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 30, 2024
Tag F0770Provide timely, quality laboratory services/tests to meet the needs of residents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
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 February 3, 2025.
December 30, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0924Put firmly secured handrails on each side of hallways.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
December 30, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 3, 2025.
January 11, 2024
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 February 6, 2024.
January 11, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.
January 11, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.
January 11, 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 6, 2024.
January 11, 2024
Tag F0825Provide or get specialized rehabilitative services as required for a resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.
January 11, 2024
Tag F0685Assist a resident in gaining access to vision and hearing services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.
January 11, 2024
Tag F0699Provide care or services that was trauma informed and/or culturally competent.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.
January 11, 2024
Tag F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.
January 11, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.
January 11, 2024
Tag F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.
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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