Care One at Lexington
Nursing Home · Lexington, MA
CMS certification number225288
Contact & location
178 Lowell StreetLexington, MA 02420
Middlesex County
- Phone
- (617) 901-8365
- ZIP code
- 02420 – all care providers
Facility details
- Certified beds
- 211
- Residents per day
- 157.2 (75% occupied)
- Ownership
- For profit - Corporation
- Legal name
- 178 Lowell Street Operating Company, LLC
- Chain
- Careone (37 facilities, avg 3.4★)
- Medicare certified since
- July 24, 1985
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.55 (state 3.86 · U.S. 3.86)
- Registered nurses (RN)
- 0.79 (state 0.65 · U.S. 0.69)
- Licensed practical nurses
- 0.67 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.09 (state 2.26 · U.S. 2.32)
- Weekend total
- 3.31 (state 3.48 · U.S. 3.42)
- Nursing staff turnover
- 13.0 (state 38.2 · U.S. 45.8)%
- RN turnover
- 23.3 (state 42.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- December 24, 2025
- Health deficiencies (last cycle)
- 8.0 (state 7.2 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 41 health · 13 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-24 | Ensure residents have reasonable access to and privacy in their use of communication methods. F0576 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-19 |
| 2025-12-24 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-19 |
| 2025-12-24 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-19 |
| 2025-12-24 | Honor 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. F0585 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-19 |
| 2025-12-24 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-19 |
| 2025-12-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-19 |
| 2025-12-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-19 |
| 2025-12-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-19 |
| 2024-12-30 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Put firmly secured handrails on each side of hallways. F0924 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Ensure 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-02-03 |
| 2024-12-30 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. F0844 · Administration Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2025-02-03 |
| 2024-01-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-02-06 |
| 2024-01-11 | Honor 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. F0578 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-06 |
| 2024-01-11 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
| 2024-01-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
| 2024-01-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
| 2024-01-11 | Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
| 2024-01-11 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
| 2024-01-11 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
| 2024-01-11 | Ensure 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
| 2024-01-11 | Provide or get specialized rehabilitative services as required for a resident. F0825 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
| 2024-01-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-06 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $51,765 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-01-11 | Fine | $51,765 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Thci of Massachusetts, LLC (organization) | 5%+ Direct Ownership Interest | |
| Care Realty, LLC (organization) | 5%+ Indirect Ownership Interest | |
| Des-I 2016 Grat (organization) | 5%+ Indirect Ownership Interest | |
| Straus, Daniel (individual) | 5%+ Indirect Ownership Interest · 55% | |
| Straus, Moshael (individual) | 5%+ Indirect Ownership Interest | |
| Baruch, David (individual) | Corporate Officer · NOT APPLICABLE | |
| Healthbridge Management LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Baruch, David (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Care One at Lexington?
Care One at Lexington has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Massachusetts.
How many beds does Care One at Lexington have?
It has 211 certified beds and cares for about 157 residents per day.
Has Care One at Lexington been fined?
Yes. CMS lists 1 penalty totaling $51,765 in the last three years.
Who owns Care One at Lexington?
It is part of Careone and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Care One at Lexington?
(617) 901-8365. The facility is located at 178 Lowell Street, Lexington, MA 02420.
Other nursing homes in Lexington
-
Brookhaven at Lexington
Nursing Home · Lexington, MA · 49 beds
★★★★★ -
Pine Knoll Nursing Center
Nursing Home · Lexington, MA · 81 beds
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.