Nursing homeActive
Casa De Ramana Rehabilitation Center
485 Franklin Street, Framingham, MA 017025088728801124 certified beds · 106 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
12
● 2● 9● 1
Penalties · 3 yrs
$8,512
1 fine
Last survey
2026-03-05
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Massachusetts Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-05 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-11-26 | Standard | 240 | CMS-2567 (Care Compare) | — |
| 2024-09-03 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2023-09-18 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Massachusetts Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 225179-20241126-F585
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 225179-20241126-F645
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 225179-20241126-F676
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 225179-20241126-F677
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-12-20Record 225179-20241126-F640
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-12-20Record 225179-20241126-F641
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-27Record 225179-20240903-F604
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-27Record 225179-20240903-F607
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 225179-20230918-F550
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 225179-20230918-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 225179-20230918-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 225179-20230918-F698
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-09-03 | Civil money penalty | $8,512 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.66
Facility
Massachusetts
National
Massachusetts 0.65 · National 0.69
Total nurse hours per resident day3.58
Facility
Massachusetts
National
Massachusetts 3.86 · National 3.86
Weekend total nurse hours3.22
Facility
Massachusetts
National
Massachusetts 3.48 · National 3.42
Total nursing staff turnover24%
Facility
Massachusetts
National
Massachusetts 38% · National 46%
Registered nurse turnover33%
Facility
Massachusetts
National
Massachusetts 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Massachusetts | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 26.5% | 21.4% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.8% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 19.9% | 16.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.4% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.3% | 19.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Castro, Michael Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | — | — |
| Raso, Steven Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | — | — |
| Solimine, Paul Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | — | — |
| Landmark Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cooper, Stephen Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Massachusetts.
No county cost figures on file for Middlesex.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Carlyle House Framingham | 0.7 mi | 2026-01-27 | 1114 |
| St Patrick's Manor Framingham | 1.2 mi | 2026-05-12 | 3123 |
| Bethany Skilled Nursing Facility Framingham | 1.5 mi | 2025-06-04 | 012 |
| Oak Knoll Rehabilitation And Healthcare Center Framingham | 3.3 mi | 2026-02-13 | 0112 |
| Eliot Center For Health And Rehabilitation Natick | 2.6 mi | 2026-06-09 | 2300 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |