All states › Massachusetts › Lexington › Care One at Lexington
178 Lowell Street Lexington, MA 02420 · Middlesex County
All 3 nursing homes in Lexington, MA (2 take Medicaid)
CMS certification number 225288 · See this home on Medicare Care Compare
Is Care One at Lexington a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Care One at Lexington as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Massachusetts average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.74 hours per resident per day at Care One at Lexington, about the same as the Massachusetts median of 3.72 (US median: 3.72). About 0.82 of those hours are from registered nurses. On weekends it falls to 3.45 hours, 8% below its all-week average. 16.4% of nursing staff left within a year (Massachusetts median 36.1%). That is lower than most homes in Massachusetts, a sign of a steadier team.
About this nursing home
Paying for care at Care One at Lexington: Medicare and Medicaid
Care One at Lexington is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Massachusetts's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 24, 2025 and found 8 deficiencies. In total, inspectors issued 41 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 41 citations at Care One at Lexington across 3 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on January 11, 2024. The most common areas cited were quality of life and care (12) and resident assessment and care planning (8). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, January 11, 2024).
December 24, 2025 · 8 citations
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EHonor 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.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 30, 2024 · 22 citations
EHonor 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EProvide and implement an infection prevention and control program.
EPut firmly secured handrails on each side of hallways.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure that residents are free from significant medication errors.
DEnsure 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.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CPost nurse staffing information every day.
BFollow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
January 11, 2024 · 11 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DAssist a resident in gaining access to vision and hearing services.
DProvide enough food/fluids to maintain a resident's health.
DProvide care or services that was trauma informed and/or culturally competent.
DEnsure 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.
DProvide or get specialized rehabilitative services as required for a resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Care One at Lexington
- Inspectors cited the home at the actual-harm level on January 11, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $51,765 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 11, 2024 | Fine | $51,765 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
Add this rating badge to your websiteFree. Shows Care One at Lexington's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Care One at Lexington
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 2.3 mi
- 3.1 mi
-
3.2 mi
Lahey Clinic Hospital BurlingtonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 46m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Care One at Lexington › All nursing homes in Lexington ›
Compare Care One at Lexington with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Aberjona Rehabilitation and Nursing Center · Winchester · 5 stars · 2.5 mi
- Winchester Rehabilitation and Nursing Center · Winchester · 5 stars · 2.5 mi
- Brookhaven at Lexington · Lexington · 5 stars · 2.6 mi
- Spaulding Nursing and Therapy Center - Brighton · Boston · 5 stars · 6.4 mi
Other Careone nursing homes in Massachusetts
- Care One at Wilmington · Wilmington · 5 stars
- Care One at Peabody · Peabody · 5 stars
- Care One at Essex Park · Beverly · 5 stars
- Care One at Holyoke · Holyoke · 5 stars
- Care One at Lowell · Lowell · 4 stars
- Care One at Northampton · Northampton · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Careone nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.