4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
This home is ranked 38th out of 93 homes in Massachusetts for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ■ Avg State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 57m per day | ■ Avg State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 0m per day | ▼ 12% State avg: 2h 16m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 20m per day | ▼ 4% State avg: 3h 29m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 49% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ■ Avg State avg: 27m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
14% fewer staff per resident than Massachusetts average
0% compared with Massachusetts average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 16 RN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 65 CNA Staff are full-time employees. No contractors work on this role.
65
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
216 contractor hours this quarter
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 |
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)
88% lower than Massachusetts averageMassachusetts average: $72K
42% fewer fines than Massachusetts averageMassachusetts average: 1.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 3, 2024 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 3, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
22.1%
18% worse than Massachusetts averageMassachusetts average: 18.7%
Percent of long-stay residents whose ability to move independently worsened
20.1%
In line with Massachusetts averageMassachusetts average: 19.3%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
29% worse than Massachusetts averageMassachusetts average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.6%
In line with Massachusetts averageMassachusetts average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.5%
74% better than Massachusetts averageMassachusetts average: 2.1%
Percent of long-stay residents who lose too much weight
2.0%
62% better than Massachusetts averageMassachusetts average: 5.2%
Percent of long-stay residents who have depressive symptoms
11.0%
In line with Massachusetts averageMassachusetts average: 10.7%
Percent of long-stay residents who received an antipsychotic medication
23.6%
17% worse than Massachusetts averageMassachusetts average: 20.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
7% better than Massachusetts averageMassachusetts average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with Massachusetts averageMassachusetts average: 94.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.0%
23% better than Massachusetts averageMassachusetts average: 76.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
158% worse than Massachusetts averageMassachusetts average: 1.3%
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.
43% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
109Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Casa de Ramana Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #55 / 96Payroll — State benchmarkedThis home is ranked 55th out of 96 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.Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #63 / 96Payroll % — State benchmarkedThis home is ranked 63rd out of 96 homes in Massachusetts. Shows payroll as a percentage of revenue versus the Massachusetts average. Well-run Massachusetts facilities typically land around 54–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Building Type: 3-story
On-site Medical Care and Health Services
Rehabilitative Support
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
| Bethany Health Care Center | NH HC MC NC RC | Framingham | 169
Facility
169
MA AVG
94
Rank
#14 / 280 |
78.3%
Facility
78.3%
MA AVG
82%
Rank
#61 / 96 | -4% | 6.03
Facility
6.03
MA AVG
3.93
Rank
#4 / 93 | +45% | +53% | $9.3k
Facility
$9.3k
MA AVG
$76.6k
Rank
#59 / 94 | 4
Facility
4
MA AVG
32.7
Rank
#2 / 93 | 1.3
Facility
1.3
MA AVG
7.2
Rank
#1 / 93 | 2 | 80 | - |
50
Facility
50
MA AVG
53
Rank
#259 / 499 | Marian Batho | $12.8M
Facility
$12.8M
MA AVG
$17.4M
Rank
#60 / 96 | $11.0M
Facility
$11.0M
MA AVG
$6.5M
Rank
#19 / 96 | 86.2%
Facility
86.2%
MA AVG
43.6%
Rank
#1 / 96 | 225535 | ||||
| Casa de Ramana Rehabilitation Center | NH MC | Framingham | 124
Facility
124
MA AVG
94
Rank
#50 / 280 |
89.6%
Facility
89.6%
MA AVG
82%
Rank
#34 / 96 | +9% | 4.01
Facility
4.01
MA AVG
3.93
Rank
#38 / 93 | -19% | +2% | $8.5k
Facility
$8.5k
MA AVG
$76.6k
Rank
#53 / 94 | 20
Facility
20
MA AVG
32.7
Rank
#30 / 93 | 5.0
Facility
5.0
MA AVG
7.2
Rank
#31 / 93 | 1 | 104 | - |
63
Facility
63
MA AVG
53
Rank
#205 / 499 | Michael Castro | $13.5M
Facility
$13.5M
MA AVG
$17.4M
Rank
#54 / 96 | $9.0M
Facility
$9.0M
MA AVG
$6.5M
Rank
#55 / 96 | 66.3%
Facility
66.3%
MA AVG
43.6%
Rank
#63 / 96 | 225179 | ||||
| St Patrick’s Manor | NH AL HC MC PC RC | Framingham | 333
Facility
333
MA AVG
94
Rank
#2 / 280 |
71.9%
Facility
71.9%
MA AVG
82%
Rank
#72 / 96 | -12% | 3.79
Facility
3.79
MA AVG
3.93
Rank
#50 / 93 | 0% | -4% | $33.2k
Facility
$33.2k
MA AVG
$76.6k
Rank
#77 / 94 | 29
Facility
29
MA AVG
32.7
Rank
#52 / 93 | 4.1
Facility
4.1
MA AVG
7.2
Rank
#21 / 93 | 4 | 273 | - |
16
Facility
16
MA AVG
53
Rank
#439 / 499 | David Hines | $32.9M
Facility
$32.9M
MA AVG
$17.4M
Rank
#3 / 96 | $17.2M
Facility
$17.2M
MA AVG
$6.5M
Rank
#2 / 96 | 52.3%
Facility
52.3%
MA AVG
43.6%
Rank
#72 / 96 | 225430 |
Casa de Ramana Rehabilitation Center is located in Framingham, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
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.
Casa de Ramana Rehabilitation Center's occupancy is 89.6%.
Yes — see the floorplan options available at Casa de Ramana Rehabilitation Center on this page.
Casa de Ramana Rehabilitation Center is registered as a for-profit.
Yes — there are 44 photos of Casa de Ramana Rehabilitation Center in the photo gallery on this page.
Casa de Ramana Rehabilitation Center is located at 485 Franklin St, Framingham, MA 01702.
(508) 872-8801 will put you in contact with the team at Casa de Ramana Rehabilitation Center.
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