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BENTLEY CASA DE RAMANA LLC

FRAMINGHAM, MA · Middlesex County · For profit - Limited Liability company · 124 certified beds

📍 485 Franklin Street, Framingham, MA 01702  ·  📞 (508) 872-8801

Medicare ID: 225179  ·  Last Medicare inspection: Nov 26, 2024

Overall Safety Score
69
out of 100
Fair
Component Scores
77
Inspection
57
Staffing
52
Enforcement
✓ None
Complaints
60
Quality
📋 Last inspected: November 26, 2024 📦 CMS data as of: May 2026

Score Breakdown

Inspection
77
Staffing
57
Enforcement
52
Complaints
100
Quality Outcomes
60

What the numbers mean

BENTLEY CASA DE RAMANA LLC scored 69 out of 100 — near the state average.

📋 Inspections: 12 citations over the last 36 months — 12 fewer than the state average (24). 1 was rated serious (G+) — an inspector determined it caused or risked harm to a resident. 1 finding recurred across inspection cycles — indicating a problem that was not fixed.

⚠️ Staffing: Staffing levels are below average. Lower staffing is associated with longer response times, more pressure injuries, and higher hospitalization rates. Ask the facility directly about their RN-to-resident ratio and how they handle shortfalls.

⚠️ Penalties & enforcement: CMS has recorded 1 enforcement action totaling $8,512 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.

💬 Complaints: Low complaint activity — few formal complaints from residents or families have triggered inspections. Ask if there is a family council you can speak with.

📊 Resident quality outcomes: Quality outcome measures are in an acceptable range. Some measures are at or near national benchmarks. Review the quality section in the full report for specifics.

What inspectors found (last 3 surveys)

12
Total citations
State avg: 24
1
Serious (G+)
State avg: 1.3
1
Repeat findings

Top concern areas

12

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

$8,512
Total federal fines
1
Enforcement action

⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.

📋 Enforcement Context Analysis
📊
Enforcement score: 52/100 — 14 points below the state average of 66/100 — worse than most comparable facilities. A score below 70 indicates a meaningful enforcement history that warrants direct conversation with facility management.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
0.5% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
23.3% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
23.7% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
9.1% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.
🔒 Full breakdown — 4 of 21 total measures shown
Premium unlocks all quality measures, quarterly trends, hospitalization rates, and how this facility compares to others in the state.
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Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

See every citation, score history, ownership, and get monthly alerts

Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

Watch this facility — $14.99/yr Family plan — 3 facilities for $29.99/yr

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 3, 2026.