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Medicare-certifiedSkilled Nursing

Care One at Lexington

Lexington, MassachusettsMedicare inspection record
(617) 901-8365

About Care One at Lexington

CARE ONE AT LEXINGTON provides skilled nursing and rehabilitation services for Massachusetts residents who need specialized medical care and recovery support. Our team delivers compassionate treatment plans tailored to each individual's healing goals.

Community at a glance

Capacity

211 residents

Location

Lexington, MA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

178 LOWELL STREET, Lexington, Massachusetts 02420

(617) 901-8365

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on December 24, 2025, state inspectors cited 8 health deficiencies (the Massachusetts average is 6.8).

Nurses and nurse aides spend 3 hours 33 minutes with each resident a day, below the Massachusetts average of 3 hours 52 minutes.

Medicare fined Care One at Lexington once in the last three years, $51,765 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 33 minutesBelow the Massachusetts average
Registered nurse time per resident, per day48 minutesAbove the Massachusetts average
Nursing staff who left in the past year13%Below the Massachusetts average

1 administrator has left the home in the past year.

Inspections

41 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

December 24, 2025 · Standard inspection · 8 citations

  • Ensure residents have reasonable access to and privacy in their use of communication methods.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jan 19, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jan 19, 2026
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 19, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jan 19, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 19, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 19, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 19, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 19, 2026

December 30, 2024 · Standard inspection · 22 citations

  • Put firmly secured handrails on each side of hallways.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Feb 3, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 3, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 3, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 3, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 3, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 3, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 3, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 3, 2025
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 3, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 3, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 3, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 3, 2025
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 3, 2025
  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Feb 3, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 3, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 3, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 3, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 3, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 3, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Feb 3, 2025
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Feb 3, 2025
  • Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

    Minimal harm or risk, a pattern (level B)AdministrationCorrected Feb 3, 2025
January 11, 2024 · Standard inspection · 10 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 6, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 6, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 6, 2024
  • Provide or get specialized rehabilitative services as required for a resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 6, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 6, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 6, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 6, 2024
  • Provide care or services that was trauma informed and/or culturally competent.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 6, 2024
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 6, 2024
  • Assist a resident in gaining access to vision and hearing services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 6, 2024
January 11, 2024 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintAlready fixed by Nov 6, 2023

Fines and payment denials

1 fine totaling $51,765 in the last three years.

  • January 11, 2024Fine: $51,765

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
178 Lowell Street Operating Company, LLC
Medicare-certified beds
211
Average residents per day
157
Accepts
Medicare and Medicaid
First certified
July 24, 1985
Part of a chain
Careone, 37 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
225288

Location

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178 LOWELL STREETLexington, MA 02420

12 other communities within 10 miles

Senior living near Lexington

Questions about Care One at Lexington

How did Care One at Lexington do on its last inspection?+

State inspectors visited on December 24, 2025 and cited 8 health deficiencies. The Massachusetts average is 6.8.

How much nursing care does each resident get at Care One at Lexington?+

Nurses and aides spend 3 hours 33 minutes with each resident per day, including 48 minutes from registered nurses. 13% of nursing staff left over the past year.

Has Care One at Lexington been fined by Medicare?+

Yes. Medicare fined Care One at Lexington once in the last three years, totaling $51,765.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Lexington Skilled Nursing in Massachusetts Skilled Nursing guide Information last updated October 2026