Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.66 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
CASA DE RAMANA REHABILITATION CENTER has 124 certified beds in FRAMINGHAM, Massachusetts. The CMS overall rating is 4 of 5, compared with the Massachusetts average of 3.0. The CMS health inspection rating is 4 of 5, compared with the Massachusetts average of 3.0. The CMS staffing rating is 4 of 5. The latest standard health survey on Mar 5, 2026 lists 0 deficiencies, compared with the Massachusetts average of 6.4. CMS records a fine of $8,512 dated Sep 3, 2024. Total nurse staffing is 3.58 hours per resident day in 2026Q1, compared with the Massachusetts average of 3.87.
Nearby facilities
- Bethany Skilled Nursing Facility FRAMINGHAM
- Carlyle House FRAMINGHAM
- OAK KNOLL REHABILITATION AND HEALTHCARE CENTER FRAMINGHAM
- St Patrick's Manor FRAMINGHAM
- ABERJONA REHABILITATION AND NURSING CENTER WINCHESTER
- ALLIANCE HEALTH AT MARIE ESTHER MARLBOROUGH
- AYER VALLEY REHAB AND NURSING AYER
- BEAR HILL HEALTHCARE AND REHABILITATION CENTER STONEHAM
- BEAUMONT REHAB & SKILLED NURSING CTR - NATICK NATICK
- BELMONT MANOR NURSING HOME, IN BELMONT
CMS nursing home
CASA DE RAMANA REHABILITATION CENTER
FRAMINGHAM, MA
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 225179.
At a glance
CMS research snapshot
CMS overall rating
4 of 5
CMS health inspection rating
4 of 5
CMS staffing rating
4 of 5
CMS quality-measure rating
3 of 5
CMS ownership-change history
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- CASTRO, MICHAELIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- CASTRO, MICHAELIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- RASO, STEVENIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- RASO, STEVENIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- SOLIMINE, PAULIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- SOLIMINE, PAULIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
Operators
- LANDMARKOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LANDMARKOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- LANDMARKOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- LANDMARKOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- LANDMARKOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Managers
- COOPER, STEPHENIndividual owner · CURRENTW-2 MANAGING EMPLOYEE0% ownership interest
- COOPER, STEPHENIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- COOPER, STEPHENIndividual owner · HISTORICALW-2 MANAGING EMPLOYEE0% ownership interest
- COOPER, STEPHENIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
- COOPER, STEPHENIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE0% ownership interest
Enrollment organizations
- BENTLEY CASA DE RAMANA LLCOrganization · CURRENTMedicare-enrolled legal organization
- BENTLEY CASA DE RAMANA LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
- CASTRO, MICHAELIndividual owner · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- RASO, STEVENIndividual owner · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- SOLIMINE, PAULIndividual owner · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- CASTRO, MICHAELIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- CASTRO, MICHAELIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- RASO, STEVENIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- RASO, STEVENIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- SOLIMINE, PAULIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
- SOLIMINE, PAULIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST33% ownership interest
Ownership change history
CMS ownership-change records
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2019-08-01.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- BENTLEY CASA DE RAMANA LLC
- Seller legal entity
- KD OPERATING LLC
- Effective date
- 2019-08-01
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 124
- Ownership descriptor
- For profit - Limited Liability company
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 5088728801Verified public information · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1417514977 · enrollment O20190617000836
- NPI 1417514977 · enrollment O20190617000836
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 99.726776
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 99.047619
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 2.732240 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 20.845921
- Percentage of long-stay residents who lose too much weight (Long Stay): 2.409639
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 15.294118
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 26.521739 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.819672
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 25.564715 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 19.932432 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.558659 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 25.767129
- Percentage of long-stay residents with pressure ulcers (Long Stay): 4.000937 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 95.073892
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 3.619910 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 97.500000
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2026-03-05 · tag 0321 · scope/severity F — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 2026-03-05 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
- 2026-03-05 · tag 0311 · scope/severity D — Have an enclosure around a vertical opening shaft.
- 2024-11-26 · tag 0041 · scope/severity F — Implement emergency and standby power systems.
- 2024-11-26 · tag 0211 · scope/severity F — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 2024-11-26 · tag 0291 · scope/severity F — Install emergency lighting that can last at least 1 1/2 hours.
- 2024-11-26 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
- 2023-09-18 · tag 0300 · scope/severity E — Meet other general requirements that are deficient.
- 2023-09-18 · tag 0351 · scope/severity E — Install an approved automatic sprinkler system.
- 2023-09-18 · tag 0372 · scope/severity E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 2023-09-18 · tag 0345 · scope/severity D — Have approved installation, maintenance and testing program for fire alarm systems.
- 2023-09-18 · tag 0353 · scope/severity D — Inspect, test, and maintain automatic sprinkler systems.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Mar 5, 2026 cited 0 deficiencies.
View inspection evidenceOwnership
CMS-published records list 11 ownership or control parties.
CMS records show an ownership change effective August 2019.
View ownership evidenceEnforcement record
CMS records show a $8,512 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - Limited Liability companyCMS
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- CMS reports 8 individual ownership interests
- recorded ownership-change events
Ownership
Who CMS records show is connected to this facility
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
- Reported party records
- 11
- Organizations shown
- 3
- Individuals shown
- 8
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
CASTRO, MICHAEL
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RASO, STEVEN
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SOLIMINE, PAUL
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LANDMARK
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across MA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
COOPER, STEPHEN
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Aug 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CASTRO, MICHAEL
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RASO, STEVEN
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SOLIMINE, PAUL
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LANDMARK
Organization · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 0%
Association date reported to CMS: Aug 1, 2019
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 0 across MA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
COOPER, STEPHEN
Individual · W-2 MANAGING EMPLOYEE
Published ownership percentage: 0%
Association date reported to CMS: Aug 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
BENTLEY CASA DE RAMANA LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across MA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Ownership changes reported in CMS enrollment records
- CHANGE OF OWNERSHIPKD OPERATING LLC to BENTLEY CASA DE RAMANA LLC
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Change of Ownership
- CMS dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS enrollment records show a change of ownership effective Aug 1, 2019. What operational or leadership changes followed that event?
Inspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Mar 5, 2026
- Survey type
- Fire Safety Standard
- Linked findings
- 0
- Highest linked CMS classification
- No linked health-deficiency finding in the loaded record
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:57923:ccn:225179
Mar 5, 2026 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Mar 5, 2026 — Health Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Nov 26, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Nov 26, 2024 — Health Standard — 6 linked findings
F0585 — 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 20, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160246:ccn:225179
F0640 — Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Dec 20, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160250:ccn:225179
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Dec 20, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160251:ccn:225179
F0645 — Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 20, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160247:ccn:225179
F0676 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 20, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160248:ccn:225179
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 20, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160249:ccn:225179
Sep 3, 2024 — Health Complaint — 2 linked findings
F0604 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 27, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160252:ccn:225179
F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 27, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160253:ccn:225179
Sep 18, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Sep 18, 2023 — Health Standard — 4 linked findings
F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 17, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160254:ccn:225179
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 17, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160255:ccn:225179
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 17, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160256:ccn:225179
F0698 — Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 17, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:160257:ccn:225179
Tags appearing across inspections
- F0677 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
Fine — Sep 3, 2024
Published fine amount: $8,512.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225179
- Source record locator
- csv-row:6088:ccn:225179
Questions to ask
Questions generated from the evidence above
- CMS records show F0677 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show a monetary penalty dated Sep 3, 2024. What changes were made after that enforcement action?
Facility history
Facility History
6 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
No major recent changes were identified in the available history.
2024
- Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
2 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
- Civil monetary penalty recorded
CMS recorded a $8,512 civil monetary penalty.
CMS · Recorded event date · View related evidence
2023
- Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2022
- Health inspection completed
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2019
- Ownership change recorded
An ownership change was recorded. New organization: BENTLEY CASA DE RAMANA LLC.
KD OPERATING LLC → BENTLEY CASA DE RAMANA LLC
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
- Total nursing
- 3.581 reported hours per resident day
- RN categories
- 0.662 reported hours per resident day
- LPN/LVN categories
- 0.98 reported hours per resident day
- CNA
- 1.939 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.73 | 3.216 |
| RN categories | 0.798 | 0.325 |
Contract staff accounted for 1.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.010 higher than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.743 | 0.67 | 1.014 | 2.059 | 0.5% | 91 |
| 2025Q3 | 3.596 | 0.655 | 0.937 | 2.004 | 0% | 92 |
| 2025Q4 | 3.589 | 0.651 | 0.943 | 1.994 | 0% | 92 |
| 2026Q1 | 3.581 | 0.662 | 0.98 | 1.939 | 1.3% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 4-star overall rating.
- CMS reports a 4-star health inspection rating.
- CMS reports a 4-star staffing rating.
- CMS reports a 3-star quality-measure rating.
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Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Penalties
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- g6vv-u9sr
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Penalties, enforcement, and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Change of Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
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