Care One at Lexington
178 Lowell Street, Lexington, MA 02420 · (617) 901-8365
For profit - Corporation · 211 certified beds
Care One at Lexington has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 8 citations (the Massachusetts average is 6.8). It was fined 1 time in the last three years, $51,765 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on December 24, 2025 found 8 citations. What an inspection citation means
- Ensure residents have reasonable access to and privacy in their use of communication methods.December 24, 2025 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.December 24, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Reasonably accommodate the needs and preferences of each resident.December 24, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.December 24, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.December 24, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 24, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 24, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 24, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 2 citations.
- 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.January 11, 2024 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 11, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $51,765January 11, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Massachusetts average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.55 | 3.86 | 3.86 |
| Registered nurses (RN) | 0.79 | 0.65 | 0.69 |
| Licensed practical nurses (LPN) | 0.67 | 0.95 | 0.86 |
| Nurse aides | 2.09 | 2.25 | 2.32 |
| Total nursing staff turnover | 13% | 38.2% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 211 |
| Average residents per day | 157.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Brookhaven at Lexington Lexington · ★★★★★ 5 out of 5 stars
- Pine Knoll Nursing Center Lexington · Not available
- Life Care Center of Acton Acton · ★★★★★ 4 out of 5 stars
- Park Avenue Health Center Arlington · ★★★★★ 1 out of 5 stars
- Waterview Lodge Llc, Rehabilitation & Healthcare Ashland · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Care One at Lexington on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.