Casa De Ramana Rehabilitation Center
485 Franklin Street · Framingham, MA · 01702 · 5088728801
124 certified beds For profit - Limited Liability company
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 3.33 | ≈ weekday level |
| Nursing turnover / year | 24% | median 45% |
| Fines (3-yr window) | 1 · $8,512 |
Inspection citations (20 in the current record)
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Potential for harm · E November 26, 2024
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.
Corrected December 20, 2024 · Resident Rights
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Potential for harm · D November 26, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 26, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · D November 26, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 20, 2024 · Quality of Life and Care
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No harm found · B November 26, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected December 20, 2024 · Resident Assessment and Care Planning
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No harm found · B November 26, 2024
Ensure each resident receives an accurate assessment.
Corrected December 20, 2024 · Resident Assessment and Care Planning
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Actual harm · G September 3, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected September 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 3, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 18, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 17, 2023 · Resident Rights
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Potential for harm · D September 18, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 17, 2023 · Quality of Life and Care
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Potential for harm · D September 18, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 17, 2023 · Quality of Life and Care
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Potential for harm · D September 18, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 17, 2023 · Quality of Life and Care
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Potential for harm · D March 21, 2022
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.
Corrected May 2, 2022 · Resident Rights
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Potential for harm · D March 21, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 2, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 21, 2022
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.
Corrected May 2, 2022 · Quality of Life and Care
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Potential for harm · F March 21, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 2, 2022 · Nutrition and Dietary
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Potential for harm · D March 21, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 2, 2022 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2022
Provide and implement an infection prevention and control program.
Corrected May 2, 2022 · Infection Control
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No harm found · B March 21, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 2, 2022 · Resident Rights
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No harm found · B March 21, 2022
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.
Corrected May 2, 2022 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 3, 2024 | Fine | $8,512 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225179 · certified since April 23, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.