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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMassachusettsCare One at Lexington

Care One at Lexington

178 Lowell Street, Lexington, MA 024207818627400
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
4/5
Beds
211
certified
1 fine(s) totaling $51,765

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 211 certified beds with an average of 139.3 residents per day (66% occupancy)

• Last health inspection found 22 deficiencies (inspected Dec 30, 2024)

• Has been fined a total of $51,765 across 1 fine(s)

• Total nursing staff: 3.73 hours per resident per day

• Staff turnover rate: 16.7%

• Part of the Careone chain (37 facilities)

Care One at Lexington is a 2-star Medicare and Medicaid certified nursing home in Lexington, Massachusetts with 211 certified beds. It has been operating since 1985. The facility scored below average compared to Massachusetts facilities.

Beds
211
Avg Residents/Day
139.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 24, 1985
Sprinklers
Yes
Council
Resident
County
Middlesex
Last Inspection
Dec 30, 2024
Deficiencies (Cycle 1)
22
Weighted Score
90.0
Infection Citations
0

Deficiency Citations (39)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0686Potential for Harm

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

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0844Minimal Harm

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0924Potential for Harm

Put firmly secured handrails on each side of hallways.

Survey: Dec 30, 2024Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jan 11, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jan 11, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Jan 11, 2024Corrected: NoCycle: 2
F0685Potential for Harm

Assist a resident in gaining access to vision and hearing services.

Survey: Jan 11, 2024Corrected: NoCycle: 2
F0692Potential for Harm

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

Survey: Jan 11, 2024Corrected: NoCycle: 2
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Jan 11, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jan 11, 2024Corrected: NoCycle: 2
F0825Potential for Harm

Provide or get specialized rehabilitative services as required for a resident.

Survey: Jan 11, 2024Corrected: NoCycle: 2

+ 9 more deficiencies

Total Fines
$51,765
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJan 11, 2024
$51,765

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.08 hrs
National avg: 2.35 hrs
LPN0.80 hrs
National avg: 0.86 hrs
RN0.85 hrs
National avg: 0.68 hrs
Total Nursing3.73 hrs
National avg: 3.89 hrs
Weekend Total3.39 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
16.7%
RN Turnover
28.6%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (8)

NameRoleTypeOwnership %Since
THCI OF MASSACHUSETTS, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AJul 1, 2003
CARE REALTY, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AApr 30, 2002
DES 2009 FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2021
STRAUS, DANIEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual55%Jul 1, 2003
STRAUS, MOSHAEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJul 1, 2003
HEALTHBRIDGE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 1, 2003
BARUCH, DAVIDCORPORATE OFFICERIndividualN/ADec 1, 2021
BARUCH, DAVIDW-2 MANAGING EMPLOYEEIndividualN/ADec 1, 2021

Nearby Nursing Homes

All Massachusetts facilities

Pine Knoll Nursing Center

Lexington, MA · 81 beds

Not Rated
For profit$241,047 in fines
Health
Not Rated
Staffing
Not Rated
Quality
Not Rated
1.6 mi

Brookhaven at Lexington

Lexington, MA · 49 beds

Non profit
Health
Staffing
Not Rated
Quality
2.6 mi

Frequently Asked Questions

What is the CMS rating for Care One at Lexington?▾
Care One at Lexington has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 4/5. This facility is rated below average.
Has Care One at Lexington had any health inspection violations?▾
Care One at Lexington had 22 deficiency citations in its most recent health inspection (Dec 30, 2024). The facility has been fined a total of $51,765 across 1 fine(s).
What are the staffing levels at Care One at Lexington?▾
Care One at Lexington provides 3.73 total nursing staff hours per resident per day, including 0.85 RN hours, 0.80 LPN hours, and 2.08 nurse aide hours. The total staff turnover rate is 16.7%.
How many beds does Care One at Lexington have?▾
Care One at Lexington has 211 certified beds with an average of 139.3 residents per day, resulting in approximately 66% occupancy. The facility is For profit - Limited Liability company owned and is part of the Careone chain.
Are there other nursing homes near Care One at Lexington?▾
Yes, there are 2 other nursing homes in Lexington, Massachusetts with an average rating of 3.5/5. You can compare all facilities on the Lexington nursing homes page.

Part of Careone

This chain operates 37 facilities. View all →