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HomeMassachusettsCare One at Lexington

Care One at Lexington

178 Lowell Street, Lexington, MA 024206179018365WebsiteGoogle Maps
3.3on Google(78 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
4/5
Quality
5/5
Beds
211
certified
1 fine(s) totaling $51,765

How Care One at Lexington Compares in Massachusetts

Facility results compared with averages for CMS-certified nursing homes in Massachusetts. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
3/5
MA average
3.0/5
Close to state average
Health inspection rating
2/5
MA average
3.0/5
Below state average
Staffing rating
4/5
MA average
3.1/5
Above state average
Nursing hours per resident
3.55 hrs/day
MA average
3.87 hrs/day
Below state average
RN hours per resident
0.79 hrs/day
MA average
0.65 hrs/day
Above state average
Staff turnover
13.0%
MA average
38.2%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 health inspection rating is below the Massachusetts average of 3.0/5.
Reported nursing time is 3.55 hours per resident per day, below the state average of 3.87.
Reported RN time is 0.79 hours per resident per day, above the state average of 0.65.
Staff turnover is 13.0%, lower than the Massachusetts average of 38.2%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
24
deficiency citations
Inspected Dec 30, 2024
Most recent cycle
8
deficiency citations
Inspected Dec 24, 2025
The most recent cycle recorded 16 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$14,296/mo
Massachusetts median
Private Room
$15,189/mo
Massachusetts median
Middlesex County 65+
255,404
15.7% of county
County Population
1,623,109
Middlesex County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Care One at Lexington is a 3-star Medicare and Medicaid certified nursing home in Lexington, Massachusetts with 211 certified beds. It has been operating since 1985. Its overall CMS rating is 3 out of 5.

Beds
211
Avg Residents/Day
157.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 24, 1985
Sprinklers
Yes
Council
Resident
County
Middlesex
Last Inspection
Dec 24, 2025
Deficiencies (Cycle 1)
8
Weighted Score
61.0
Infection Citations
0

Deficiency Citations (41)

F0576Potential for Harm

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

Survey: Dec 24, 2025Corrected: 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 24, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 24, 2025Corrected: 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 24, 2025Corrected: 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 24, 2025Corrected: 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: 2
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: 2
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: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 30, 2024Corrected: NoCycle: 2
F0924Potential for Harm

Put firmly secured handrails on each side of hallways.

Survey: Dec 30, 2024Corrected: NoCycle: 2
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: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 30, 2024Corrected: NoCycle: 2
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: 2
F0658Potential for Harm

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

Survey: Dec 30, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Dec 30, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Dec 30, 2024Corrected: NoCycle: 2
F0686Potential for Harm

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

Survey: Dec 30, 2024Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Dec 30, 2024Corrected: NoCycle: 2
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: 2
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: 2
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: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Dec 30, 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: Dec 30, 2024Corrected: NoCycle: 2
F0770Potential for Harm

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

Survey: Dec 30, 2024Corrected: NoCycle: 2
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: 2
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Dec 30, 2024Corrected: NoCycle: 2
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: 2

+ 11 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 Aide2.09 hrs
National avg: 2.32 hrs
LPN0.67 hrs
National avg: 0.86 hrs
RN0.79 hrs
National avg: 0.69 hrs
Total Nursing3.55 hrs
National avg: 3.86 hrs
Weekend Total3.31 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
13.0%
RN Turnover
23.3%
Administrators Left
1

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

Ownership Type
For profit - Corporation
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-I 2016 GRAT5% 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
BARUCH, DAVIDW-2 MANAGING EMPLOYEEIndividualN/ADec 1, 2021
BARUCH, DAVIDCORPORATE OFFICERIndividualN/ADec 1, 2021
HEALTHBRIDGE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 1, 2003

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Care One at Lexington and nearby alternatives.

All Massachusetts facilities
Care One at Lexington
Lexington, MACurrent facility
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: $51,765
Park Avenue Health Center
Arlington, MA1.0 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $113,612
Meadow Green Nursing and Rehabilitation Center
Waltham, MA1.5 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $195,559
Pine Knoll Nursing Center
Lexington, MA1.6 miAbuse flag
CMS
N/A
Health
N/A
Staffing
N/A
Recorded fines: $568,747
Winchester Rehabilitation and Nursing Center
Winchester, MA2.5 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Aberjona Rehabilitation and Nursing Center
Winchester, MA2.5 mi
CMS
5/5
Health
5/5
Staffing
4/5
Recorded fines: None
Brookhaven at Lexington
Lexington, MA2.6 mi
CMS
5/5
Health
5/5
Staffing
N/A
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Care One at Lexington
Lexington, MA · Current facility
—3/52/54/5$51,765
Park Avenue Health Center
Arlington, MA
1.0 mi2/52/54/5$113,612
Meadow Green Nursing and Rehabilitation Center
Waltham, MA
1.5 mi1/52/51/5$195,559
Pine Knoll Nursing Center
Lexington, MA
1.6 miN/AN/AN/A$568,747
Winchester Rehabilitation and Nursing Center
Winchester, MA
2.5 mi5/54/55/5None recorded
Aberjona Rehabilitation and Nursing Center
Winchester, MA
2.5 mi5/55/54/5None recorded
Brookhaven at Lexington
Lexington, MA
2.6 mi5/55/5N/ANone recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Care One at Lexington?▾
Care One at Lexington has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 5/5. This facility is rated average.
How much does Care One at Lexington cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Massachusetts is $14,296/month for a semi-private room and $15,189/month for a private room (Genworth/CareScout 2024). Care One at Lexington participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Care One at Lexington had any health inspection violations?▾
Care One at Lexington had 8 deficiency citations in its most recent health inspection (Dec 24, 2025). The current CMS dataset records 1 fine(s) totaling $51,765.
What are the staffing levels at Care One at Lexington?▾
Care One at Lexington provides 3.55 total nursing staff hours per resident per day, including 0.79 RN hours, 0.67 LPN hours, and 2.09 nurse aide hours. The total staff turnover rate is 13.0%.
How many beds does Care One at Lexington have?▾
Care One at Lexington has 211 certified beds with an average of 157.2 residents per day, resulting in approximately 75% occupancy. The facility is For profit - Corporation owned and is part of the Careone chain.
Are there other nursing homes near Care One at Lexington?▾
Yes. This page lists 6 nearby nursing homes in Massachusetts, including 2 in Lexington. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Care One at Lexington?▾
On Google Maps, Care One at Lexington has a rating of 3.3 out of 5 based on 78 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Careone

This chain operates 37 facilities. View all →