nursing home in Lexington, MA
Care One at Lexington
178 Lowell Street, Lexington, MA 02420 · (617) 901-8365
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Care One at Lexington at a glance
Care One at Lexington is a 211-bed for-profit nursing home in Lexington, Massachusetts (Middlesex County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Massachusetts average of 3.
Residents receive about 3.6 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (December 24, 2025) found 8 health citations. The Massachusetts average is 6.8.
Federal regulators fined it 1 time in the past three years, totaling $51,765.
Nursing staff turnover is 13% per year (state average 38.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 211
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Careone
- Medicare-certified since
- July 24, 1985
- Resident/family council
- Resident
- County
- Middlesex County
- CMS Certification Number
- 225288
Ratings
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.55 hrs | 3.86 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.79 hrs | 0.65 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.09 hrs | 2.25 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.31 hrs | 3.48 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 13% | 38.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 23.3% | 42.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 61 | 51.8 | 80.6 | Better |
Penalties
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $51,765 | $34,265 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 211 | 120 | 107 | |
| Average residents per day | 157 | 99 | 86 | |
| Occupancy | 74.5% | 82.1% | 80.9% |
Long-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.6% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 30.4% | 21.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 1.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.6% | 16.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 15.3% | 15.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.6% | 15.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9.9% | 19.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.3% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.6% | 94.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.1% | 92.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.6% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 81.7% | 77.7% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.9% | 78.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 41 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 24, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 5, 2026 |
| December 24, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 5, 2026 |
| December 24, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 5, 2026 |
| December 24, 2025 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | E Potential harm, pattern | Corrected January 19, 2026 |
| December 24, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected January 19, 2026 |
| December 24, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected January 19, 2026 |
| December 24, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected January 19, 2026 |
| December 24, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected January 19, 2026 |
| December 24, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 19, 2026 |
| December 24, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 19, 2026 |
| December 24, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected January 19, 2026 |
| December 30, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 10, 2025 |
| December 30, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected February 10, 2025 |
| December 30, 2024 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected February 10, 2025 |
| December 30, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected February 10, 2025 |
| December 30, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected February 10, 2025 |
| December 30, 2024 Fire safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927 | F Potential harm, widespread | Corrected February 10, 2025 |
| December 30, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected February 10, 2025 |
| December 30, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected February 10, 2025 |
| December 30, 2024 Standard | Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Tag F0924 | E Potential harm, pattern | Corrected February 3, 2025 |
| December 30, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected February 3, 2025 |
| December 30, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 3, 2025 |
| December 30, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 3, 2025 |
| December 30, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected February 3, 2025 |
| December 30, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected February 3, 2025 |
| December 30, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected February 3, 2025 |
| December 30, 2024 Standard | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Administration Deficiencies · Tag F0844 | B No harm, pattern | Corrected February 3, 2025 |
| January 11, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected February 5, 2024 |
| January 11, 2024 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | E Potential harm, pattern | Corrected February 5, 2024 |
| January 11, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected February 6, 2024 |
| January 11, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 6, 2024 |
| January 11, 2024 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected February 6, 2024 |
| January 11, 2024 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected February 6, 2024 |
| January 11, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 6, 2024 |
| January 11, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected February 6, 2024 |
| January 11, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 6, 2024 |
| January 11, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected November 6, 2023 |
| January 11, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected February 6, 2024 |
| January 11, 2024 Standard | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected February 6, 2024 |
| January 11, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected February 6, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $51,765 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 11, 2024 | Fine | $51,765 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| THCI OF MASSACHUSETTS, LLC Organization | 5% or greater direct ownership interest | — | 07/01/2003 |
| CARE REALTY, LLC Organization | 5% or greater indirect ownership interest | — | 04/30/2002 |
| DES-I 2016 GRAT Organization | 5% or greater indirect ownership interest | — | 12/01/2021 |
| STRAUS, DANIEL Individual | 5% or greater indirect ownership interest | 55% | 07/01/2003 |
| STRAUS, MOSHAEL Individual | 5% or greater indirect ownership interest | — | 07/01/2003 |
| BARUCH, DAVID Individual | corporate officer | NOT APPLICABLE | 12/01/2021 |
| HEALTHBRIDGE MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2003 |
| BARUCH, DAVID Individual | w-2 managing employee | NOT APPLICABLE | 12/01/2021 |
Other nursing homes near Care One at Lexington
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★★★★★1Much below averageMeadow Green Nursing and Rehabilitation Center
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★★★★★1Much below averagePine Knoll Nursing Center
30 Watertown Street, Lexington, MA 02420 · 1.6 mi
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- Special Focus Facility
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Not ratedWinchester Rehabilitation and Nursing Center
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- CMS high performer
★★★★★5Much above averageAberjona Rehabilitation and Nursing Center
184 Swanton Street, #1998, Winchester, MA 01890 · 2.5 mi
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★★★★★5Much above average- ★★★★★5Much above average
Frequently asked questions
What is Care One at Lexington's rating?
Care One at Lexington has 3 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.
How many inspection citations did Care One at Lexington receive?
Its most recent standard health inspection found 8 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.
Does Care One at Lexington accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Care One at Lexington?
It is for profit - corporation and part of Careone. The ownership section on this page lists the owners and managers reported to CMS.
Where is Care One at Lexington and how do I contact it?
Care One at Lexington is at 178 Lowell Street, Lexington, MA 02420. Phone: (617) 901-8365.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.