The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: G
Nursing home report
Casa de Ramana Rehabilitation and Nursing Center
Registered name: CASA DE RAMANA REHABILITATION CENTER
FRAMINGHAM, MA · Medicare-certified · 124 beds
Needs attention
For-profit
Data as of September 1, 2026
4 of 5 overall
Casa de Ramana Rehabilitation and Nursing Center has an overall rating of 4 out of 5 stars, with 4-star health inspection and staffing ratings and a 3-star quality measures rating. Reported nurse staffing is 3.58 hours per resident per day, below the 4.1 federal benchmark, and the facility has had $8,512 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.5812 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $8,512recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5812.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.98
- Nurse aides
- 1.94
- Weekend nursing
- 3.22
Hours per resident per day.
Total staff turnover: 24%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.8%27.9%No change
Residents with a fall causing major injury
3.3%2.2%Improving
Residents with pressure ulcers (bedsores)
2.5%6.2%Worsening
Residents with a urinary tract infection
0%1.1%Worsening
Residents who lost too much weight
0%5%Worsening
Residents who were physically restrained
1.1%1.1%No change
Residents needing more help with daily activities
17.6%18.1%No change
Residents whose ability to walk got worse
25%28.8%Worsening
Long-stay residents on antianxiety or sleep medication
14.1%15.7%Worsening
Short-stay residents newly given an antipsychotic
4.4%4.5%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.6%22.5%Improving
Residents with depressive symptoms
20%21%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99%—
Long-stay residents given the pneumonia vaccine
98.9%100%Improving
Short-stay residents given the seasonal flu vaccine
—97.5%—
Short-stay residents given the pneumonia vaccine
93.5%98.2%Improving
What the inspectors found
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 645 — 42 CFR §483.20 — S/S: D
The home failed to ensure residents kept their ability to do everyday activities unless there was a medical reason. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 676 — 42 CFR §483.24 — S/S: D
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,512 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,512 in total fines.
- $8,512
Federal fine
Sep 3, 2024
Operator & ownership
Recent ownership change · Aug 1, 2019
Now operated by Casa De Ramana Rehabilitation Center, previously Kathleen Daniel Nursing and Rehabilitation Center.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 106.2 residents on an average day (86% of 124 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 57 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.