80/100
Above average
Care One At Lexington
178 Lowell Street, Lexington, MA 02420
- Certified beds
- 211
- Occupancy
- 75%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$51,765 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Care One At Lexington
Care One At Lexington runs 211 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86, with weekends about 7% thinner than weekdays. That 13% annual turnover, though, is remarkably low against the national 45.8%, so the aides and nurses here tend to stay. The inspection record is the harder read: 41 deficiencies, one serious enough to reach harm or jeopardy level, and a $51,765 fine, with the most recent survey dated December 24, 2025. Quality measures score well, but consistent staffing and a clean survey history are what families should weigh.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
15/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.38 total nurse hours per resident per day (national median 3.77)
- →0.79 RN hours per resident per day
- →Weekend staffing drops 7% against weekdays
Staff stability
15/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →13% of nursing staff left in the last year
Resident outcomes
15/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 of 5 stars on the CMS quality-measure rating
Enforcement history
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$51,765 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: December 24, 2025 (10 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of CAREONE, which operates 37 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Care One At Lexington
What is the ElderGrade for Care One At Lexington? +
Care One At Lexington holds an ElderGrade of B (80 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Care One At Lexington? +
Residents receive an average of 3.55 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Care One At Lexington been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Care One At Lexington accept Medicaid? +
Yes, Care One At Lexington is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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