Quick answers
- Where is Pine Knoll Nursing Center?
- 30 Watertown Street, Lexington, MA 02420, in Middlesex County, Massachusetts.
- What is the phone number of Pine Knoll Nursing Center?
- (781) 862-8151, as listed by Medicare (CMS).
- What is the Medicare star rating of Pine Knoll Nursing Center?
- Medicare (CMS) does not show a star rating for Pine Knoll Nursing Center in the current data.
- Has Pine Knoll Nursing Center been fined?
- Medicare lists 2 fines totaling $432,082.
- What did inspectors find at Pine Knoll Nursing Center?
- In its last three inspection cycles (September 26, 2024 to March 2, 2026), Medicare lists 82 health citations; the most serious was level K. 12 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (September 26, 2024 to March 2, 2026), Pine Knoll Nursing Center had 82 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 12 of them were level G or higher (actual harm or immediate jeopardy). It was fined $432,082 in total (2 fines, the latest on March 2, 2026). Nurse staffing is 3.76 hours per resident per day; the Massachusetts average is 3.94 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: March 2, 2026 — 33 health citations
Inspections in this cycle: March 2, 2026 (standard health inspection).
F0688 Level K
“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.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0580 Level H
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
actual harm to residents; pattern (some residents) · Resident Rights Deficiencies
F0600 Level H
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0740 Level H
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
actual harm to residents; pattern (some residents) · Quality of Life and Care Deficiencies
F0825 Level H
“Provide or get specialized rehabilitative services as required for a resident.”
actual harm to residents; pattern (some residents) · Quality of Life and Care Deficiencies
Show 28 less serious citations (levels A to F)
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0761 Level E
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0584 Level D
“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.”
F0638 Level D
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0744 Level D
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0867 Level D
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0887 Level D
“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.”
F0641 Level B
“Ensure each resident receives an accurate assessment.”
Previous cycle: September 5, 2025 — 14 health citations
Inspections in this cycle: September 5, 2025 (standard health inspection).
Show 14 citations (levels A to F, no actual harm)
F0567 Level E
“Honor the resident's right to manage his or her financial affairs.”
F0883 Level E
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0801 Level D
“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.”
F0803 Level D
“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.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0810 Level D
“Provide special eating equipment and utensils for residents who need them and appropriate assistance.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0638 Level B
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0640 Level B
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
F0641 Level B
“Ensure each resident receives an accurate assessment.”
Earlier cycle: September 26, 2024 — 35 health citations
Inspections in this cycle: September 26, 2024 (standard health inspection).
F0600 Level K
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0686 Level K
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0726 Level K
“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.”
immediate jeopardy to resident health or safety; pattern (some residents) · Nursing and Physician Services Deficiencies
F0835 Level K
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
immediate jeopardy to resident health or safety; pattern (some residents) · Administration Deficiencies
F0580 Level H
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
actual harm to residents; pattern (some residents) · Resident Rights Deficiencies
F0692 Level G
“Provide enough food/fluids to maintain a resident's health.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0695 Level G
“Provide safe and appropriate respiratory care for a resident when needed.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 28 less serious citations (levels A to F)
F0725 Level F
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0727 Level F
“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.”
F0728 Level F
“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.”
F0730 Level F
“Observe each nurse aide's job performance and give regular training.”
F0838 Level F
“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.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0881 Level F
“Implement a program that monitors antibiotic use.”
F0882 Level F
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
F0940 Level F
“Develop, implement, and/or maintain an effective training program for all new and existing staff members.”
F0945 Level F
“Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.”
F0583 Level E
“Keep residents' personal and medical records private and confidential.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0761 Level E
“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.”
F0849 Level E
“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.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0578 Level D
“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.”
F0584 Level D
“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.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0740 Level D
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0758 Level D
“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.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (6)
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0018 Level F
“Establish procedures for tracking staff and patients during an emergency.”
E0031 Level F
“Provide emergency officials' contact information.”
E0037 Level F
“Establish staff and initial training requirements.”
Fines and payment denials
Total fines over about the last three years: $432,082 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| March 2, 2026 | Fine | $213,005 |
| September 26, 2024 | Fine | $219,077 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Massachusetts | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.67 | 0.66 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.68 | 0.97 | 0.86 |
| Nurse aide hours per resident per day | 2.41 | 2.31 | 2.35 |
| Total nurse staff hours per resident per day | 3.76 | 3.94 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.49 | 3.52 | 3.43 |
| RN hours per resident per day on the weekend | 0.66 | 0.46 | 0.48 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 81 |
| Average residents per day | 67.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Legal business name | Long Term Centers of Lexington Inc |
| First approved by Medicare/Medicaid | 1967-01-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 30 Watertown Street, Lexington, MA 02420 |
| County | Middlesex County |
| State | Massachusetts |
| Phone | (781) 862‑8151 |
| CMS Certification Number | 225049 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Brookhaven at Lexington1.3 mi · Lexington, MA · 5 of 5 stars
- Care One at Lexington1.6 mi · Lexington, MA · 3 of 5 stars
- Park Avenue Health Center1.8 mi · Arlington, MA · 1 of 5 stars
- Meadow Green Nursing and Rehabilitation Center2.0 mi · Waltham, MA · 2 of 5 stars
- Belmont Manor Nursing Home, in2.3 mi · Belmont, MA · 2 of 5 stars
Nearest hospital emergency rooms
- Mount Auburn Hospital4.9 mi · Cambridge, MA · Acute Care Hospital
- Winchester Hospital5.4 mi · Winchester, MA · Acute Care Hospital
- Boston Medical Center-Brighton5.7 mi · Brighton, MA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13