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Nursing Homes · Medicare certified

Pine Knoll Nursing Center

30 Watertown Street · Lexington, MA 02420 · 81 certified beds

(781) 862-8151

NPI 1730167990 (opens in a new tab)

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About Pine Knoll Nursing Center

Pine Knoll Nursing Center is a nursing home in Lexington, Massachusetts. Its capacity is 81 beds, below the Middlesex County median of 123 for nursing homes. It is run by a for-profit operator. It is Medicare certified. Its public inspection record shows 82 citations, the most recent on March 2, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.76 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

Special Focus Facility

CMS has placed this nursing home in its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. CMS inspects homes in the program more often. About the program.

Certification

Medicare-certified.

Ratings

CMS has not published a star rating for this nursing home. That usually follows a recent certification or a change of owner.

Inspection history (82)

Records from September 2024 to March 2026.

  • September 26, 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 October 22, 2024.

  • September 26, 2024

    Tag F0637

    Assess the resident when there is a significant change in condition.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 15, 2024.

  • September 26, 2024

    Tag F0686

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity K: pattern, immediate jeopardy. Corrected October 23, 2024.

  • September 26, 2024

    Tag F0838

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 23, 2024.

  • September 26, 2024

    Tag F0881

    Implement a program that monitors antibiotic use.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 15, 2024.

  • September 26, 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 October 23, 2024.

  • September 26, 2024

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 23, 2024.

  • September 26, 2024

    Tag F0583

    Keep residents' personal and medical records private and confidential.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 22, 2024.

  • September 26, 2024

    Tag F0684

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 15, 2024.

  • September 26, 2024

    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 October 22, 2024.

  • September 26, 2024

    Tag F0725

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 22, 2024.

  • September 26, 2024

    Tag F0740

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 23, 2024.

  • September 26, 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 E: pattern, no actual harm, potential for more than minimal harm. Corrected November 15, 2024.

  • September 26, 2024

    Tag F0692

    Provide enough food/fluids to maintain a resident's health.

    Severity G: isolated, actual harm. Corrected October 23, 2024.

  • September 26, 2024

    Tag F0758

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 15, 2024.

  • September 26, 2024

    Tag F0690

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 23, 2024.

  • September 26, 2024

    Tag F0849

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 22, 2024.

  • September 26, 2024

    Tag F0940

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 23, 2024.

  • September 26, 2024

    Tag F0730

    Observe each nurse aide's job performance and give regular training.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 22, 2024.

  • September 26, 2024

    Tag F0835

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Severity K: pattern, immediate jeopardy. Corrected October 23, 2024.

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

Penalties (3)

Total fines: $568,747

  • March 2, 2026 · Fine

    CMS recorded a civil money penalty of $327,700 against this nursing home on March 2, 2026.

  • September 26, 2024 · Fine

    CMS recorded a civil money penalty of $219,077 against this nursing home on September 26, 2024.

  • September 1, 2023 · Fine

    CMS recorded a civil money penalty of $21,970 against this nursing home on September 1, 2023.

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

Staffing

3.76 nurse hours per resident per day in Q2 2026, up from 3.39 in Q1 2026.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Corporation

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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Pine Knoll Nursing Center in Lexington, MA · Inspections page 4 · ElderCareCosts