Home›Browse›Massachusetts›Lexington›Pine Knoll Nursing Center

Nursing homeFAID #5655

Pine Knoll Nursing Center

30 WATERTOWN STREET, LEXINGTON, MA, 02420

(781) 862-8151

81 licensed beds

Federal inspectors issued 88 citations across 6 inspections in the last three years, with $432,082 in fines. Listing last updated 2026-11-06.

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Address

30 Watertown Street

Lexington, MA 02420

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

225049

Care type

Nursing home

County

Middlesex

Facility name

Pine Knoll Nursing Center

Street address

30 WATERTOWN STREET

City / state / ZIP

Lexington, MA 02420

Phone

(781) 862-8151

About this facility — Pine Knoll Nursing Center

Pine Knoll Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Lexington, Massachusetts. It is licensed for 81 beds — below 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.

Federal inspectors have cited Pine Knoll Nursing Center 88 times across 6 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $432,082 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

Ownership type

For profit - Corporation

Registered owners & officers

Gouveia, Jessica

Operational control · Additional disclosable party — since 2024

Merchant, Asif

Operational control · Additional disclosable party — since 2014

Sweeney, Matthew

Officer · Operational control · Additional disclosable party — since 2018

Woods, Thomas

Officer · Operational control · Additional disclosable party — since 1999

Regulatory standing

Licensed / certified since

1967-01-01

Health deficiencies

33 at the last standard inspection

Federal fines

$432,082 total

Last standard inspection

2026-03-02

Nurse staffing

3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$330 per day (≈ $10,030/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

80% Medicaid · 8% Medicare · 12% private/other

Occupancy

79% (fiscal year 2023)

Vs. state median

33% below the MA median of $489/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · 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 6 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-02Health inspection33 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 2026-03-29

F-0580

H · Actual harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-03-29

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2026-03-29

F-0584

D · 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 2026-03-29

F-0600

H · Actual harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-03-29

F-0609

E · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-03-29

F-0610

E · No harm found

Respond appropriately to all alleged violations.

Corrected 2026-03-29

F-0638

D · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2026-03-29

F-0641

B · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-03-29

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 2026-03-29

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-03-29

F-0658

D · No harm found

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

Corrected 2026-03-29

F-0677

D · No harm found

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

Corrected 2026-03-29

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-03-29

F-0685

D · No harm found

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

Corrected 2026-03-29

F-0688

K · Immediate jeopardy

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2026-03-29

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 2026-03-29

F-0692

D · No harm found

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

Corrected 2026-03-29

F-0695

D · No harm found

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

Corrected 2026-03-29

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2026-03-29

F-0699

D · No harm found

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

Corrected 2026-03-29

F-0740

H · Actual harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2026-03-29

F-0744

D · No harm found

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2026-03-29

F-0745

D · No harm found

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2026-03-29

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 2026-03-29

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2026-03-29

F-0761

E · 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 2026-03-29

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2026-03-29

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 2026-03-29

F-0825

H · Actual harm

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

Corrected 2026-03-29

F-0867

D · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2026-03-29

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-29

F-0887

D · No harm found

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2026-03-29

2025-09-05Health inspection14 citations

F-0567

E · No harm found

Honor the resident's right to manage his or her financial affairs.

Corrected 2025-09-25

F-0638

B · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2025-09-25

F-0640

B · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-09-25

F-0641

B · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-09-25

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-09-25

F-0658

D · No harm found

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

Corrected 2025-09-25

F-0686

D · No harm found

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

Corrected 2025-09-25

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-09-25

F-0801

D · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-09-25

F-0803

D · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-09-25

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-09-25

F-0810

D · No harm foundFood safety

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-09-25

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 2025-09-26

F-0883

E · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-09-25

2 earlier / fire-safety inspections (41 citations)

2024-09-26Health inspection35 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-10-22

F-0578

D · No harm found

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 2024-10-22

F-0580

H · Actual harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-10-24

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2024-10-22

F-0584

D · 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 2024-10-22

F-0600

K · Immediate jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-10-23

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2024-11-15

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-10-22

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 2024-11-15

F-0658

D · No harm found

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

Corrected 2024-10-23

F-0677

D · No harm found

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

Corrected 2024-10-23

F-0684

E · No harm found

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

Corrected 2024-11-15

F-0686

K · Immediate jeopardy

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

Corrected 2024-10-23

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 2024-10-22

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-10-23

F-0692

G · Actual harm

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

Corrected 2024-10-23

F-0695

G · Actual harm

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

Corrected 2024-10-23

F-0725

F · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-10-22

F-0726

K · Immediate jeopardy

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 2024-10-23

F-0727

F · No harm found

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-10-22

F-0728

F · No harm found

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2024-10-22

F-0730

F · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2024-10-22

F-0740

D · No harm found

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-10-23

F-0758

D · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-11-15

F-0761

E · No harm found

Corrected 2024-11-15

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-10-22

F-0835

K · Immediate jeopardy

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-10-23

F-0838

F · No harm found

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2024-10-23

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 2024-10-23

F-0849

E · No harm found

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-10-22

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-23

F-0881

F · No harm found

Implement a program that monitors antibiotic use.

Corrected 2024-11-15

F-0882

F · No harm found

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-11-15

F-0940

F · No harm found

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2024-10-23

F-0945

F · No harm found

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Corrected 2024-10-23

2024-09-26Fire-safety inspection6 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-10-29

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-10-31

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-10-29

E-0018

F · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-10-31

E-0031

F · No harm found

Provide emergency officials' contact information.

Corrected 2024-10-30

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2024-10-30

Federal penalties

2026-03-02Fine$213,005

2024-09-26Fine$219,077

Total fines$432,082

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 225049.

Quality of care & staffing

How it compares in Massachusetts.

Inspection citations, 3 years

More than 96% of nursing homes in the state

State median: 36

Federal fines, 3 years

$432,082

More than 99% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

3.8

Higher than 53% of nursing homes in the state

State median: 3.7

Resident outcomes

On 19 federal quality measures, this facility does better than the Massachusetts average on 7 and worse on 8. 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	10.0%	15.8%	13.5%	Better than state
Lose too much weight	4.6%	5.0%	5.1%	Near state average
With a catheter inserted and left in their bladder	1.2%	0.7%	0.7%	Worse than state
With a urinary tract infection	1.5%	1.7%	1.5%	Better than state
Have depressive symptoms	0.0%	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	5.4%	3.4%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	50.5%	92.9%	93.7%	Worse than state
Ability to walk independently worsened	13.1%	13.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	9.2%	19.5%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	32.9%	93.5%	95.3%	Worse than state
With pressure ulcers	5.0%	4.2%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	9.9%	20.4%	18.3%	Better than state
Received an antipsychotic medication	39.3%	21.5%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	2.08	1.84	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.36	1.45	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	13.5%	78.9%	82.3%	Worse than state
Were rehospitalized after a nursing home admission	26.4%	25.7%	23.4%	Near state average
Had an outpatient emergency department visit	7.3%	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-0641 3 inspections. Ensure each resident receives an accurate assessment.
F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0580 2 inspections. Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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-0600 2 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0638 2 inspections. Assure that each resident’s assessment is updated at least once every 3 months.

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

Mount Auburn Hospital, about 4.9 miles. CMS rating 4 of 5.
Winchester Hospital, about 5.4 miles. CMS rating 3 of 5.
Boston Medical Center-brighton, about 5.7 miles. CMS rating 3 of 5.

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

Nearby facilities with inspection records

Brookhaven At Lexington, Lexington, about 1.3 miles. CMS rating 5 of 5.
Care One At Lexington, Lexington, about 1.6 miles. CMS rating 3 of 5.
Park Avenue Health Center, Arlington, about 1.8 miles. CMS rating 1 of 5.
Meadow Green Nursing and Rehabilitation Center, Waltham, about 2.0 miles. CMS rating 2 of 5.
Belmont Manor Nursing Home, In, Belmont, about 2.3 miles. CMS rating 2 of 5.

Inside your report

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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

Locked

The 88 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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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

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