All states › Massachusetts › Lexington › Pine Knoll Nursing Center
30 Watertown Street Lexington, MA 02420 · Middlesex County
All 3 nursing homes in Lexington, MA (2 take Medicaid)
CMS certification number 225049 · See this home on Medicare Care Compare
Is Pine Knoll Nursing Center 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 Pine Knoll Nursing Center as of October 2026.
CMS has not given it an overall rating yet.
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 3.76 hours per resident per day at Pine Knoll Nursing Center, about the same as the Massachusetts median of 3.72 (US median: 3.72). About 0.67 of those hours are from registered nurses. On weekends it falls to 3.49 hours, 7% below its all-week average.
About this nursing home
Paying for care at Pine Knoll Nursing Center: Medicare and Medicaid
Pine Knoll Nursing Center 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 March 2, 2026 and found 33 deficiencies. In total, inspectors issued 82 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 82 citations at Pine Knoll Nursing Center across 3 inspection dates. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 2, 2026. The most common areas cited were quality of life and care (24) and resident assessment and care planning (16). The most serious was cited under the CMS rule to "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" (tag F0688, level K, March 2, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.
March 2, 2026 · 33 citations
KProvide 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.
HImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
HProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
HEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
HProvide or get specialized rehabilitative services as required for a resident.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DHonor 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.
DAssure that each resident’s assessment is updated at least once every 3 months.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 activities to meet all resident's needs.
DAssist a resident in gaining access to vision and hearing services.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide care or services that was trauma informed and/or culturally competent.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide or obtain dental services for each resident.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DProvide and implement an infection prevention and control program.
DEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
BEnsure each resident receives an accurate assessment.
September 5, 2025 · 14 citations
EHonor the resident's right to manage his or her financial affairs.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
BAssure that each resident’s assessment is updated at least once every 3 months.
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
BEnsure each resident receives an accurate assessment.
September 26, 2024 · 35 citations, includes immediate jeopardy
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KProvide appropriate pressure ulcer care and prevent new ulcers from developing.
KEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
KAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
HImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
GProvide enough food/fluids to maintain a resident's health.
GProvide safe and appropriate respiratory care for a resident when needed.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
FEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
FObserve each nurse aide's job performance and give regular training.
FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
FProvide and implement an infection prevention and control program.
FImplement a program that monitors antibiotic use.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
FDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
FInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
EKeep residents' personal and medical records private and confidential.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure 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.
EArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DEnsure that residents are fully informed and understand their health status, care and treatments.
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.
DHonor 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.
DAssess the resident when there is a significant change in condition
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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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 Pine Knoll Nursing Center
- Inspectors cited the home at the immediate-jeopardy level on March 2, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 2, 2026. How are staff trained, and how are concerns reported?
- 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
2 penalties in the last three years, including $432,082 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 2, 2026 | Fine | $213,005 |
| Sep 26, 2024 | Fine | $219,077 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | — | — | — | — |
| August 2026 | — | — | — | — |
Location
Hospitals near Pine Knoll Nursing Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.9 mi
- 3.8 mi
-
4.5 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 Pine Knoll Nursing Center › All nursing homes in Lexington ›
Compare Pine Knoll Nursing Center with the 3 closest homes side by side ›
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.