in Framingham, Massachusetts (Middlesex County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Massachusetts average of 3.
Residents receive about 3.6 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (March 5, 2026) found 0 health citations. The Massachusetts average is 6.8.
Federal regulators fined it 1 time in the past three years, totaling $8,512.
Nursing staff turnover is 24.1% per year (state average 38.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 124
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 23, 1969
- Resident/family council
- Both
- County
- Middlesex County
- CMS Certification Number
- 225179
Ratings
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.58 hrs | 3.86 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.66 hrs | 0.65 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 1.94 hrs | 2.25 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.22 hrs | 3.48 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 24.1% | 38.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 42.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 11 | 51.8 | 80.6 | Better |
Penalties
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,512 | $34,265 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 124 | 120 | 107 | |
| Average residents per day | 106 | 99 | 86 | |
| Occupancy | 85.6% | 82.1% | 80.9% |
Long-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.7% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 26.5% | 21.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 1.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 19.9% | 16.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 25.6% | 15.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.4% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 20.8% | 15.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0.8% | 0.1% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.3% | 19.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25.8% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 99% | 94.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 92.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.6% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 97.5% | 77.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.1% | 78.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 5, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected June 2, 2026 |
| March 5, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 2, 2026 |
| March 5, 2026 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | D Potential harm, isolated | Corrected June 2, 2026 |
| November 26, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected January 22, 2025 |
| November 26, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 22, 2025 |
| November 26, 2024 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected January 22, 2025 |
| November 26, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected January 22, 2025 |
| November 26, 2024 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected December 20, 2024 |
| November 26, 2024 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected December 20, 2024 |
| November 26, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 20, 2024 |
| November 26, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected December 20, 2024 |
| November 26, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | B No harm, pattern | Corrected December 20, 2024 |
| November 26, 2024 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | B No harm, pattern | Corrected December 20, 2024 |
| September 3, 2024 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | G Actual harm, isolated | Corrected September 27, 2024 |
| September 3, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected September 27, 2024 |
| September 18, 2023 Fire safety | Meet other general requirements that are deficient. Egress Deficiencies · Tag K0300 | E Potential harm, pattern | Corrected November 15, 2023 |
| September 18, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected November 15, 2023 |
| September 18, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected November 15, 2023 |
| September 18, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 15, 2023 |
| September 18, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected November 15, 2023 |
| September 18, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected October 17, 2023 |
| September 18, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 17, 2023 |
| September 18, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected October 17, 2023 |
| September 18, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected October 17, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,512 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 3, 2024 | Fine | $8,512 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CASTRO, MICHAEL Individual | 5% or greater direct ownership interest | 33% | 08/01/2019 |
| RASO, STEVEN Individual | 5% or greater direct ownership interest | 33% | 08/01/2019 |
| SOLIMINE, PAUL Individual | 5% or greater direct ownership interest | 33% | 08/01/2019 |
| LANDMARK Organization | operational/managerial control | NOT APPLICABLE | 08/01/2019 |
| COOPER, STEPHEN Individual | w-2 managing employee | NOT APPLICABLE | 08/01/2019 |
Other nursing homes near Casa de Ramana Rehabilitation Center
- ★★★★★1Much below average
St Patrick's Manor
863 Central Street, Framingham, MA 01701 · 1.2 mi
For-profit · 333 beds · Part of Carmelite Sisters for the Aged & Infirm
★★★★★5Much above averageBethany Skilled Nursing Facility
97 Bethany Road, Framingham, MA 01701 · 1.5 mi
Non-profit · 169 beds
- CMS high performer
★★★★★5Much above averageEliot Center for Health and Rehabilitation
168 West Central Street, Natick, MA 01760 · 2.6 mi
For-profit · 114 beds · Part of Azure Healthcare
★★★★★3AverageOak Knoll Rehabilitation and Healthcare Center
9 Arbetter Drive, Framingham, MA 01701 · 3.3 mi
For-profit · 123 beds · Part of Atlas Healthcare
★★★★★3AverageBeaumont Rehab & Skilled Nursing Ctr - Natick
3 Vision Drive, Natick, MA 01760 · 3.9 mi
For-profit · 53 beds
★★★★★4Above average
Frequently asked questions
What is Casa de Ramana Rehabilitation Center's rating?
Casa de Ramana Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.
How many inspection citations did Casa de Ramana Rehabilitation Center receive?
Its most recent standard health inspection found 0 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.
Does Casa de Ramana Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Casa de Ramana Rehabilitation Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Casa de Ramana Rehabilitation Center and how do I contact it?
Casa de Ramana Rehabilitation Center is at 485 Franklin Street, Framingham, MA 01702. Phone: (508) 872-8801.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.