Pine Knoll Nursing Center
30 Watertown Street, Lexington, MA 02420 · (781) 862-8151
For profit - Corporation · 81 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Special Focus Facility Medicare doesn't rate this home: “This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.” Special Focus Facilities get a full inspection at least every six months.
Pine Knoll Nursing Center is a Special Focus Facility, so Medicare doesn't rate it. Its last standard inspection, in March 2026, found 33 citations, 5 for actual harm or immediate jeopardy (the Massachusetts average is 6.8). It was fined 2 times in the last three years, $432,082 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. | Not available |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | Not available |
| 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. | Not available |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | Not available |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 2, 2026 found 33 citations. What an inspection citation means
- Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.March 2, 2026 · F0688 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 2, 2026 · F0580 · Level of harm: Actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 2, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Some
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.March 2, 2026 · F0740 · Level of harm: Actual harm · Residents affected: Some
- Provide or get specialized rehabilitative services as required for a resident.March 2, 2026 · F0825 · Level of harm: Actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 2, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.March 2, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 2, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 2, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 2, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.March 2, 2026 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 2, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assure that each resident’s assessment is updated at least once every 3 months.March 2, 2026 · F0638 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 2, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 2, 2026 · F0657 · 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.March 2, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 2, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide activities to meet all resident's needs.March 2, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assist a resident in gaining access to vision and hearing services.March 2, 2026 · F0685 · 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.March 2, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.March 2, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.March 2, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.March 2, 2026 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care or services that was trauma informed and/or culturally competent.March 2, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.March 2, 2026 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide medically-related social services to help each resident achieve the highest possible quality of life.March 2, 2026 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.March 2, 2026 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.March 2, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or obtain dental services for each resident.March 2, 2026 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.March 2, 2026 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 2, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.March 2, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.March 2, 2026 · F0641 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
No citations from complaint inspections in the last three years.
Fines and payment denials
- Fine of $213,005March 2, 2026
- Fine of $219,077September 26, 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 | 3.39 | 3.86 | 3.86 |
| Registered nurses (RN) | 0.65 | 0.65 | 0.69 |
| Licensed practical nurses (LPN) | 0.57 | 0.95 | 0.86 |
| Nurse aides | 2.17 | 2.25 | 2.32 |
| Total nursing staff turnover | Not available | 38.2% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 81 |
| Average residents per day | 69.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Brookhaven at Lexington Lexington · ★★★★★ 5 out of 5 stars
- Care One at Lexington Lexington · ★★★★★ 3 out of 5 stars
- 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 Pine Knoll Nursing Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.