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Nursing Homes · Medicare certified

Care One at Lexington

178 Lowell Street · Lexington, MA 02420 · 211 certified beds

(617) 901-8365

NPI 1528066396 (opens in a new tab)

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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

3.0

Staffing

4.0

Quality measures

5.0

CMS Care Compare, October 2026.

Inspection history (41)

Records from January 2024 to December 2025.

  • December 24, 2025

    Tag F0584

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 19, 2026.

  • December 24, 2025

    Tag F0576

    Ensure 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 F0689

    Ensure 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 F0812

    Procure 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 F0558

    Reasonably 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 F0585

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 19, 2026.

  • December 24, 2025

    Tag F0842

    Safeguard 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 F0658

    Ensure 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 F0806

    Ensure 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 F0812

    Procure 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 F0695

    Provide 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 F0658

    Ensure 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 F0550

    Honor 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 F0844

    Follow 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 F0880

    Provide 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 F0641

    Ensure 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 F0732

    Post nurse staffing information every day.

    Severity C: widespread, no actual harm, potential for minimal harm. Corrected February 3, 2025.

  • December 30, 2024

    Tag F0755

    Provide 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 F0686

    Provide 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 F0726

    Ensure 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.

See the source data on data.cms.gov (opens in a new tab)

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.

See the source data on data.cms.gov (opens in a new tab)

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.

Nursing Homes

Massachusetts median$14,448/mo

Nearby alternatives

Other licensed providers in Lexington.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Care One at Lexington in Lexington, MA · ElderCareCosts