ElderGrade
B

73/100

Above average

Casa De Ramana Rehabilitation Center

485 Franklin Street, Framingham, MA 01702

CMS 4/5 stars #29 of 72 in Middlesex County (508) 872-8801
Certified beds
124
Occupancy
86%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $8,512 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.73 total nurse hours per resident per day (national median 3.77)
  • 0.66 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 24% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $8,512 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.58 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.66 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.22 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 24.10%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 20 citations

Last standard health inspection: November 26, 2024 (1 year ago).

E Nov 26, 2024 F0585

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Nov 26, 2024 F0645

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

No actual harm, potential for more than minimal harm

D Nov 26, 2024 F0676

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Nov 26, 2024 F0677

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

B Nov 26, 2024 F0640

Resident Assessment and Care Planning Deficiencies

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

No actual harm, minimal potential

B Nov 26, 2024 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, minimal potential

G Sep 3, 2024 F0604 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Actual harm to a resident

D Sep 3, 2024 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
COOPER, STEPHEN Individual W-2 MANAGING EMPLOYEE
LANDMARK Organization OPERATIONAL/MANAGERIAL CONTROL
CASTRO, MICHAEL Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
RASO, STEVEN Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
SOLIMINE, PAUL Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Casa De Ramana Rehabilitation Center

What is the ElderGrade for Casa De Ramana Rehabilitation Center? +

Casa De Ramana Rehabilitation Center holds an ElderGrade of B (73 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Casa De Ramana Rehabilitation Center? +

Residents receive an average of 3.58 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Casa De Ramana Rehabilitation Center been cited for harming residents? +

Yes. 1 of the 20 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Casa De Ramana Rehabilitation Center accept Medicaid? +

Yes, Casa De Ramana Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.