All states › Massachusetts › Framingham › Casa De Ramana Rehabilitation Center
485 Franklin Street Framingham, MA 01702 · Middlesex County
All 5 nursing homes in Framingham, MA (5 take Medicaid)
CMS certification number 225179 · See this home on Medicare Care Compare
Is Casa De Ramana Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Casa De Ramana Rehabilitation Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Massachusetts average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.58 hours per resident per day at Casa De Ramana Rehabilitation Center, below the Massachusetts median of 3.72 (US median: 3.72). About 0.65 of those hours are from registered nurses. On weekends it falls to 3.21 hours, 11% below its all-week average. 25.2% of nursing staff left within a year (Massachusetts median 36.1%). That is lower than most homes in Massachusetts, a sign of a steadier team.
About this nursing home
Paying for care at Casa De Ramana Rehabilitation Center: Medicare and Medicaid
Casa De Ramana Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Massachusetts's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 5, 2026 and found 0 deficiencies. In total, inspectors issued 12 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 12 citations at Casa De Ramana Rehabilitation Center across 3 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on September 3, 2024. The most common areas cited were quality of life and care (5) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "ensure that each resident is free from the use of physical restraints, unless needed for medical treatment" (tag F0604, level G, September 3, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
November 26, 2024 · 6 citations
EHonor 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.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
BEnsure each resident receives an accurate assessment.
September 3, 2024 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
September 18, 2023 · 4 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
Questions to ask on a tour of Casa De Ramana Rehabilitation Center
- Inspectors cited the home at the actual-harm level on September 3, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 3, 2024. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,512 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 3, 2024 | Fine | $8,512 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 2/5 |
| August 2026 | 4/5 | 4/5 | 4/5 | 3/5 |
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Location
Hospitals near Casa De Ramana Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.6 mi
Metrowest Medical Center FraminghamEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 3h 25m for patients treated and sent home
- 7.8 mi
-
7.8 mi
Marlborough Hospital MarlboroughEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 46m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Casa De Ramana Rehabilitation Center › All nursing homes in Framingham ›
Compare Casa De Ramana Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- St Patrick's Manor · Framingham · 5 stars · 1.2 mi
- Bethany Skilled Nursing Facility · Framingham · 5 stars · 1.5 mi
- Royal Wayland Rehabilitation and Nursing Center · Wayland · 5 stars · 3.9 mi
- Mary Ann Morse Nursing & Rehabilitation · Natick · 5 stars · 4.8 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.