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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 30, 2024

    Tag F0770

    Provide 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 F0684

    Provide 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 F0756

    Ensure 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 F0842

    Safeguard 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 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 February 3, 2025.

  • December 30, 2024

    Tag F0656

    Develop 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 F0761

    Ensure 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 F0924

    Put 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 F0677

    Provide 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 F0760

    Ensure 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 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 February 6, 2024.

  • January 11, 2024

    Tag F0677

    Provide 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 F0692

    Provide 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 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 6, 2024.

  • January 11, 2024

    Tag F0825

    Provide 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 F0685

    Assist 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 F0699

    Provide 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 F0578

    Honor 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 F0684

    Provide 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 F0761

    Ensure 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.

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 · Inspections page 2 · ElderCareCosts