Nursing HomeInspections

Pine Knoll Nursing Center

Nursing home in Lexington, MA

Medicare & Medicaid certifiedSpecial Focus Facility (CMS)CMS abuse icon

Call (781) 862-8151Send a messageMap ↗

Public-record details

Address
30 Watertown Street, Lexington, MA 02420
Phone
(781) 862-8151
Listed under
For-profit
Medicare CCN
225049
Overall star rating
Not rated by CMS
Certified beds
81
Average residents per day
69
Ownership
For-profit, corporation
Legal business name
Long Term Centers of Lexington INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1967
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 225049. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 2, 2026. CMS lists 82 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 26, 2024 to Mar 2, 2026): 0 from complaint inspections, 12 at the “actual harm” level or higher, including 5 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS has placed this facility in its Special Focus Facility program for nursing homes with a persistent record of serious inspection problems; it gets more frequent inspections.

InspectionCitationSeverity
Mar 2, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		B
Potential for minimal harm, pattern
Mar 2, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 2, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 2, 2026Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 2, 2026Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 2, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 2, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 2, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 2, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 2, 2026Provide activities to meet all resident's needs.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 2, 2026Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 2, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 82. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $454,052 in the last three years.

Mar 2, 2026Fine: $213,005
Sep 26, 2024Fine: $219,077
Sep 1, 2023Fine: $21,970

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.39 hours
Registered nurse (RN) time per resident per day
0.65 hours
Nurse aide time per resident per day
2.17 hours
Total nurse staffing on weekends
3.22 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Lexington

Brookhaven at Lexington1010 Waltham Street · Lexington, MA 02421 · (781) 863-9660 · Nonprofit4 health citations in 3 inspection cycles · last standard inspection Nov 24, 2025 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)Care One at Lexington178 Lowell Street · Lexington, MA 02420 · (617) 901-8365 · For-profit41 health citations in 3 inspection cycles · last standard inspection Dec 24, 2025 · $51,765 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 3 in Lexington →