Care One at Lexington
178 Lowell Street · Lexington, MA · 02420 · 6179018365
211 certified beds For profit - Corporation Chain: Careone
- Inspection results have improved across recent cycles.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 16% | median 45% |
| Fines (3-yr window) | 1 · $51,765 |
Inspection citations (41 in the current record)
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Potential for harm · D December 24, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected January 19, 2026 · Resident Rights
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Potential for harm · E December 24, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected January 19, 2026 · Resident Rights
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Potential for harm · E December 24, 2025
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.
Corrected January 19, 2026 · Resident Rights
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Potential for harm · D December 24, 2025
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.
Corrected January 19, 2026 · Resident Rights
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Potential for harm · D December 24, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · D December 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 19, 2026 · Nutrition and Dietary
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Potential for harm · D December 24, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 30, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 3, 2025 · Resident Rights
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Potential for harm · E December 30, 2024
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.
Corrected February 3, 2025 · Resident Rights
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Potential for harm · D December 30, 2024
Ensure each resident receives an accurate assessment.
Corrected February 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 30, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 30, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 30, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 3, 2025 · Quality of Life and Care
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Potential for harm · D December 30, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 3, 2025 · Quality of Life and Care
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Potential for harm · D December 30, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 3, 2025 · Quality of Life and Care
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Potential for harm · D December 30, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 3, 2025 · Quality of Life and Care
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Potential for harm · D December 30, 2024
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.
Corrected February 3, 2025 · Nursing and Physician Services
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Potential for harm · D December 30, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 3, 2025 · Pharmacy Service
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Potential for harm · D December 30, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 3, 2025 · Pharmacy Service
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Potential for harm · D December 30, 2024
Ensure that residents are free from significant medication errors.
Corrected February 3, 2025 · Pharmacy Service
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Potential for harm · D December 30, 2024
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.
Corrected February 3, 2025 · Pharmacy Service
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Potential for harm · D December 30, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected February 3, 2025 · Administration
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Potential for harm · D December 30, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 3, 2025 · Nutrition and Dietary
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Potential for harm · E December 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 3, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 11, 2024 | Fine | $51,765 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225288 · certified since July 24, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.