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CASA DE RAMANA REHABILITATION CENTER

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CASA DE RAMANA REHABILITATION CENTER is a for profit - limited liability company facility in FRAMINGHAM, MA with 124 certified beds and a 4-star overall CMS rating. The facility has 20 deficiency records on file. Total penalties: $9K.

485 FRANKLIN STREET, FRAMINGHAM, MA 01702

Phone: 5088728801

Overall Rating

4/5

Health Inspection

4/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
225179
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
124
Residents
107
In Hospital
No
County
Middlesex
Last Inspection
Nov 26, 2024

Staffing Data

RN Hours
0.65 (nat'l avg: 0.68)
LPN Hours
0.94
CNA Hours
2.00
Total Nursing Hours
3.60 (nat'l avg: 3.89)
PT Hours
0.11

What the CMS Record Reveals About CASA DE RAMANA REHABILITATION CENTER

CASA DE RAMANA REHABILITATION CENTER operates 124 certified beds in FRAMINGHAM, MA with approximately 107 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (2★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 20 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $9K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.60 total nursing hours per resident day (national average 3.89), with RN coverage at 0.65 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, CASA DE RAMANA REHABILITATION CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (20 most recent)

D — Isolated - Minimal harm Nov 26, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Nov 26, 2024 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Nov 26, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2024

B — Pattern - No harm Nov 26, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2024

B — Pattern - No harm Nov 26, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2024

E — Pattern - Minimal harm Nov 26, 2024 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Sep 3, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 27, 2024

G — Isolated - Actual harm Sep 3, 2024 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 27, 2024

D — Isolated - Minimal harm Sep 18, 2023 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 17, 2023

D — Isolated - Minimal harm Sep 18, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 17, 2023

D — Isolated - Minimal harm Sep 18, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 17, 2023

D — Isolated - Minimal harm Sep 18, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 17, 2023

D — Isolated - Minimal harm Mar 21, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 2, 2022

D — Isolated - Minimal harm Mar 21, 2022 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 2, 2022

F — Widespread - Minimal harm Mar 21, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 2, 2022

D — Isolated - Minimal harm Mar 21, 2022 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: May 2, 2022

B — Pattern - No harm Mar 21, 2022 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: May 2, 2022

B — Pattern - No harm Mar 21, 2022 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: May 2, 2022

D — Isolated - Minimal harm Mar 21, 2022 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 2, 2022

D — Isolated - Minimal harm Mar 21, 2022 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: May 2, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.7% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 15.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.8% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 99.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 27.7% Yes

Penalty History 1 penalties totaling $9K

Date Type Amount
Sep 3, 2024 Fine $9K

Frequently Asked Questions

What is the overall CMS rating for CASA DE RAMANA REHABILITATION CENTER?
CASA DE RAMANA REHABILITATION CENTER has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (2★), and quality measures (4★).
What are the staffing levels at CASA DE RAMANA REHABILITATION CENTER?
CASA DE RAMANA REHABILITATION CENTER reports 3.60 total nursing hours per resident day (national average: 3.89). RN hours are 0.65 per resident day (national average: 0.68).
How many beds does CASA DE RAMANA REHABILITATION CENTER have?
CASA DE RAMANA REHABILITATION CENTER has 124 certified beds with approximately 107 residents. The facility is located at 485 FRANKLIN STREET, FRAMINGHAM, MA 01702.
Does CASA DE RAMANA REHABILITATION CENTER have any deficiencies on record?
Yes, CASA DE RAMANA REHABILITATION CENTER has 20 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has CASA DE RAMANA REHABILITATION CENTER received any fines or penalties?
Yes, CASA DE RAMANA REHABILITATION CENTER has received 1 penalties totaling $9K.
Who owns CASA DE RAMANA REHABILITATION CENTER?
CASA DE RAMANA REHABILITATION CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was CASA DE RAMANA REHABILITATION CENTER last inspected?
The most recent health inspection for CASA DE RAMANA REHABILITATION CENTER was on Nov 26, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for CASA DE RAMANA REHABILITATION CENTER?
CASA DE RAMANA REHABILITATION CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial