Massachusetts › Middlesex County › Lexington
Pine Knoll Nursing Center
30 Watertown Street, Lexington, MA 02420
CMS abuse iconSpecial Focus Facility
Overallnot rated
Health inspectionnot rated
Staffingnot rated
Quality measuresnot rated
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.
Pine Knoll Nursing Center is a For-profit, corporation nursing home in Lexington, Massachusetts, certified for 81 beds and caring for about 69 residents a day.
CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.
Inspectors recorded 82 health deficiencies across the three most recent survey cycles (33, 14, 35 by cycle, most recent first), 12 of them at the actual-harm or immediate-jeopardy level. That is 101.2 per 100 beds, more than the state median of 21.7.
CMS lists 3 penalties in the period covered: fines totalling $454K.
Reported nurse staffing is 3.4 hours per resident per day (0.6 RN), close to the Massachusetts median of 3.7.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility.
82health deficiencies, 3 survey cycles12 at actual harm or worse
$454Kfines listed by CMS3 penalties in period
3.4nurse hours per resident per daystate median 3.7
86%occupancy (residents ÷ beds)69 residents a day
Compared with county, state and nation
| Measure | This facility | Middlesex Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | — | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 82 | 27 | 27 | 28.7 |
| Citations per 100 beds | 101.2 | 24.7 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | — | 33.0% | 37.7% | 45.8% |
| Fines listed | $454,052 | $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: 2 Mar 2026, 5 Sep 2025.
Severity mix: K ×5 G ×2 H ×5 D ×46 E ×10 F ×10 B ×4
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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Mar 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | K | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | H | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | H | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | H | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | 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. | E | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | 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. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | 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 | 29 Mar 2026 |
| 2 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | 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 | 29 Mar 2026 |
| 2 Mar 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 29 Mar 2026 |
| 2 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 29 Mar 2026 |
| 5 Sep 2025 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | 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. | D | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 25 Sep 2025 |
| 5 Sep 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 | 26 Sep 2025 |
| 5 Sep 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 25 Sep 2025 |
| 26 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Standard survey | 23 Oct 2024 |
| 26 Sep 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. | K | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | H | Standard survey | 24 Oct 2024 |
| 26 Sep 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 22 Oct 2024 |
| 26 Sep 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 22 Oct 2024 |
| 26 Sep 2024 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | F | Standard survey | 22 Oct 2024 |
| 26 Sep 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 22 Oct 2024 |
| 26 Sep 2024 | 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. | F | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 15 Nov 2024 |
| 26 Sep 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 15 Nov 2024 |
| 26 Sep 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 22 Oct 2024 |
| 26 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 15 Nov 2024 |
| 26 Sep 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. | E | Standard survey | 15 Nov 2024 |
| 26 Sep 2024 | 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. | E | Standard survey | 22 Oct 2024 |
| 26 Sep 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 22 Oct 2024 |
| 26 Sep 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 | Standard survey | 22 Oct 2024 |
| 26 Sep 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. | D | Standard survey | 22 Oct 2024 |
| 26 Sep 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 15 Nov 2024 |
| 26 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 Oct 2024 |
| 26 Sep 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 | 15 Nov 2024 |
| 26 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Oct 2024 |
| 26 Sep 2024 | 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. | D | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 23 Oct 2024 |
| 26 Sep 2024 | 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 limited. | D | Standard survey | 15 Nov 2024 |
| 26 Sep 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 22 Oct 2024 |
| 26 Sep 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 | 23 Oct 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 Mar 2026 | Fine | $213,005 | |
| 26 Sep 2024 | Fine | $219,077 | |
| 1 Sep 2023 | Fine | $21,970 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff —, RNs —; — administrators 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 | 1.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | 3.3% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.5% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 38.7% | 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: Long Term Centers Of Lexington Inc.
No organisations are listed in the CMS ownership record for this facility.
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 Pine Knoll Nursing Center been cited for?
82 health deficiencies across the three most recent survey cycles, 12 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Pine Knoll Nursing Center been fined?
Yes. CMS lists fines totalling $454K in the period covered.
How does staffing at Pine Knoll Nursing Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Pine Knoll Nursing Center?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Pine Knoll Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Mar 2026; the most recent standard health survey was 2 Mar 2026.
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.