Nursing Homes · Medicare certified
Care One at Lexington
178 Lowell Street · Lexington, MA 02420 · 211 certified beds
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About Care One at Lexington
Care One at Lexington is a nursing home in Lexington, Massachusetts. Its capacity is 211 beds, above the Middlesex County median of 123 for nursing homes. It is run by a for-profit operator and is part of Careone. It is Medicare certified. Its public inspection record shows 41 citations, the most recent on December 24, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.74 hours per resident per day. It is one of 3 nursing homes listed in Lexington. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
4.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (41)
Records from January 2024 to December 2025.
December 24, 2025
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 19, 2026.
December 24, 2025
Tag F0576Ensure residents have reasonable access to and privacy in their use of communication methods.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 19, 2026.
December 24, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 19, 2026.
December 24, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 19, 2026.
December 24, 2025
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 19, 2026.
December 24, 2025
Tag F0585Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 19, 2026.
December 24, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 19, 2026.
December 24, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 19, 2026.
December 30, 2024
Tag F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0732Post nurse staffing information every day.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
Penalties (1)
Total fines: $51,765
January 11, 2024 · Fine
CMS recorded a civil money penalty of $51,765 against this nursing home on January 11, 2024.
Staffing
3.74 nurse hours per resident per day in Q2 2026, up from 3.54 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Careone, a chain of 37 nursing homes.
Average CMS star ratings across the chain: 3.5 overall, 3.0 for health inspections, 3.5 for staffing, 4.5 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Massachusetts.
Nearby alternatives
Other licensed providers in Lexington.
Pine Knoll Nursing Center
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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