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Nursing homeFAID #5725

Care One At Lexington

178 LOWELL STREET, LEXINGTON, MA, 02420

(617) 901-8365

211 licensed beds

CMS rates Care One At Lexington 3 out of 5 overall. Federal inspectors issued 54 citations across 7 inspections in the last three years, with $51,765 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · CareOne at Lexington

Address

178 Lowell Street

Lexington, MA 02420

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Public record summary

What we can show you for free.

Bed capacity

211

CMS facility ID

225288

Care type

Nursing home

County

Middlesex

Facility name

Care One At Lexington

Street address

178 LOWELL STREET

City / state / ZIP

Lexington, MA 02420

Phone

(617) 901-8365

Website

care-one.com

About this facility — Care One At Lexington

Care One At Lexington is a Medicare/Medicaid-certified skilled nursing facility in Lexington, Massachusetts. It is licensed for 211 beds — well above the median for skilled nursing facilities in Massachusetts (123 beds).

It is one of 8 senior care facilities in Lexington and 341 skilled nursing facilities across Massachusetts. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Careone, a group of 37 facilities on this site.

Federal inspectors have cited Care One At Lexington 54 times across 7 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $51,765 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Careone

Ownership type

For profit - Corporation

Registered owners & officers

Straus, Daniel

Indirect owner — 55% stake — since 2003

Baruch, David

Managing employee · Officer — since 2021

Care Realty, Llc

Indirect owner — since 2002

Des-i 2016 Grat

Indirect owner — since 2021

Healthbridge Management Llc

Operational control — since 2003

Straus, Moshael

Indirect owner — since 2003

Thci of Massachusetts, Llc

Direct owner — since 2003

Regulatory standing

Federal court records

20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1985-07-24

CMS overall rating

3 of 5 stars

Health deficiencies

8 at the last standard inspection

Federal fines

$51,765 total

Last standard inspection

2025-12-24

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$699 per day (≈ $21,250/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

60% Medicaid · 16% Medicare · 24% private/other

Occupancy

69% (fiscal year 2023)

Vs. state median

43% above the MA median of $489/day — full state cost breakdown

Services & coverage

Licensed beds

211

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2025-12-24Health inspection8 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-01-19

F-0576

E · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2026-01-19

F-0584

E · No harm found

Honor 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.

Corrected 2026-01-19

F-0585

D · No harm found

Honor 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.

Corrected 2026-01-19

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-19

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-19

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-01-19

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-01-19

2024-12-30Health inspection22 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-03

F-0584

E · No harm found

Honor 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.

Corrected 2025-02-03

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-02-03

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-03

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-02-03

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-03

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-03

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-02-03

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-03

F-0726

D · No harm found

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-02-03

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2025-02-03

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-03

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-02-03

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2025-02-03

F-0761

D · No harm found

Ensure 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.

Corrected 2025-02-03

F-0770

D · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-02-03

F-0806

D · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-02-03

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-02-03

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-02-03

F-0844

B · No harm found

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Corrected 2025-02-03

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-02-03

F-0924

E · No harm found

Put firmly secured handrails on each side of hallways.

Corrected 2025-02-03

4 earlier / fire-safety inspections (24 citations)

2024-01-11Health inspectionComplaint-triggered11 citations

F-0578

D · No harm foundFrom a complaint

Honor 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.

Corrected 2023-11-06

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-02-06

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-02-06

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-06

F-0685

D · No harm found

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-02-06

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-06

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-02-06

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-02-06

F-0761

D · No harm found

Corrected 2024-02-06

F-0825

D · No harm found

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-02-06

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-02-06

2025-12-24Fire-safety inspection3 citations

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-05-05

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-05-05

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-05-05

2024-12-30Fire-safety inspection8 citations

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2025-02-10

K-0211

F · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-10

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-02-10

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-10

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-02-10

K-0761

E · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-02-10

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-10

K-0927

F · No harm found

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2025-02-10

2024-01-11Fire-safety inspection2 citations

E-0041

E · No harm found

Implement emergency and standby power systems.

Corrected 2024-02-05

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-05

Federal penalties

2024-01-11Fine$51,765

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 225288.

Quality of care & staffing

How it compares in Massachusetts.

Inspection citations, 3 years

More than 74% of nursing homes in the state

State median: 36

Federal fines, 3 years

$51,765

More than 82% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

3.7

Higher than 51% of nursing homes in the state

State median: 3.7

Nursing staff turnover, annual

16%

Among the lowest of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the Massachusetts average on 14 and worse on 1. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	7.6%	15.8%	13.5%	Better than state
Lose too much weight	4.8%	5.0%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.7%	1.7%	1.5%	Better than state
Have depressive symptoms	4.6%	17.4%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	3.5%	3.4%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	97.8%	92.9%	93.7%	Near state average
Ability to walk independently worsened	10.6%	13.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	10.0%	19.5%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	99.2%	93.5%	95.3%	Near state average
With pressure ulcers	3.8%	4.2%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	21.1%	20.4%	18.3%	Near state average
Received an antipsychotic medication	26.6%	21.5%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.57	1.84	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	0.66	1.45	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	95.5%	78.9%	82.3%	Better than state
Newly received an antipsychotic medication	0.5%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	89.5%	78.1%	80.1%	Better than state
Were rehospitalized after a nursing home admission	21.5%	25.7%	23.4%	Better than state
Had an outpatient emergency department visit	9.9%	11.8%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0842 3 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
K-0918 3 inspections. Have generator or other power source capable of supplying service within 10 seconds.
F-0584 2 inspections. Honor 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.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What its owners also hold

Care Realty, Llc has an ownership stake on file at 20 nursing homes, averaging 3.3 of 5 on CMS's overall rating.
Des-i 2016 Grat has an ownership stake on file at 18 nursing homes, averaging 3.3 of 5 on CMS's overall rating.
Thci of Massachusetts, Llc has an ownership stake on file at 15 nursing homes, averaging 3.3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Massachusetts

Licensing: Massachusetts Department of Public Health, Division of Health Care Facility Licensure and Certification
File a complaint: 800-462-5540 · Online
Long-Term Care Ombudsman: 617-222-7495. A free advocate for residents and families.
Adult Protective Services: 800-922-2275. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Winchester Hospital, about 4.0 miles. CMS rating 3 of 5.
Mount Auburn Hospital, about 5.4 miles. CMS rating 4 of 5.
Cambridge Health Alliance, about 6.4 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Park Avenue Health Center, Arlington, about 1.0 miles. CMS rating 1 of 5.
Meadow Green Nursing and Rehabilitation Center, Waltham, about 1.5 miles. CMS rating 2 of 5.
Winchester Rehabilitation and Nursing Center, Winchester, about 2.5 miles. CMS rating 5 of 5.
Aberjona Rehabilitation and Nursing Center, Winchester, about 2.5 miles. CMS rating 5 of 5.
Brookhaven At Lexington, Lexington, about 2.6 miles. CMS rating 5 of 5.

Visitor reviews

What people say on Google.

3.6103 ratings on Google

★★★★★Wayne B · 2026-06-15 · via Google
“Our mother was in the Munroe Unit for 14 months (2025 to 2026). The staff there was absolutely amazing. We highly recommend CareOne in Lexington Ma. She had the same caregivers during that entire time who treated her with dignity, compassion and kindness. We visited regularly, and mom was always clean, dressed and in the activity room with other residents. Mom always said (I love it here, they t…”

★★★★Y. J. Lee · 2026-07-06 · via Google
“Today, July 3, 2026, my partner was admitted for short physical rehab. The people are attentive but the facility needs urgent updates. Today is one of hottest days (95F) in 2026 and AC is not working properly. The central atrium /office area are cold but the actual residents/patient rooms and even nursing stations and hallways are not cool at all. I don't know how the place operates like that fo…”

★★★★Cil Cangiano · 2026-06-24 · via Google
“The aids and nurses provided great care for my dad while he was first at the rehab Revere unit and then the Monroe long term care unit. The compassionate care and the kindness of the staff including the enthusiastic activity director was a comfort to my family, especially to my mom who was there every single day for almost 3+ months.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered