Nursing HomeInspections

Care One at Lexington

Nursing home in Lexington, MA

Medicare & Medicaid certified3★ overall (CMS)

Call (617) 901-8365Send a messageMap ↗

Public-record details

Address
178 Lowell Street, Lexington, MA 02420
Phone
(617) 901-8365
Listed under
For-profit
Medicare CCN
225288
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
211
Average residents per day
157
Ownership
For-profit, corporation
Legal business name
178 Lowell Street Operating Company, LLC
Chain
Careone (37 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 24, 1985
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 225288. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 24, 2025. CMS lists 41 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 11, 2024 to Dec 24, 2025): 2 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Dec 24, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 24, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 24, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 24, 2025Ensure 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
Dec 24, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Dec 24, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 24, 2025Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights		E
Potential for more than minimal harm, pattern
Dec 24, 2025Honor 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		E
Potential for more than minimal harm, pattern
Dec 30, 2024Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Administration		B
Potential for minimal harm, pattern
Dec 30, 2024Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Dec 30, 2024Honor 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
Dec 30, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 41. 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 1 fine totalling $51,765 in the last three years.

Jan 11, 2024Fine: $51,765

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
3.55 hours
Registered nurse (RN) time per resident per day
0.79 hours
Nurse aide time per resident per day
2.09 hours
Total nurse staffing on weekends
3.31 hours
Nursing staff turnover (yearly)
13%
RN turnover (yearly)
23%
Administrators who left in the past year
1

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)Pine Knoll Nursing Center30 Watertown Street · Lexington, MA 02420 · (781) 862-8151 · For-profit82 health citations in 3 inspection cycles · last standard inspection Mar 2, 2026 · $454,052 in CMS fines (3 yrs)Medicare & Medicaid certifiedSpecial Focus Facility (CMS)CMS abuse icon

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