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B
Good

CASA DE RAMANA REHABILITATION CENTER

485 FRANKLIN STREET · FRAMINGHAM, MA 01702

5088728801 · For profit - Limited Liability company

124 beds106.5 residents154 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CASA DE RAMANA REHABILITATION CENTER receives an overall staffing grade of B (Good). With 3.5971 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6545 HPRD, below the recommended 0.75. It is 0.30 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.78% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6545 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.5971hrs/resident/day▼ 0.30
CMS benchmark: 3.48
RN HPRD
0.6545hrs/resident/day▼ 0.03
Recommended: 0.75
Weekend Drop-off
12.78%
3.7319 weekday → 3.2549 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0049hrs/resident/day
Direct care aides
LPN HPRD
0.9378hrs/resident/day
Licensed practical nurses
Consistency
0.2685std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Middlesex County Average-0.38 HPRD
3.98
03.60 HPRD
vs. Massachusetts State Average-0.27 HPRD
3.87
03.60 HPRD
vs. National Average-0.30 HPRD
3.90
03.60 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CASA DE RAMANA REHABILITATION CENTER ★
FRAMINGHAM · This facility
—
B
3.59710.6545★★★★☆
ST PATRICK'S MANOR
FRAMINGHAM
1.2 mi
C
3.64750.549★★☆☆☆
ADVINIACARE NEWTON WELLESLEY
WELLESLEY
6.8 mi
C
3.60260.527★★☆☆☆
RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE
MARLBOROUGH
7.9 mi
B
3.88550.6124★★★☆☆
ELIZABETH SETON
WELLESLEY
8.6 mi
C
4.07310.5316★★★★★
MARLBOROUGH HILLS REHABILITATION & HLTH CARE CTR
MARLBOROUGH
8.7 mi
D
3.32750.3356★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
20
Total Deficiencies
$8,512
Fines Assessed
Nov 26, 2024Health
6 deficiencies cited
▼
Sep 3, 2024Health
2 deficiencies cited· Includes actual harm
▼
Sep 18, 2023Health
4 deficiencies cited
▼
Mar 21, 2022Health
8 deficiencies cited
▼

Penalty History

Sep 3, 2024Fine
$8,512
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.