IMO, things like a good ORM(or ODM) are still way too far off in NodeJS. I am aware of mogooseJS, but it is very far from the power provided by ActiveRecord and Mongoid.
Also mocha is powerful, but if you have a look at capybara and rspec, they are much more powerful and friendly.
The final thing in my opinion is the speed of development. With rails you go to devise, and you have authentication. I am aware of the presence of a similar authentication system for nodeJS but I am not very sure if that works with mongoose js and is as extensible as devise is. And then there is the rails console, which makes trying out things real easy and fun.