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Nursing HomeMedicaid

Casa De Ramana Rehabilitation Center

Strong Medicare quality ratings; families often praise dedicated and skilled physical therapy team. Still worth an in-person visit.

485 Franklin Street, Framingham, MA 01702124 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 28 Google reviews

5
4
3
2
1
Casa De Ramana Rehabilitation Center Nursing Home in Framingham, MA — Street View
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What this means for your family

While the facility is praised for its therapy team and clean environment, the reports of medication errors and neglect are critical red flags. We strongly recommend that you visit unannounced, observe the staff-to-patient ratio, and ask specific questions about how they manage medication safety and patient supervision during off-hours.

Google Reviews

Google Reviews

28 reviews on Google
Casa de Ramana Rehabilitation Center receives highly polarized feedback, with some families praising the dedicated therapy staff and compassionate care, while others report severe neglect and safety concerns. Critical issues include reports of medication errors, understaffing, and poor communication with administration. Families considering this facility should be aware of the stark contrast between the positive experiences of some and the alarming accounts of others.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean8.0Activities9.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Dedicated and skilled physical therapy team
  • Responsive and compassionate nursing staff
  • Clean and odor-free environment
  • Engaging activities and events

Concerns

  • Chronic understaffing leading to neglect (mentioned by 4 reviewers)
  • Medication management and safety errors (mentioned by 2 reviewers)
  • Poor communication and unresponsive administration (mentioned by 2 reviewers)
  • Inadequate assistance with basic needs like feeding and hygiene (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'19(1)3.04.3'21(6)3.04.1'23(8)3.04.3'25(6)3.5'26(4)

Distribution · 31 analyzed

5
22
4
0
3
1
2
1
1
7

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve daily operations?
  • 2Given the current staffing levels, what specific protocols do you have in place to ensure residents receive timely assistance with daily needs like hygiene and feeding?
  • 3Can you walk me through your current medication management process and the safety checks you use to prevent errors?
  • 4I see your physical therapy team is highly regarded; how do you integrate their work into the residents' overall care plan to ensure consistent progress?
  • 5What is your strategy for maintaining clear and proactive communication with family members when a resident's health status changes?
  • 6Since you have a variety of engaging activities, how do you ensure that residents who need extra support are still able to participate and feel included in these events?

Personalized based on this facility's data


Key Review Excerpts

My care at Casa de Ramana was exceptional. No waiting for call lites to be answered and all involved in my care actually cared.

Rehab patient · 2021★★★★★

My mother was treated awfully, Barely received any rehab and was basically left at the end of the hallway to fend for herself. She ended up falling in getting a blackeye and back in the hospital.

Long-term resident's family · 2025☆☆☆☆

My father asked for his nebulizer treatment and was handed a brush. My father asked what mg was his medication being given to him and the nurse answered 5 mg, it was a 20mg!

Long-term resident's family · 2024☆☆☆☆
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
87%
Registered nurses for medical care
Total Nursing
3.59hrs
88%
All nurses + aides combined
Staff Turnover
24%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility26.3%
Worse than Avg
Here
26.3%
US
15.4%
MA
21.3%
Middlesex
22.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.3%
Worse than Avg
Here
23.3%
US
15.3%
MA
16.4%
Middlesex
13.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
MA
92.4%
Middlesex
92.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility19.1%
Worse than Avg
Here
19.1%
US
12.1%
MA
13.7%
Middlesex
11.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.2%
Worse than Avg
Here
21.2%
US
14.4%
MA
16.9%
Middlesex
15.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.0%
Worse than Avg
Here
26.0%
US
19.4%
MA
21.4%
Middlesex
19.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
79.7%
MA
77.7%
Middlesex
76.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.6%
Better than Avg
Here
94.6%
US
81.8%
MA
77.6%
Middlesex
76.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.4%
Worse than Avg
Here
3.4%
US
1.6%
MA
1.3%
Middlesex
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Near state avg (8.9)
2 complaint-triggered
$8,512 in fines

This facility has received 29 deficiencies across multiple surveys, including two complaint-triggered issues involving improper physical restraints and inadequate abuse prevention policies, indicating families filed serious safety concerns. Primary problem areas include fire safety systems, resident care planning, and daily living assistance. While all deficiencies show correction dates, the pattern of recurring issues across safety, resident rights, and care quality suggests ongoing operational challenges that warrant careful consideration.

Nov 26, 2024Routine
10
0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor 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.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0640Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Sep 3, 2024Complaint
2
0604Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Sep 18, 2023Routine
9
0300Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Mar 21, 2022Routine
8
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0623Minimal · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Minimal · PatternCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Federal Penalties

Fine

Sep 3, 2024

$8,512

Ownership & Operations

Who Operates This Facility

Owner / Operator

Casa De Ramana Rehabilitation Center

Organization Type

for profit

Ownership & Management

Owners

Castro, Michael

Owner

33%

Raso, Steven

Owner

33%

Solimine, Paul

Owner

33%

Key personnel

Cooper, StephenW-2 Managing EmployeeLandmarkManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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