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Pine Knoll Nursing Center

30 Watertown Street, Lexington, MA 024207818628151Ownership: For profit - CorporationCertified beds: 81Avg. daily residents: 69County: Middlesex
Special Focus Facility — CMS currently lists this facility in its program for nursing homes with a history of serious quality issues; it is inspected about twice as often as other facilities until it graduates or is terminated from Medicare.
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Pine Knoll Nursing Center, a Medicare & Medicaid–certified nursing home in Lexington, Massachusetts, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
Not rated
CMS’s composite of the three ratings below.
Health inspection
Not rated
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
Not rated
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
Not rated
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
CMS has published limited rating data for this facility. That is common for newly certified facilities and does not by itself indicate a problem. Federal regulators have fined this facility $454,052 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.39 total nurse staff hours per resident per day
below the state average (3.86)
0.65 RN hours per resident per day
about the state average (0.65)
3.22 weekend nurse staff hours per resident per day
Not reported total nursing staff turnover
Not reported RN turnover

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

March 2, 2026 most recent standard health inspection
33 health deficiencies cited in the most recent inspection cycle
above the state average (7.2)
14 health deficiencies in the two prior cycles combined
$454,052 in federal fines across 3 penalties (last 3 years)
above the state average ($34,584)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 12 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
March 2, 20260688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline…K · Immediate jeopardy
March 2, 20260580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the…H · Actual harm
March 2, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.H · Actual harm
March 2, 20260740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.H · Actual harm
March 2, 20260825Provide or get specialized rehabilitative services as required for a resident.H · Actual harm
March 2, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E · Potential for more than minimal harm
March 2, 20260610Respond appropriately to all alleged violations.E · Potential for more than minimal harm
March 2, 20260761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
March 2, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
March 2, 20260550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.