The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
CARE ONE AT LEXINGTON
LEXINGTON, MA · Medicare-certified · 211 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
CARE ONE AT LEXINGTON in Lexington, MA has an overall rating of 3 out of 5 stars. Its strongest area is quality measures (5 stars), with staffing rated 4 stars, but health inspections are lower at 2 stars; reported nurse staffing is 3.55 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5511 hrs/resident/day
Quality measures
Last inspection: December 24, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5511.
Staffing detail
- Registered nurses
- 0.79
- Licensed practical nurses
- 0.67
- Nurse aides
- 2.09
- Weekend nursing
- 3.31
Hours per resident per day.
Total staff turnover: 13%
Registered nurse turnover: 23%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
35.5%29.1%Improving
Residents with a fall causing major injury
4.6%2.6%Improving
Residents with pressure ulcers (bedsores)
3.5%4.2%Worsening
Residents with a urinary tract infection
0.9%0.9%No change
Residents who lost too much weight
7.4%5.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.6%4.7%Improving
Residents whose ability to walk got worse
22.5%13.5%Improving
Long-stay residents on antianxiety or sleep medication
11.1%10.4%Improving
Short-stay residents newly given an antipsychotic
0.6%0%Improving
Residents with a long-term catheter
0.8%0%Improving
Residents with new or worsening incontinence
19.4%25.6%Worsening
Residents with depressive symptoms
2%4.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.6%—
Long-stay residents given the pneumonia vaccine
97.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—81.7%—
Short-stay residents given the pneumonia vaccine
92.9%97.2%Improving
What the inspectors found
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 22 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $51,765 in total fines.
- $51,765
Federal fine
Jan 11, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CAREONE · 37 homes · 3.4 stars avg
- Occupancy
- 157.2 residents on an average day (75% of 211 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.