CASA DE RAMANA REHABILITATION CENTER

πŸ“ 485 FRANKLIN STREET, framingham, MA 01702 πŸ“ž 5088728801 πŸ›οΈ 124 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐⭐⭐
5/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

91
Total Violations
7 years of data
$111,603
Total Fines
7 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 4 violations

Tag 0550 D Sep 18, 2023

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

βœ“ Corrected: Oct 17, 2023
Tag 0677 D Sep 18, 2023

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

βœ“ Corrected: Oct 17, 2023
Tag 0689 D Sep 18, 2023

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

βœ“ Corrected: Oct 17, 2023
Tag 0698 D Sep 18, 2023

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

βœ“ Corrected: Oct 17, 2023

2022 8 violations

Tag 0584 D Mar 21, 2022

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.

βœ“ Corrected: May 2, 2022
Tag 0609 D Mar 21, 2022

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

βœ“ Corrected: May 2, 2022
Tag 0623 B Mar 21, 2022

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

βœ“ Corrected: May 2, 2022
Tag 0625 B Mar 21, 2022

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.

βœ“ Corrected: May 2, 2022
Tag 0693 D Mar 21, 2022

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.

βœ“ Corrected: May 2, 2022
Tag 0812 F Mar 21, 2022

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

βœ“ Corrected: May 2, 2022
Tag 0842 D Mar 21, 2022

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

βœ“ Corrected: May 2, 2022
Tag 0880 D Mar 21, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 2, 2022

2021 1 violations

Tag 0880 E Jan 12, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 29, 2021

2020 1 violations

Tag 0880 D Jul 8, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 14, 2020

2019 19 violations

Tag 0550 D Aug 16, 2019

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

βœ“ Corrected: Sep 30, 2019
Tag 0552 D Aug 16, 2019

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Sep 30, 2019
Tag 0558 D Aug 16, 2019

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Sep 30, 2019
Tag 0656 D Aug 16, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Sep 30, 2019
Tag 0657 D Aug 16, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 30, 2019
Tag 0658 D Aug 16, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Sep 30, 2019
Tag 0677 D Aug 16, 2019

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

βœ“ Corrected: Sep 30, 2019
Tag 0689 D Aug 16, 2019

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

βœ“ Corrected: Sep 30, 2019
Tag 0692 D Aug 16, 2019

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Sep 30, 2019
Tag 0730 D Aug 16, 2019

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Sep 30, 2019
Tag 0742 D Aug 16, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

βœ“ Corrected: Sep 30, 2019
Tag 0761 D Aug 16, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Sep 30, 2019
Tag 0801 D Aug 16, 2019

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

βœ“ Corrected: Sep 30, 2019
Tag 0812 F Aug 16, 2019

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

βœ“ Corrected: Sep 30, 2019
Tag 0842 D Aug 16, 2019

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

βœ“ Corrected: Sep 30, 2019
Tag 0600 D Feb 14, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Mar 15, 2019
Tag 0607 D Feb 14, 2019

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

βœ“ Corrected: Mar 15, 2019
Tag 0609 D Feb 14, 2019

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

βœ“ Corrected: Mar 15, 2019
Tag 0610 D Feb 14, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Mar 15, 2019

2018 38 violations

Tag 0550 H Dec 7, 2018

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

βœ“ Corrected: Mar 15, 2019
Tag 0607 D Dec 7, 2018

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

βœ“ Corrected: Mar 15, 2019
Tag 0655 D Dec 7, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Mar 15, 2019
Tag 0657 D Dec 7, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Mar 15, 2019
Tag 0842 D Dec 7, 2018

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

βœ“ Corrected: Mar 15, 2019
Tag 0552 D Jun 28, 2018

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Aug 8, 2018
Tag 0558 E Jun 28, 2018

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Aug 8, 2018
Tag 0576 E Jun 28, 2018

Ensure residents have reasonable access to and privacy in their use of communication methods.

βœ“ Corrected: Aug 8, 2018
Tag 0580 D Jun 28, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Aug 8, 2018
Tag 0582 B Jun 28, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Aug 8, 2018
Tag 0584 D Jun 28, 2018

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.

βœ“ Corrected: Aug 8, 2018
Tag 0610 E Jun 28, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 8, 2018
Tag 0645 D Jun 28, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Aug 8, 2018
Tag 0656 E Jun 28, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Aug 8, 2018
Tag 0658 D Jun 28, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Aug 8, 2018
Tag 0675 D Jun 28, 2018

Honor each resident's preferences, choices, values and beliefs.

βœ“ Corrected: Aug 8, 2018
Tag 0677 D Jun 28, 2018

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

βœ“ Corrected: Aug 8, 2018
Tag 0679 E Jun 28, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Aug 8, 2018
Tag 0685 D Jun 28, 2018

Assist a resident in gaining access to vision and hearing services.

βœ“ Corrected: Aug 8, 2018
Tag 0688 D Jun 28, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Aug 8, 2018

2017 20 violations

Tag 0157 D Apr 26, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jun 1, 2017
Tag 0164 D Apr 26, 2017

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Jun 1, 2017
Tag 0241 D Apr 26, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Jun 1, 2017
Tag 0253 D Apr 26, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: Jun 1, 2017
Tag 0274 D Apr 26, 2017

Review or revise the resident's care plan after any major change in physical or mental health.

βœ“ Corrected: Jun 1, 2017
Tag 0278 E Apr 26, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Jun 1, 2017
Tag 0279 D Apr 26, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 1, 2017
Tag 0281 E Apr 26, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jun 1, 2017
Tag 0282 D Apr 26, 2017

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Jun 1, 2017
Tag 0309 D Apr 26, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jun 1, 2017
Tag 0323 E Apr 26, 2017

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

βœ“ Corrected: Jun 1, 2017
Tag 0328 D Apr 26, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

βœ“ Corrected: Jun 1, 2017
Tag 0329 D Apr 26, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Jun 1, 2017
Tag 0332 D Apr 26, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

βœ“ Corrected: Jun 1, 2017
Tag 0412 D Apr 26, 2017

Provide or obtain dental services for each resident.

βœ“ Corrected: Jun 1, 2017
Tag 0425 D Apr 26, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Jun 1, 2017
Tag 0431 D Apr 26, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Jun 1, 2017
Tag 0441 D Apr 26, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Jun 1, 2017
Tag 0514 E Apr 26, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Jun 1, 2017
Tag 0323 D Apr 5, 2017

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

βœ“ Corrected: Jun 5, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 3 penalties totaling $12,711

$1,645
Fine
April 4, 2022
$9,750
Fine
March 21, 2022
$1,316
Fine
January 17, 2022
Average: $4,237 | Range: $1,316 - $9,750

2021 3 penalties totaling $7,215

$983
Fine
April 12, 2021
$975
Fine
April 5, 2021
$5,257
Fine
January 12, 2021
Average: $2,405 | Range: $975 - $5,257

2018 1 penalties totaling $91,677

$91,677
Fine
December 7, 2018
Average: $91,677 | Range: $91,677 - $91,677

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

September 18, 2023
0.00

Health

March 21, 2022
0.00

Health

January 12, 2021
0.00

Health

August 16, 2019
0.00

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Ownership Information

For profit - Partnership
Independent (Not part of a chain)
225179
225179
5088728801
Middlesex

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual