Massachusetts › Middlesex County › Framingham
Casa De Ramana Rehabilitation Center
485 Franklin Street, Framingham, MA 01702
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 124 beds, Casa De Ramana Rehabilitation Center serves Framingham in Middlesex County, Massachusetts and has taken Medicare and Medicaid residents since 1969.
CMS gives it 4 of 5 stars overall, above the Massachusetts median of 3; the health inspection rating is 4, staffing 4 and quality measures 3.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (0, 8, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 9.7 per 100 beds, fewer than the state median of 21.7.
CMS lists 1 penalty in the period covered: fines totalling $9K.
Reported nurse staffing is 3.6 hours per resident per day (0.7 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 24.1%.
Compared with county, state and nation
| Measure | This facility | Middlesex Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 27 | 27 | 28.7 |
| Citations per 100 beds | 9.7 | 24.7 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 24.1% | 33.0% | 37.7% | 45.8% |
| Fines listed | $8,512 | $8,512 | $0 | — |
County and state figures are medians across facilities (72 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2026, 26 Nov 2024.
Severity mix: G ×1 D ×8 E ×1 B ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Nov 2024 | F0585 | 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. | E | Standard survey | 20 Dec 2024 |
| 26 Nov 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 20 Dec 2024 |
| 26 Nov 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 20 Dec 2024 |
| 26 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Dec 2024 |
| 26 Nov 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 20 Dec 2024 |
| 26 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 20 Dec 2024 |
| 3 Sep 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | Complaint investigation | 27 Sep 2024 |
| 3 Sep 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 27 Sep 2024 |
| 18 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 17 Oct 2023 |
| 18 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Oct 2023 |
| 18 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Oct 2023 |
| 18 Sep 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 17 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Sep 2024 | Fine | $8,512 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 24.1%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.9% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.6% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.5% | 19.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Bentley Casa De Ramana Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Landmark | Operational/managerial control | NOT APPLICABLE | 08/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Middlesex County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberjona Rehabilitation and Nursing Center | Winchester | 123 | 5 | 5 | 4 | 6 | 4.9 | — | 15 May 2024 |
| Bear Hill Healthcare and Rehabilitation Center | Stoneham | 169 | 5 | 4 | 3 | 27 | 16.0 | $16K | 15 Jan 2026 |
| Bethany Skilled Nursing Facility | Framingham | 169 | 5 | 5 | 5 | 4 | 2.4 | $9K | 26 Sep 2024 |
| Brookhaven At Lexington | Lexington | 49 | 5 | 5 | — | 4 | 8.2 | — | 22 Oct 2024 |
| Campion Health & Wellness, Inc | Weston | 70 | 5 | 5 | 5 | 1 | 1.4 | — | 12 Apr 2023 |
| Care One At Wilmington | Wilmington | 132 | 5 | 5 | 3 | 4 | 3.0 | — | 31 Jul 2025 |
| Carleton-Willard Village Retirement & Nursing Ctr | Bedford | 179 | 5 | 3 | 5 | 11 | 6.1 | $25K | 10 Jun 2025 |
| D'Youville Care For Advanced Therapy | Lowell | 33 | 5 | 5 | 4 | 5 | 15.2 | — | 9 Apr 2024 |
All 72 facilities in Middlesex County
Questions and answers
How many deficiencies has Casa De Ramana Rehabilitation Center been cited for?
12 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Casa De Ramana Rehabilitation Center been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at Casa De Ramana Rehabilitation Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Casa De Ramana Rehabilitation Center?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Landmark. Individual owners and managers are not listed on this site.
When was Casa De Ramana Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 26 Nov 2024; the most recent standard health survey was 5 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.