Nursing home
Care One at Lexington
178 Lowell Street, Lexington, MA 02420 · Map
For profit - Limited Liability company · Part of Careone (37 facilities) · 211 certified beds
Care One at Lexington is a Medicare-certified nursing home in Lexington, Massachusetts. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.73 hours per resident per day, below the Massachusetts average of 3.86. Its most recent inspection on Dec 30, 2024 cited 22 deficiencies.
- 1 fine totaling $51,765In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Care One at Lexington compares
This facility vs. the Massachusetts and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Massachusetts avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.73 | 3.86 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.85 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.08 | 2.26 | 2.34 | below avg |
| Nursing staff turnover | 16.7% | 39.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 22.0 | 8.9 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $51,765, 1 total penalty.
What inspectors found at Care One at Lexington
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Dec 30, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 30, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Dec 30, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 30, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Dec 30, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Dec 30, 2024 · Full report (PDF) - Potential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Dec 30, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 30, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Dec 30, 2024 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Dec 30, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 30, 2024 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Dec 30, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 178 Lowell Street
Lexington, MA 02420 - CMS certification #
- 225288
- Ownership
- For profit - Limited Liability company
- Certified beds
- 211
- Avg residents/day
- 139.3
- Provider type
- Medicare and Medicaid
- First certified
- 1985-07-24
- Chain
- Careone (37 facilities)
- Setting
- Urban
Part of Careone
Careone operates 37 nursing facilities across the United States. View all Careone facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Care One at Lexington using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2020, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Nov 3, 2020: fatality or catastrophe inspection, partial (health). Case closed May 19, 2021. No violations cited. OSHA record. OSHA recorded the employer as 178 Lowell Street Operating Company, LLC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Winchester Hospital, Winchester. 4.0 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Park Avenue Health Center, Arlington. 1.0 mile away, straight line.
- Nearest home health agency office
- Interim Healthcare Of Lexington Ma, Lexington. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 02420 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Woburn Dialysis, Woburn, 3.2 miles away, straight line (CMS rating 3 of 5 stars)
Davita - Mystic River Home Training, Cambridge, 3.8 miles away, straight line (CMS rating 5 of 5 stars)
Davita Northeast Cambridge Dialysis, Cambridge, 3.8 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 15 Medicare hospices tell CMS they serve ZIP code 02420.
Visiting Nurse & Community Care, office in Arlington, 3.6 miles away, straight line
Compassionate Care Hospice, office in Woburn, 3.9 miles away, straight line (CMS family survey rating 2 of 5 stars)
Beacon Hospice, An Amedisys Company, office in Charlestown, 7.2 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Mount Auburn Professional Services Inc, Lexington. 2.3 miles away, straight line. 5 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Care One at Lexington a good nursing home?
CMS gives Care One at Lexington an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Care One at Lexington staffed?
Care One at Lexington reports 3.73 total nurse hours per resident per day, compared with the Massachusetts average of 3.86.
Has Care One at Lexington had inspection problems?
Its most recent CMS inspection cited 22 deficiencies.
How many beds does Care One at Lexington have?
Care One at Lexington is certified for 211 beds.