Care One at Lexington: Staffing, Turnover, and Inspection Record
Care One at Lexington is a 211-bed for-profit nursing home in Lexington, Massachusetts, part of Careone. In the CMS August 2026 release it reported 2.09 nurse aide hours per resident per day, 8% below the Massachusetts average of 2.26, and 13.0% nursing staff turnover (Massachusetts average 38.2%).
Care One at Lexington
178 Lowell StreetLexington, MA 02420
Middlesex County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Care One at Lexington, nurse aides logged 2.09 hours per resident per day, 8% below the Massachusetts average. With about 157 residents a day, that works out to roughly 329 aide hours a day, or about 41 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Massachusetts avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.09 | 2.26 | 2.32 |
| Licensed practical nurses | 0.67 | 0.95 | 0.86 |
| Registered nurses | 0.79 | 0.65 | 0.69 |
| All nursing staff | 3.55 | 3.86 | 3.86 |
| All nursing staff, weekends | 3.31 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
13.0% of nursing staff at Care One at Lexington left over the year CMS measured, against a Massachusetts average of 38.2% and a US average of 45.8%. Registered nurse turnover was 23.3%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 24, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 8 health deficiencies (Massachusetts average 7.2). CMS lists 1 fine totaling $51,765 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 11, 2024 | Fine | $51,765 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Care One at Lexington holds 3 of 5 overall; the Massachusetts average is 3.0.
About Care One at Lexington
- Ownership: For profit - Corporation
- Chain: Careone, 37 homes
- Legal name: 178 Lowell Street Operating Company, LLC
- Medicare and Medicaid certified since: Jul 24, 1985
- Councils: resident council
- Area: urban
Nursing homes near Care One at Lexington
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Park Avenue Health Center Arlington | 1.0 | 89 | 2.07 | 3.59 | 37.8% | 1 | $113,612 |
| Meadow Green Nursing and Rehabilitation Center Waltham | 1.5 | 123 | 2.33 | 3.92 | 64.7% | 1 | $195,559 |
| Pine Knoll Nursing Center Lexington · Special Focus Facility · abuse citation | 1.6 | 81 | 2.17 | 3.39 | — | — | $454,052 |
| Winchester Rehabilitation and Nursing Center Winchester | 2.5 | 121 | 2.45 | 4.38 | 28.0% | 5 | None |
| Aberjona Rehabilitation and Nursing Center Winchester | 2.5 | 123 | 2.27 | 4.10 | 20.0% | 5 | None |
| Brookhaven at Lexington Lexington | 2.6 | 49 | — | — | — | 5 | None |
| Belmont Manor Nursing Home, in Belmont | 3.5 | 156 | 2.94 | 4.37 | — | 2 | None |
| Woburn Rehabilitation and Nursing Center Woburn | 3.6 | 140 | 2.09 | 3.95 | 36.1% | 2 | $8,512 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.