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 CENTER
FRAMINGHAM, MA · Medicare-certified · 124 beds
Needs attention
For-profit
4 of 5 overall
Casa de Ramana Rehabilitation Center has an overall 4-star rating, with 4-star health inspection and staffing scores and a 3-star quality rating. It had $8,512 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 3.59 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.5886 hrs/resident/day
Quality measures
Last inspection: November 26, 2024Penalties, last 24 months: $8,512recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5886.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.94
- Nurse aides
- 1.99
- Weekend nursing
- 3.33
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
27.3%25%Improving
Residents with a fall causing major injury
4%2.2%Improving
Residents with pressure ulcers (bedsores)
7.3%3.4%Improving
Residents with a urinary tract infection
1%1.1%No change
Residents who lost too much weight
1.1%2.4%Worsening
Residents who were physically restrained
1%1.1%No change
Residents needing more help with daily activities
23.2%23%No change
Residents whose ability to walk got worse
20.5%16.6%Improving
Long-stay residents on antianxiety or sleep medication
16%16.3%No change
Short-stay residents newly given an antipsychotic
3.8%3.5%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
23.8%27%Worsening
Residents with depressive symptoms
14.3%22.9%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
100%100%No change
Short-stay residents given the seasonal flu vaccine
—97.5%—
Short-stay residents given the pneumonia vaccine
97.4%94.8%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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
Recent history
- 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
- Ownership
- For profit - Limited Liability company
- Occupancy
- 103.7 residents on an average day (84% of 124 beds)
- Resident voice
- Resident council
- 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.