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Data / Nursing homes / Massachusetts / Care One at Lexington

Care One at Lexington, Lexington, MA: 3 star rating, fined $51,765 across 1 fine

Care One at Lexington in Lexington, MA is owned by Thci of Massachusetts, LLC, is rated 3 of 5 stars by Medicare, and was fined $51,765 across 1 fine in the three years to October 1, 2026. CMS lists 41 health citations from inspections in that time, the latest survey on December 24, 2025, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Massachusetts
Address
178 Lowell Street, Lexington, MA 02420
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measure rating
5 of 5
Certified beds
211
Residents per day
141 on average
Ownership type
For profit, corporation
Legal business name
178 Lowell Street Operating Company, LLC
Chain
Careone, 37 facilities
Fines
$51,765 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
41, of which 1 with actual harm or immediate jeopardy
Latest survey
December 24, 2025
CMS Certification Number
225288
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
January 11, 2024Fine$51,765Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
December 24, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
December 24, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
December 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
December 24, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
December 24, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
December 24, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
December 24, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
December 24, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2026data.cms.gov
December 30, 2024F924Put firmly secured handrails on each side of hallways.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.B: pattern, minimal harm potentialCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
December 30, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
January 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedFebruary 6, 2024data.cms.gov
January 11, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 11, 2024F825Provide or get specialized rehabilitative services as required for a resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 11, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 11, 2024F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 11, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 11, 2024F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 11, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 11, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
January 11, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceNovember 6, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 4 individual or personal trusts (2 owners, 1 managers, 1 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Thci of Massachusetts, LLCDirect ownerNot listedJuly 1, 2003data.cms.gov
Care Realty, LLCIndirect ownerNot listedApril 30, 2002data.cms.gov
Des-I 2016 GratIndirect ownerNot listedDecember 1, 2021data.cms.gov
Healthbridge Management LLCOperational or managerial controlNot listedJuly 1, 2003data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.