D

CARE ONE AT LEXINGTON

178 LOWELL STREET, LEXINGTON, MA 02420
Score: 44 / 100

Care One At Lexington faces challenges in its CMS ratings, earning a D grade with a score of 44/100. The facility ranks in the 40th percentile among Massachusetts nursing homes, suggesting significant room for improvement.

Staffing at Care One At Lexington is near the national average, with 3.73 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 39 deficiencies at Care One At Lexington. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.73 3.8 Average
Registered Nurses (RN) 0.85 0.7 Above Average
Licensed Practical Nurses (LPN) 0.80 0.7 Above Average
Certified Nursing Assistants (CNA) 2.08 2.4 Below Average
Weekend Total Nursing 3.39 3.8 Below Average
Weekend RN Hours 0.62 0.7 Below Average

🔍 Inspection & Deficiency History

39
Total Deficiencies
Dec 29, 2024
Most Recent Inspection
⚪ 2 Minor 🟠 37 Moderate
View recent deficiencies (5 shown)
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Dec 29, 2024 · Resident Rights Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Dec 29, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0842 Severity E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Dec 29, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Dec 29, 2024 · Infection Control Deficiencies
  • Tag 0924 Severity E
    Put firmly secured handrails on each side of hallways.
    Dec 29, 2024 · Environmental 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 3.7% 4.5% Better
Falls with major injury 3.9% 3.0% Worse
On antipsychotic medication 30.9% 14.5% Worse
Urinary tract infections 1.0% 2.5% Better
ADL decline (daily activities) 16.8% 14.0% Worse
Excessive weight loss 5.6% 7.5% Better
New/worsened incontinence 20.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $51,765

How This Grade Was Calculated

This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -5 pts

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

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
211
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 29, 2024
Deficiencies (Cycle 1)
22