Pine Knoll Nursing Center
30 Watertown Street · Lexington, MA · 02420 · 7818628151
81 certified beds For profit - Corporation
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
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
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$546,777 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $568,747 |
Inspection citations (82 in the current record)
-
Immediate jeopardy · K March 2, 2026
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.
Corrected March 29, 2026 · Quality of Life and Care
-
Actual harm · H March 2, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 29, 2026 · Resident Rights
-
Actual harm · H March 2, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · H March 2, 2026
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected March 29, 2026 · Quality of Life and Care
-
Actual harm · H March 2, 2026
Provide or get specialized rehabilitative services as required for a resident.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 29, 2026 · Resident Rights
-
Potential for harm · D March 2, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 29, 2026 · Resident Rights
-
Potential for harm · D March 2, 2026
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 March 29, 2026 · Resident Rights
-
Potential for harm · E March 2, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 2, 2026
Respond appropriately to all alleged violations.
Corrected March 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 2, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected March 29, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 2, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 29, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 2, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 29, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 2, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 29, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 2, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Provide activities to meet all resident's needs.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected March 29, 2026 · Quality of Life and Care
-
Potential for harm · D March 2, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 29, 2026 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 2, 2026 | Fine | $327,700 |
| September 26, 2024 | Fine | $219,077 |
| September 1, 2023 | Fine | $21,970 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225049 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.