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B
Good

CARE ONE AT LEXINGTON

178 LOWELL STREET · LEXINGTON, MA 02420

7818627400 · For profit - Limited Liability company

211 beds139.3 residents153 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A
Very Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CARE ONE AT LEXINGTON receives an overall staffing grade of B (Good). With 3.7342 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.16 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.27% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (5)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.7342hrs/resident/day▼ 0.16
CMS benchmark: 3.48
RN HPRD
0.8475hrs/resident/day▲ 0.16
Recommended: 0.75
Weekend Drop-off
12.27%
3.8683 weekday → 3.3937 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0812hrs/resident/day
Direct care aides
LPN HPRD
0.8055hrs/resident/day
Licensed practical nurses
Consistency
0.2484std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Middlesex County Average-0.24 HPRD
3.98
03.73 HPRD
vs. Massachusetts State Average-0.14 HPRD
3.87
03.73 HPRD
vs. National Average-0.16 HPRD
3.90
03.73 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CARE ONE AT LEXINGTON ★
LEXINGTON · This facility
—
B
3.73420.8475★★☆☆☆
MEADOW GREEN NURSING AND REHABILITATION CENTER
WALTHAM
1.5 mi
B
3.92420.6571★☆☆☆☆
PINE KNOLL NURSING CENTER
LEXINGTON
1.6 mi
C
3.40630.8193☆☆☆☆☆
WINCHESTER REHABILITATION AND NURSING CENTER
WINCHESTER
2.5 mi
A
4.19411.1366★★★★☆
ABERJONA REHABILITATION AND NURSING CENTER
WINCHESTER
2.5 mi
B
4.02270.6891★★★★★
BROOKHAVEN AT LEXINGTON
LEXINGTON
2.6 mi
A+
8.42262.8939★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
39
Total Deficiencies
$51,765
Fines Assessed
Dec 30, 2024Health
22 deficiencies cited
▼
Jan 11, 2024Health
11 deficiencies cited· Includes actual harm
▼
Dec 12, 2022Health
6 deficiencies cited
▼

Penalty History

Jan 11, 2024Fine
$51,765
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.