Casa de Ramana Rehabilitation Center

Name: Casa de Ramana Rehabilitation Center
Address: 485 FRANKLIN STREET, Framingham, MA, 01702, US
Telephone: 5088728801

485 Franklin Street, Framingham, MA 01702 · Middlesex County · 124 certified beds · avg 106 residents/day · certified since Apr 23, 1969

4/5

Health inspection rating (on-site)

Serious findings on record

$8,512

Fines, last 3 years

3.73

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Sep 3, 2024 · F-0604 · triggered by a complaint

The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.

Why it matters: Unneeded restraints can cause injuries, muscle loss, and deep emotional distress.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Sep 27, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 26, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Nov 26, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Nov 26, 2024	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Nov 26, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Nov 26, 2024	B · Minimal risk, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Nov 26, 2024	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 3, 2024	▲ G · Actual harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint
Sep 3, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Sep 18, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 18, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Sep 18, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 18, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	0	D
2024	8	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $8,512.

Date	Type	Amount / length
Sep 3, 2024	Fine	$8,512

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.73	3.89	3.95	bottom 49% in Massachusetts; bottom 48% in the U.S.
Registered Nurse hours	0.69	0.65	0.69	top 33% in Massachusetts; top 37% in the U.S.
Weekend total nurse staffing	3.35	3.51	3.50	bottom 47% in Massachusetts; bottom 50% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.46	0.48	bottom 32% in Massachusetts; bottom 37% in the U.S.
Total nursing staff turnover (%)	24.1	38.2	45.8	top 11% in Massachusetts; top 6% in the U.S.
RN turnover (%)	33.3	42.6	42.9	top 31% in Massachusetts; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.58, RN 0.66, weekend 3.22. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Castro, Michael	Individual	5% or Greater Direct Ownership Interest	33%	08/01/2019
Raso, Steven	Individual	5% or Greater Direct Ownership Interest	33%	08/01/2019
Solimine, Paul	Individual	5% or Greater Direct Ownership Interest	33%	08/01/2019
Cooper, Stephen	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/2019
Landmark	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your policy on physical restraints, and what alternatives do you try first?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Carlyle House	0.7 mi	Framingham, MA	★☆☆☆☆	2/5
St Patrick's Manor	1.2 mi	Framingham, MA	★★★★☆	3/5
Bethany Skilled Nursing Facility	1.4 mi	Framingham, MA	★★★★★	5/5
Eliot Center for Health and Rehabilitation	2.6 mi	Natick, MA	★★★☆☆	3/5
Oak Knoll Rehabilitation and Healthcare Center	3.4 mi	Framingham, MA	★★★☆☆	3/5
Beaumont Rehab & Skilled Nursing Ctr - Natick	3.9 mi	Natick, MA	★★★★☆	4/5
Royal Wayland Rehabilitation and Nursing Center	3.9 mi	Wayland, MA	★★★★★	5/5
Waterview Lodge LLC, Rehabilitation & Healthcare	4.2 mi	Ashland, MA	★★★☆☆	2/5
Mary Ann Morse Nursing & Rehabilitation	4.8 mi	Natick, MA	★★★★★	4/5
Sudbury Pines Extended Care	4.9 mi	Sudbury, MA	★★☆☆☆	2/5
Vantage at Sudbury LLC	5.3 mi	Sudbury, MA	★★☆☆☆	2/5
Alliance Health at Marie Esther	5.6 mi	Marlborough, MA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Framingham →

Facility data as of CMS processing date 2026-08-01. CCN 225179.

The Care File

Visit checklist — Casa de Ramana Rehabilitation Center

485 Franklin Street, Framingham, MA 01702 · 5088728801

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $8,512

Most serious findings on record:

▲ Sep 3, 2024 (F-0604, Actual harm, one-off): The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.

Questions for the administrator:

☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225179 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)