Massachusetts › Middlesex County › Lexington
Care One At Lexington
178 Lowell Street, Lexington, MA 02420
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Care One At Lexington is a For-profit, corporation nursing home in Lexington, Massachusetts, certified for 211 beds and caring for about 157 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Massachusetts median; the health inspection rating is 2, staffing 4 and quality measures 5.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (8, 22, 11 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 19.4 per 100 beds, about the same as the state median of 21.7.
CMS lists 1 penalty in the period covered: fines totalling $52K.
Reported nurse staffing is 3.6 hours per resident per day (0.8 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 13.0%.
Compared with county, state and nation
| Measure | This facility | Middlesex Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 41 | 27 | 27 | 28.7 |
| Citations per 100 beds | 19.4 | 24.7 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 0.8 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 13.0% | 33.0% | 37.7% | 45.8% |
| Fines listed | $51,765 | $8,512 | $0 | — |
County and state figures are medians across facilities (72 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Dec 2025, 30 Dec 2024.
Severity mix: G ×1 D ×31 E ×7 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Dec 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 19 Jan 2026 |
| 24 Dec 2025 | 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. | E | Standard survey | 19 Jan 2026 |
| 24 Dec 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 19 Jan 2026 |
| 24 Dec 2025 | 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. | D | Standard survey | 19 Jan 2026 |
| 24 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 19 Jan 2026 |
| 24 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 19 Jan 2026 |
| 24 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 19 Jan 2026 |
| 24 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 19 Jan 2026 |
| 30 Dec 2024 | 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. | E | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0924 | Put firmly secured handrails on each side of hallways. | E | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | 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. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | 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. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 3 Feb 2025 |
| 30 Dec 2024 | F0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | B | Standard survey | 3 Feb 2025 |
| 11 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 6 Feb 2024 |
| 11 Jan 2024 | 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. | D | Complaint investigation | 6 Nov 2023 |
| 11 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 6 Feb 2024 |
| 11 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Feb 2024 |
| 11 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Feb 2024 |
| 11 Jan 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 6 Feb 2024 |
| 11 Jan 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 6 Feb 2024 |
| 11 Jan 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 6 Feb 2024 |
| 11 Jan 2024 | 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. | D | Standard survey | 6 Feb 2024 |
| 11 Jan 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 6 Feb 2024 |
| 11 Jan 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 6 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Jan 2024 | Fine | $51,765 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 13.0%, RNs 23.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.6% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.3% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.4% | 19.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: 178 Lowell Street Operating Company, Llc. Chain: Careone (37 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Thci of Massachusetts, LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 07/01/2003 |
| Care Realty, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/30/2002 |
| Des-I 2016 Grat | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 12/01/2021 |
| Healthbridge Management LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2003 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Middlesex County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberjona Rehabilitation and Nursing Center | Winchester | 123 | 5 | 5 | 4 | 6 | 4.9 | — | 15 May 2024 |
| Bear Hill Healthcare and Rehabilitation Center | Stoneham | 169 | 5 | 4 | 3 | 27 | 16.0 | $16K | 15 Jan 2026 |
| Bethany Skilled Nursing Facility | Framingham | 169 | 5 | 5 | 5 | 4 | 2.4 | $9K | 26 Sep 2024 |
| Brookhaven At Lexington | Lexington | 49 | 5 | 5 | — | 4 | 8.2 | — | 22 Oct 2024 |
| Campion Health & Wellness, Inc | Weston | 70 | 5 | 5 | 5 | 1 | 1.4 | — | 12 Apr 2023 |
| Care One At Wilmington | Wilmington | 132 | 5 | 5 | 3 | 4 | 3.0 | — | 31 Jul 2025 |
| Carleton-Willard Village Retirement & Nursing Ctr | Bedford | 179 | 5 | 3 | 5 | 11 | 6.1 | $25K | 10 Jun 2025 |
| D'Youville Care For Advanced Therapy | Lowell | 33 | 5 | 5 | 4 | 5 | 15.2 | — | 9 Apr 2024 |
All 72 facilities in Middlesex County
Questions and answers
How many deficiencies has Care One At Lexington been cited for?
41 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Care One At Lexington been fined?
Yes. CMS lists fines totalling $52K in the period covered.
How does staffing at Care One At Lexington compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Care One At Lexington?
It is part of the Careone chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Thci of Massachusetts, LLC, Care Realty, LLC and Des-I 2016 Grat. Individual owners and managers are not listed on this site.
When was Care One At Lexington last inspected?
The most recent survey or investigation in the CMS record is dated 24 Dec 2025; the most recent standard health survey was 24 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.