F

Pine Knoll Nursing Center

30 WATERTOWN STREET, LEXINGTON, MA 02420
Score: 0 / 100

Pine Knoll Nursing Center has received an F grade based on CMS data, with a score of 0/100 — placing it among the lowest-rated nursing facilities in Massachusetts. Families considering this Lexington facility should carefully review its inspection history and quality metrics.

Staffing levels are a potential concern at Pine Knoll Nursing Center, with 3.40 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 72 deficiencies at Pine Knoll Nursing Center, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to manage his or her financial affairs..

Score Breakdown

Overall CMS Rating 0 / 40 pts
N/A ★ CMS rating
Health Inspections 0 / 25 pts
N/A ★ inspection rating
Staffing 0 / 20 pts
N/A ★ staffing rating
Quality Measures 0 / 15 pts
N/A ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.40 3.8 Below Average
Registered Nurses (RN) 0.82 0.7 Above Average
Licensed Practical Nurses (LPN) 0.58 0.7 Below Average
Certified Nursing Assistants (CNA) 2.00 2.4 Below Average
Weekend Total Nursing 3.25 3.8 Below Average
Weekend RN Hours 0.69 0.7 Average

🔍 Inspection & Deficiency History

72
Total Deficiencies
Sep 4, 2025
Most Recent Inspection
⚪ 3 Minor 🟠 65 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0567 Severity E
    Honor the resident's right to manage his or her financial affairs.
    Sep 4, 2025 · Resident Rights Deficiencies
  • Tag 0883 Severity E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    Sep 4, 2025 · Infection Control Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Sep 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Sep 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Sep 4, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.3% 4.5% Worse
Falls with major injury 2.8% 3.0% Average
On antipsychotic medication 42.0% 14.5% Worse
Urinary tract infections 1.3% 2.5% Better
ADL decline (daily activities) 12.5% 14.0% Better
Excessive weight loss 2.8% 7.5% Better
New/worsened incontinence 8.8% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $241,047

How This Grade Was Calculated

This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 0★ → 0 pts (max 40)
  • Health Inspection Rating: 0★ → 0 pts (max 25)
  • Staffing Rating: 0★ → 0 pts (max 20)
  • Quality Measures Rating: 0★ → 0 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
81
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 4, 2025
Deficiencies (Cycle 1)
14