ElderGrade
F

35/100

Poor

Pine Knoll Nursing Center

30 Watertown Street, Lexington, MA 02420

#70 of 72 in Middlesex County (781) 862-8151
Certified beds
81
Occupancy
86%
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.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 12 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $568,747 in federal fines

    CMS has fined this facility across 3 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 5 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 7 actual-harm citation(s) in the last 3 years
  • -10 for 82 total citations against a national median of 17

Staffing

20/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.97 total nurse hours per resident per day (national median 3.77)
  • 0.65 RN hours per resident per day
  • Weekend staffing drops 5% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • No turnover figure reported — scored neutral

Resident outcomes

7.5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • No quality-measure rating published — scored neutral

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $568,747 in federal fines across 3 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.39 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.65 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.22 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover Not reported

The share of nursing staff who left over the last year.

Recent inspection findings

All 82 citations

Last standard health inspection: March 2, 2026 (5 months ago).

K Mar 2, 2026 F0688

Quality of Life and Care Deficiencies

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.

Immediate jeopardy to resident health or safety

H Mar 2, 2026 F0580

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Actual harm to a resident

H Mar 2, 2026 F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

H Mar 2, 2026 F0740

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Actual harm to a resident

H Mar 2, 2026 F0825

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Actual harm to a resident

E Mar 2, 2026 F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

E Mar 2, 2026 F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

E Mar 2, 2026 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
SWEENEY, MATTHEW Individual CORPORATE OFFICER
WOODS, THOMAS Individual CORPORATE OFFICER
GOUVEIA, JESSICA Individual OPERATIONAL/MANAGERIAL CONTROL
MERCHANT, ASIF Individual OPERATIONAL/MANAGERIAL CONTROL
SWEENEY, MATTHEW Individual OPERATIONAL/MANAGERIAL CONTROL
WOODS, THOMAS Individual OPERATIONAL/MANAGERIAL CONTROL
GOUVEIA, JESSICA Individual ADP OF THE SNF
MERCHANT, ASIF Individual ADP OF THE SNF
SWEENEY, MATTHEW Individual ADP OF THE SNF
WOODS, THOMAS Individual ADP OF THE SNF
WOODS, THOMAS Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
SWEENEY, MATTHEW Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Pine Knoll Nursing Center

What is the ElderGrade for Pine Knoll Nursing Center? +

Pine Knoll Nursing Center holds an ElderGrade of F (35 out of 100), which we describe as "poor". 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 Pine Knoll Nursing Center? +

Residents receive an average of 3.39 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Pine Knoll Nursing Center been cited for harming residents? +

Yes. 12 of the 82 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Pine Knoll Nursing Center accept Medicaid? +

Yes, Pine Knoll Nursing Center 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.