Home / Massachusetts / Lexington
178 Lowell Street, Lexington, MA 02420 · Middlesex County · (617) 901-8365
211 certified beds, about 157 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225288 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 24, 2025, inspectors cited 8 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
Of 41 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $51,765 in the last three years; the largest was $51,765, and the latest is dated January 11, 2024.
Nurses and nurse aides worked 3.55 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
13.0% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
CMS links it to Careone, an affiliated group of 37 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 41 health citations on file.
Inspectors wroteBased on record review and interviews the facility failed to ensure resident rights were maintained. Specifically, the facility failed to deliver mail from the US Postal Service on Saturdays, potentially impacting on the well-being of residents who are expecting mail.
Inspectors wroteBased on observation and interview, the facility failed to provide a clean and homelike environment on one (the [NAME] Unit) of four resident units.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the physical environment accommodated the needs of one Resident (#90) out of a total of 31 sampled Residents. Specifically, the facility failed to provide Resident #90 with a bed that fit him/her appropriately.
Inspectors wroteBased on interview and record review, the facility failed to ensure the grievance process was followed for one Resident (#70) out of a total of 31 sampled residents. Specifically, the facility failed to follow the grievance process and complete a grievance form after Resident #70 reported he/she was missing a robe.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that services provided met professional standards for one Resident (#55), out of 31 total sampled residents. Specifically, for Resident #55 the facility failed to ensure that nursing removed the correct medication patch during the medication pass observation. Nurse #4 removed a clonidine patch (medicated patch applied once a week used to treat hypertension) instead of a nicotine patch (medicated patch applied once a day used to treat nicotine cravings).
Inspectors wroteBased on observations and interviews, the facility failed to identify and eliminate all known and foreseeable accident hazards in the resident's environment for one Resident (#46), out of 31 total sampled residents. Specifically, for Resident #46 the facility failed to remove a portable oil-filled radiator heater from his/her room.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure food items were stored appropriately in the reach-in refrigerator in the main kitchen.
Inspectors wroteBased on record review, interview and observation, the facility failed to ensure complete and accurate medical records for two Residents (#34, #51) of 31 sampled residents. Specifically:For Resident #34, the facility failed to document weekly skin checks ordered by the physician. For Resident #51, the facility failed to accurately transcribe physician treatment orders.
Inspectors wroteBased on interview and observation, the facility failed to ensure it provided a homelike environment on the [NAME], [NAME], Minuteman, and [NAME] units.
Inspectors wroteBased on observation and interview the facility failed to handle food in accordance with professional standards for food service safety. Specifically, the facility failed to ensure that staff did not handle ready-to-eat food with their bare hands.
Inspectors wroteBased on record review, interview and observation, the facility failed to ensure accurate documentation of the clinical record for three Residents (#17, #52, #392) of 37 sampled residents. Specifically: 1. For Resident #52, the facility documented compression stocking were applied when they were not. 2. For Resident #17, the facility documented heel protectors were applied when they were not. 3. For Resident #392, the facility failed to ensure nursing obtained a physician's order for a lidocaine (topical prescription medicated patch used for pain) patch that included the location, and the facility failed to ensure that nursing consistently documented the location where the lidocaine patch was applied. 1. Resident #52 was admitted to the facility in November 2022, and has active diagnoses which include congestive heart failure, bilateral leg edema and dementia. [...]
Inspectors wroteBased on record review, interview and observation, the facility failed to follow infection control procedures. Specifically: 1. The facility failed to ensure 2 of 2 nurses cleaned blood glucose meters according to infection control practices. 2. The facility failed to ensure staff wore complete personal protective equipment in rooms designated as requiring enhanced barrier precautions. 3. The facility failed to ensure staff conducted proper handwashing and glove use. 4. The facility failed to ensure it used unexpired hand sanitizer. Review of the facility policy, Blood Glucose Monitoring, dated as revised [DATE], indicated: Disinfect the meter before and after each use, or when the monitor is visibly soiled as follows: [...]
Inspectors wroteBased on interview and observation, the facility failed to ensure it had secured hallway handrails on the [NAME] and Minuteman units.
Inspectors wroteBased on observation, interview and record review the facility failed to provide a dignified dining experience for one Resident (46) out of a total sample of 37 residents.
Inspectors wroteBased on record review and interview, the facility failed to accurately complete the Minimum Data Set (MDS) assessment for two Residents (#4 and #139) out of a total sample of 37 residents.
Inspectors wroteBased on record review, interview and observation, the facility failed to ensure care plan implementation for four (Resident #52, #17, 442, and #46) of 37 sampled residents. Specifically: 1. For Resident #52, the facility failed to implement the physician order for compression stockings. 2. For Resident #17, the facility failed to implement the physician order for heel protectors. 3. For Resident #442, the facility failed to develop a care plan for eating assistance. 4. For Resident #46, the facility failed to develop a comprehensive falls care plan.
Inspectors wroteBased on observation, record review and interview, the facility failed to meet professional standards of practice for one Resident (#392) out of a total of 37 sampled residents. Specifically, for Resident #392 the facility failed to ensure nursing clarified a physician's order for ascorbic acid extended release (ER) oral capsule. In addition, from 12/15/24 through 12/26/24, nursing staff documented they administered the medication 25 times.
Inspectors wroteBased on observation, interview and record review the facility failed to provide assistance with activities of daily living (ADL's) for one Resident (#442) out of a total sample of 37 residents. Specifically, for Resident #442 the facility failed to ensure the Resident received necessary services to maintain good nutrition. Findings Include: Review of the facility policy, titled Activities of Daily Living (ADL), Supporting, revised March 2018, indicated, but was not limited to, the following: - Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with: - Dining (meals and snacks). - The resident's response to interventions will be monitored, evaluated and revised as appropriate. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide treatment and care in accordance with professional standards of practice for one Resident (#29) out of a total sample of 37 residents. Specially, the facility failed to obtain wound care orders for five days after Resident #29's wound vac (negative pressure wound vacuum, which is a medical device that uses suction to help a wound heal by gently pulling fluid out of it and keeping the edges of the wound together) was placed on hold because the wound was worsening.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for two Residents (#441 and #119) out of a total of 37 sampled Residents. Specifically: 1. For Resident #441, the facility failed to place an order for treatment or monitoring for a known pressure injury on admission. 2. For Resident #119, the facility failed to ensure nursing consistently implemented physician's orders for air mattress settings.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that respiratory care and services, consistent with professional standards of practice, were provided for one Resident (#43), out of a total sample of 37 residents. Specifically, for Resident #43, the facility failed to ensure that they maintained Resident #43's tracheostomy (a surgically created opening in the neck to provide an airway for breathing) and associated respiratory equipment in a clean and sanitary manner to prevent potential contamination and the spread of infection.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure nursing was competent and had the required skill set to provide necessary care for residents' needs. Specifically: 1. For Resident #391, the facility failed to ensure that nursing was (a) competent to use an insulin pen-injector and (b) competent to administer enoxaparin according to manufacturer's guidelines. 2. For Resident #131, the facility failed to ensure that nursing was competent to accurately measure the external catheter length of a CVC (central venous catheter) and PICC (peripherally inserted central line). 3. The facility failed to ensure agency licensed nursing staff were trained and demonstrated competency related to medication administration techniques.
Inspectors wroteBased on record review and interviews, the facility failed to provide routine medications to one Resident (#122) out of a total sample of 37 residents. Specifically, for Resident #122, the facility failed to provide modafinil (a non-amphetamine central nervous system stimulant with wakefulness-promoting properties. It is used in the treatment of conditions which cause excessive daytime sleepiness) as ordered by the physician.
Inspectors wroteBased on record review and interview, the facility failed to ensure recommendations from the Monthly Medication Reviews (MMR) conducted by the consultant pharmacist were addressed by the facility in a timely manner for two Residents (#14 and #29) out of a total sample of 37 Residents. Specifically, 1. For Resident #14, the facility failed to address the pharmacist recommendations. 2. For Resident #29, the facility failed to implement the consultant pharmacist's recommendations once approved by the attending physician. Finding Include: Review of the facility policy, Medication Regime Reviews, dated as revised May 2019, indicated the consultant pharmacist reviews the medication regimen of each resident at least monthly. 1. The consultant pharmacist performs a monthly medication review (MMR) for every resident in the facility receiving medication. 2. [...]
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure that two Residents (#29 and #391) were free from significant medication errors out of a total sample of 37 residents. Specifically: 1. For Resident #29, nursing staff failed to administer insulin in accordance with the physician's order. 2. For Resident #391, nursing staff failed to prime (prepare insulin for injection) the insulin pen injector resulting in an inaccurate dose of insulin administered.
Inspectors wroteBased on observations, interviews and policy review, the facility failed to ensure: 1. Medications were properly stored in one of four medication carts and 2. Treatment carts were attended while unlocked, and 3. Medications were labeled, and dated once opened, according to manufacturer's guidelines in one out of four medication storage areas.
Inspectors wroteBased on record review and interviews, the facility failed to ensure laboratory services were provided for one Resident (#14) out of a sample of 37 residents. Specifically, the facility failed to ensure it obtained Resident #14's Depakote (medication used to treat mood and behavior) serum drug level, per the physician's order. Finding Include: Review of the facility policy, Lab and Diagnostic Test Results - Clinical Protocol, dated as Revised November 2018, indicated: 1. The physician will identify, and order diagnostic and lab testing based on the resident's diagnostic and monitoring needs. 2. The staff will process test requisitions and arrange for tests. 3. The laboratory, diagnostic radiology provider, or other testing source will report test results to the facility. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff provided food that accommodated the allergies, intolerances, and preferences of one Resident (#442) out of a total sample of 37 residents. Specifically, the facility failed to ensure that Resident #442, who had an active diagnosis of celiac disease (a chronic autoimmune disorder, triggered by the consumption of gluten, that damages the small intestine and prevents the body from absorbing nutrients from food) was not served food containing gluten (a protein found in some grains, including wheat) despite gluten being listed as an allergen in the Resident's medical record.
Inspectors wroteBased on observations and interviews, the facility failed to post nursing staff data daily, at the start of each shift, relative to licensed and unlicensed nursing staff directly responsible for resident care per shift and the facility census as required. Specifically, the facility failed consistently post the facility census, total number and hours for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nurse Aides (CNAs), as required.
Inspectors wroteBased on interviews and review of the Health Care Facility Reporting System (HCFRS-State Agency reporting system), the facility failed to provide written notice to the State Agency of a change in the Director of Nursing (DON) position.
Inspectors wroteBased on observations, record review, policy review and interviews, the facility failed to 1) prevent a fall resulting in a humeral (arm bone) fracture for one Resident (#19) and 2) ensure bed and chair alarms were in place for two Residents (#23 and #47) out of a total sample of 32 residents.
Inspectors wroteBased on record reviews, policy reviews and interviews, the facility failed to ensure advanced directives were obtained for one Resident (#177) upon admission and when his/her health care proxy was activated to ensure the Resident's end of life wishes were honored, out of a total of 32 residents sampled. Specifically, Resident #177's wishes to be a DNR (Do Not Resuscitate) were not enforced at his/her time of death.
Inspectors wroteBased on observations, records reviewed and interviews, the facility failed to provide professional standards of practice for one Resident (#287), out of a total sample of 32 residents. Specifically for Resident #287, staff failed to obtain weights in accordance with the physician's orders.
Inspectors wroteBased on observations, record review and interview the facility failed to provide assistance with grooming for one Resident (#47), out of a sample of 32 residents.
Inspectors wroteBased on observation, interview, policy review, and records reviewed the facility failed to ensure that treatment and care was provided in accordance with professional standards of quality for one Resident (#28) out of 32 sampled residents. Specifically, the facility failed to obtain two physician orders to treat skin conditions for Resident #28.
Inspectors wroteBased on record review and interview, the facility failed to follow up on a recommendation for hearing aides for one Resident (#59) out of a total sample of 32 residents.
Inspectors wroteBased on observations, record reviews and interview the facility failed to ensure weights were obtained for one Resident (#47), resulting in the delay of identifying a weight loss, assessing the weight loss, and implementing interventions to prevent further weight loss, out of a total sample of 32 residents.
Inspectors wroteBased on record review and interview, the facility failed to ensure a plan of care was developed for Trauma-Informed Care for one Resident (#7), who was admitted with the diagnosis of post-traumatic stress disorder (PTSD), out of a total sample of 32 residents.
Inspectors wroteBased on observations, policy review and interviews, the facility failed to ensure medications with short expiration dates were dated when opened and expired or outdated medications were not available for administration.
Inspectors wroteBased on observations, record review, policy review and interviews, the facility failed to complete a physical therapy evaluation as recommended by the physician for one Resident (#70) out of a total sample of 32 residents.
Inspectors wroteBased on observation, record review and interview, the facility failed to maintain an accurate medical records for one Resident (#109) out of a total sample of 32 residents. Specifically, for Resident #109, the facility documented that the Resident was receiving enteral tube feeding when he/she was no longer receiving tube feeding.
13 fire safety citations on file: 3 on December 24, 2025, 8 on December 30, 2024, 2 on January 11, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| January 11, 2024 | Fine | $51,765 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.55 | 3.86 | 3.86 |
| Registered nurses | 0.79 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.31 | 3.48 | 3.42 |
| Nurse aides | 2.09 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 13.0% | 38.2% | 45.8% |
| Registered nurse turnover | 23.3% | 42.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.02 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.65 on weekdays and 3.31 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.78 in April to June 2025 to 3.55 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.55 | 0.79 | 3.65 | 3.31 | 0.0% | 0 of 90 | 157 |
| Oct to Dec 2025 | 3.54 | 0.81 | 3.65 | 3.27 | 0.0% | 0 of 92 | 149 |
| Jul to Sep 2025 | 3.73 | 0.85 | 3.87 | 3.39 | 0.0% | 0 of 92 | 139 |
| Apr to Jun 2025 | 3.78 | 0.89 | 3.93 | 3.40 | 0.1% | 0 of 91 | 143 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Massachusetts, all employers | |||
| CNAs (nursing assistants) | $22.44 | $21.32 to $23.94 | 38,130 |
| LPNs and LVNs | $38.57 | $34.91 to $40.66 | 13,210 |
| Registered nurses | $50.27 | $42.05 to $65.44 | 88,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.6 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.3 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.4 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.2 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.8 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Care One at Lexington's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (58.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
58.5% this home
Better than the national rate
US median of homes 51.5% · Massachusetts: 121 better, 19 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 565 eligible stays.
13.2% this home
Worse than the national rate
US median of homes 10.7% · Massachusetts: 4 better, 15 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 583 eligible stays.
6.0% this home
No different from the national rate
US median of homes 7.1% · Massachusetts: 5 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 341 eligible stays.
52.9% this home
Median of homes: Massachusetts51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 240 residents counted.
0.3% this home
Median of homes: Massachusetts0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 310 residents counted.
1.9% this home
Median of homes: Massachusetts2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 310 residents counted.
100.0% this home
Median of homes: Massachusetts99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 136 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: 178 LOWELL STREET OPERATING COMPANY, LLC. CMS links this home to Careone, a group of 37 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Thci of Massachusetts, LLC | 5% or greater direct ownership interest | Organization | 07/01/2003 | |
| Care Realty, LLC | 5% or greater indirect ownership interest | Organization | 04/30/2002 | |
| Des-I 2016 Grat | 5% or greater indirect ownership interest | Organization | 12/01/2021 | |
| Straus, Daniel | 5% or greater indirect ownership interest | Individual | 55% | 07/01/2003 |
| Straus, Moshael | 5% or greater indirect ownership interest | Individual | 07/01/2003 | |
| Baruch, David | W-2 managing employee | Individual | 12/01/2021 | |
| Baruch, David | Corporate officer | Individual | 12/01/2021 | |
| Healthbridge Management LLC | Operational/managerial control | Organization | 07/01/2003 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.