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C
Below Standard

PINE KNOLL NURSING CENTER

30 WATERTOWN STREET · LEXINGTON, MA 02420

7818628151 · For profit - Corporation

81 beds68.7 residents90 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PINE KNOLL NURSING CENTER receives an overall staffing grade of C (Below Standard). With 3.4063 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.49 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 6.23% compared to weekdays. The facility has low agency staff usage (3.51% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4063 HPRD — needs 0.07 more hours per resident per day.

✨ Strengths (5)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (3.51%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 6.23% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.4063hrs/resident/day▼ 0.49
CMS benchmark: 3.48
RN HPRD
0.8193hrs/resident/day▲ 0.14
Recommended: 0.75
Weekend Drop-off
6.23%
3.4673 weekday → 3.2514 weekend
Agency Staff
3.51%
6.71% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0054hrs/resident/day
Direct care aides
LPN HPRD
0.5815hrs/resident/day
Licensed practical nurses
Consistency
0.2504std 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-0.57 HPRD
3.98
03.41 HPRD
vs. Massachusetts State Average-0.47 HPRD
3.87
03.41 HPRD
vs. National Average-0.49 HPRD
3.90
03.41 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
PINE KNOLL NURSING CENTER ★
LEXINGTON · This facility
—
C
3.40630.8193☆☆☆☆☆
BROOKHAVEN AT LEXINGTON
LEXINGTON
1.3 mi
A+
8.42262.8939★★★★★
CARE ONE AT LEXINGTON
LEXINGTON
1.6 mi
B
3.73420.8475★★☆☆☆
MEADOW GREEN NURSING AND REHABILITATION CENTER
WALTHAM
2 mi
B
3.92420.6571★☆☆☆☆
BELMONT MANOR NURSING HOME, IN
BELMONT
2.3 mi
B
4.37210.6963★☆☆☆☆
MARISTHILL NURSING & REHABILITATION CENTER
WALTHAM
3.2 mi
B
3.70031.079★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
72
Total Deficiencies
$241,047
Fines Assessed
Sep 5, 2025Health
14 deficiencies cited
▼
Sep 26, 2024Health
35 deficiencies cited· Includes actual harm
▼
Sep 1, 2023Health
23 deficiencies cited
▼

Penalty History

Sep 26, 2024Fine
$219,077
Sep 1, 2023Fine
$21,970
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.