PlainNursing
CMS Nursing Home Compare · August 2026

Casa de Ramana Rehabilitation Center

485 Franklin Street, Framingham, MA 01702

Casa de Ramana Rehabilitation Center, a 124-bed for profit - limited liability company nursing facility in Framingham, MA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #105 of 338 rated homes in MA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5088728801

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4 / 5
Above average · CMS overall · nat'l 3.0
#105 of 338
In-state rank among rated MA homes
3.58
Below average · nurse hrs/day · nat'l 3.86
12
Inspection findings · 1 serious

The verdict

Casa de Ramana Rehabilitation Center, a 124-bed for profit - limited liability company nursing facility in Framingham, MA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #105 of 338 rated homes in MA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#105 of 338
In-state rank among rated MA homes
3.58
Nurse hrs/resident-day · national 3.86
12
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 341 MA nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
225179
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
124
Residents
106
In Hospital
No
County
Middlesex
Last Inspection
Mar 5, 2026

Staffing Data

How the 3.58 total nursing hours per resident-day are staffed:

RN Hours
0.66 (nat'l avg: 0.69)
LPN Hours
0.98
CNA Hours
1.94
Total Nursing Hours
3.58 (nat'l avg: 3.86)
PT Hours
0.12
Nursing Turnover
24.1%
RN Turnover
33.3%

What the CMS Record Reveals About Casa de Ramana Rehabilitation Center

According to CMS Nursing Home Compare, Casa de Ramana Rehabilitation Center ranks #105 of 338 rated nursing homes in MA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Casa de Ramana Rehabilitation Center operates 124 certified beds in Framingham, MA with approximately 106 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 3★).

The inspection file contains 12 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $9K. Reported nurse staffing runs 3.58 total hours per resident day (national average 3.86); RN hours specifically are 0.66 per resident day.

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. Reported nursing staff turnover at this facility is 24.1% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (12 most recent)

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

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

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

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 19.9% Yes
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 0.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 25.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 26.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 20.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.8% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 99.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.5% No

Penalty History 1 penalties totaling $9K

Date Type Amount
Sep 3, 2024 Fine $9K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Casa de Ramana Rehabilitation Center, both outside MA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Casa de Ramana Rehabilitation Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MA registry aggregates state averages and the highest-rated homes in this cohort. View MA registry
  • Peer homes near 124 beds show how CMS stars vary at a similar scale in MA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

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 (4★), and quality measures (3★).
Where does Casa de Ramana Rehabilitation Center rank among nursing homes in MA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Casa de Ramana Rehabilitation Center ranks 105th among 338 rated nursing homes in MA (#105 of 338). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Casa de Ramana Rehabilitation Center?
Casa de Ramana Rehabilitation Center reports 3.58 total nursing hours per resident day (national average: 3.86). RN hours are 0.66 per resident day (national average: 0.69). Nursing staff turnover is 24.1%.
How many beds does Casa de Ramana Rehabilitation Center have?
Casa de Ramana Rehabilitation Center has 124 certified beds with approximately 106 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 12 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 Mar 5, 2026. 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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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