Total staff
156
Employees
148
Contractors
8
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Casa de Ramana Rehabilitation Center
Nursing Home, Memory Care & Respite Care · Framingham, MA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Casa de Ramana Rehabilitation Center
Nursing Home, Memory Care & Respite Care · Framingham, MA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Casa de Ramana Rehabilitation Center accepts Medicare, Medicaid, and private pay.
Casa De Ramana Rehabilitation Center is a nursing home in Framingham, MA, offering long-term care, memory care, hospice care, rehabilitation, and respite care. With a compassionate and welcoming environment, the community ensures older adults are treated well throughout their stay. 24-hour care, well-balanced meals, and recreational activities are also provided to improve residents’ quality of life. Following a holistic approach to care, the community strives to meet residents’ unique needs and preferences for their recovery and wellness.
Hobby clubs, games, and arts and crafts ensure residents can explore new interests and gain meaningful experiences. Residents can also rest and freely interact with their surroundings in the spacious and clean common areas. Situated near the Farm Pond, restaurants, shops, and bus stops, the community ensures a stress-free retirement. This nursing home is a trusted choice for senior living in Massachusetts, especially with top-notch amenities and high standards of care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 36th out of 89 homes in Massachusetts. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 36th out of 89 homes in Massachusetts. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 1m per day
Rank #36 / 89Nurse hours — State benchmarkedThis home is ranked 36th out of 89 homes in Massachusetts. Shows adjusted nurse hours per resident per day benchmarked to the Massachusetts average, with a ranking across 89 Massachusetts SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Massachusetts avg
+2%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 16m per day |
Types of Care at Casa de Ramana Rehabilitation Center
Nursing Home
Memory Care
Respite Care
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
89.6%
Rank #32 / 91Occupancy rate — State benchmarkedThis home is ranked 32nd out of 91 homes in Massachusetts. Shows this facility's occupancy rate versus the Massachusetts average, with its Statewide rank out of 91. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
269 days
Occupancy rate
89.6%
Rank #32 / 91Occupancy rate — State benchmarkedThis home is ranked 32nd out of 91 homes in Massachusetts. Shows this facility's occupancy rate versus the Massachusetts average, with its Statewide rank out of 91. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
269 days
Walk Score: 63 / 100 Rank #33 / 93Walk Score — State benchmarkedThis home is ranked 33rd out of 93 homes in Massachusetts. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Massachusetts SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.43:1
16% worse than Massachusetts average
Avg staff/day
61
Average shift
7.7 hours
0% compared with Massachusetts average
Total staff hours (quarter)
43,471
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
65
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.5%
216 contractor hours this quarter
Occupational Therapy Assistant: 4
Medical Director: 3
Mental Health Service Worker: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 0 | 65 | 19,019 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 26 | 0 | 26 | 8,993 | 92 | 100% | 8.8 |
| Registered Nurse | 16 | 0 | 16 | 4,913 | 92 | 100% | 8.6 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,496 | 90 | 98% | 7.2 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,448 | 92 | 100% | 6.8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 1,087 | 68 | 74% | 7.4 |
| Mental Health Service Worker | 2 | 1 | 3 | 922 | 65 | 71% | 7.8 |
| Physical Therapy Assistant | 8 | 0 | 8 | 896 | 67 | 73% | 7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 848 | 64 | 70% | 8 |
| Qualified Social Worker | 6 | 0 | 6 | 624 | 69 | 75% | 6.2 |
| Physical Therapy Aide | 2 | 0 | 2 | 556 | 69 | 75% | 7.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 478 | 60 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 336 | 60 | 65% | 5.6 |
| Qualified Activities Professional | 1 | 0 | 1 | 210 | 33 | 36% | 6.4 |
| Medical Director | 0 | 3 | 3 | 137 | 31 | 34% | 4 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 54 | 40 | 43% | 1.3 |
65 Certified Nursing Assistant
% of Days
100%
26 Licensed Practical Nurse
% of Days
100%
16 Registered Nurse
% of Days
100%
4 Speech Language Pathologist
% of Days
98%
7 Other Dietary Services Staff
% of Days
100%
3 Respiratory Therapy Technician
% of Days
74%
3 Mental Health Service Worker
% of Days
71%
8 Physical Therapy Assistant
% of Days
73%
3 Clinical Nurse Specialist
% of Days
70%
6 Qualified Social Worker
% of Days
75%
2 Physical Therapy Aide
% of Days
75%
1 Administrator
% of Days
70%
1 Dietitian
% of Days
67%
1 Therapeutic Recreation Specialist
% of Days
65%
1 Nurse Practitioner
% of Days
61%
1 Occupational Therapy Aide
% of Days
65%
1 Qualified Activities Professional
% of Days
36%
3 Medical Director
% of Days
34%
4 Occupational Therapy Assistant
% of Days
43%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$9K Rank #40 / 90Federal fines — State benchmarkedThis home is ranked 40th out of 90 homes in Massachusetts. Shows this facility's cumulative CMS federal fine dollars versus the Massachusetts average among facilities with fines, and where it ranks among 90 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
88% lower than Massachusetts averageMassachusetts average: $72K
Number of fines
1
42% fewer fines than Massachusetts averageMassachusetts average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Massachusetts averageMassachusetts average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$9K
Massachusetts average
$72K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 3, 2024 · $9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 3, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 3, 2024
$9K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
In line with Massachusetts averageMassachusetts average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
12% worse than Massachusetts averageMassachusetts average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.1%
Percent of long-stay residents whose need for help with daily activities has increased
22.1%
18% worse than Massachusetts averageMassachusetts average: 18.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.1%
Percent of long-stay residents whose ability to move independently worsened
20.1%
In line with Massachusetts averageMassachusetts average: 19.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.9%
13% worse than Massachusetts averageMassachusetts average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
29% worse than Massachusetts averageMassachusetts average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.6%
Percent of long-stay high risk residents with pressure ulcers
4.6%
In line with Massachusetts averageMassachusetts average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.5%
Percent of long-stay residents with a urinary tract infection
0.5%
74% better than Massachusetts averageMassachusetts average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.0%
Percent of long-stay residents who lose too much weight
2.0%
62% better than Massachusetts averageMassachusetts average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
11.0%
Percent of long-stay residents who have depressive symptoms
11.0%
In line with Massachusetts averageMassachusetts average: 10.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
23.6%
Percent of long-stay residents who received an antipsychotic medication
23.6%
17% worse than Massachusetts averageMassachusetts average: 20.3%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
7% better than Massachusetts averageMassachusetts average: 91.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with Massachusetts averageMassachusetts average: 94.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.0%
23% better than Massachusetts averageMassachusetts average: 76.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
158% worse than Massachusetts averageMassachusetts average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
25% better than Massachusetts averageMassachusetts average: 77.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
43% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
54% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
9 - 10 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
109
Medicare
10
9.2% of residents
Medicaid
54
49.5% of residents
Private pay or other
45
41.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Casa de Ramana Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
89.6%
↑ 13.2pp vs 2022
Net Income
-$646.4K
↑ ~$304.7K vs 2022
Total Payroll
$9.0M
↑ ~$1.7M vs 2022
Profit Margin
-3.4%
↑ 2.9pp vs 2022
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$19.3M
Operating loss
-$646.4K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$19.3M Rank #53 / 92Revenue — State benchmarkedThis home is ranked 53rd out of 92 homes in Massachusetts. Shows this facility's annual revenue compared to the Massachusetts SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$646.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #54 / 92Payroll — State benchmarkedThis home is ranked 54th out of 92 homes in Massachusetts. Shows total annual staff payroll benchmarked to the Massachusetts average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #54 / 92Payroll — State benchmarkedThis home is ranked 54th out of 92 homes in Massachusetts. Shows total annual staff payroll benchmarked to the Massachusetts average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$19.9M
What does this home offer?
Building Type: 3-story
On-site Medical Care and Health Services
Rehabilitative Support
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Casa de Ramana Rehabilitation Center
1.1 miles from city center
Estimated distance in miles from Framingham's city center to Casa de Ramana Rehabilitation Center's address, calculated via Google Maps.
Calculate Travel Distance to Casa de Ramana Rehabilitation Center
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Financial Assistance for
Nursing Home in Massachusetts
Casa de Ramana Rehabilitation Center is located in Framingham, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
Compare Nursing Home around Framingham
The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
Filter by care type
| Bethany Health Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Framingham | 152 | 78.3% | -4% | 6.03 | +43% | +53% | $9.3k | 4 | 1.3 | 2 | 74 | 50 | Marian Batho | $17.6M | $14.2M | 80.9% | 225535 | ||||
| Casa de Ramana Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Framingham | 116 | 89.6% | +9% | 4.01 | -20% | +2% | $8.5k | 20 | 5.0 | 1 | 104 | 63 | Michael Castro | $19.3M | $9.0M | 46.8% | 225179 | ||||
| St Patrick’s Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Framingham | 333 | 71.9% | -12% | 3.79 | -1% | -4% | $33.2k | 29 | 4.1 | 4 | 264 | 16 | David Hines | $53.7M | $23.9M | 44.6% | 225430 |
Frequently Asked Questions about Casa de Ramana Rehabilitation Center
Is Casa de Ramana Rehabilitation Center in a walkable area?
Casa de Ramana Rehabilitation Center has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the occupancy rate at Casa de Ramana Rehabilitation Center?
Casa de Ramana Rehabilitation Center's occupancy is 89.6%.
What is the address of Casa de Ramana Rehabilitation Center?
Casa de Ramana Rehabilitation Center is located at 485 Franklin St, Framingham, MA 01702.
What is the phone number of Casa de Ramana Rehabilitation Center?
(508) 872-8801 will put you in contact with the team at Casa de Ramana Rehabilitation Center.
Is Casa de Ramana Rehabilitation Center Medicare or Medicaid certified?
Yes — Casa de Ramana Rehabilitation Center is a CMS-certified provider of Medicare and Medicaid.
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