Care One at Lexington
Nursing home in Lexington, Massachusetts, CMS certification number 225288
178 Lowell Street, Lexington, MA 02420 · Middlesex County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 211
- Certified for
- Medicare and Medicaid
- Last standard inspection
- December 24, 2025
- Deficiencies at that inspection
- 8
- Fines in 3 years
- $51,765 (1)
Does Care One at Lexington take Medicare and Medicaid?
Yes to both. Care One at Lexington is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 4 of 5 |
Nurse staffing hours and turnover
These are the hours Care One at Lexington reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.74
- Registered nurse hours
- 0.82
- Licensed practical nurse hours
- 0.80
- Nurse aide hours
- 2.11
- Weekend total hours
- 3.45
- Nursing staff turnover
- 16.4%
- Registered nurse turnover
- 40%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on December 24, 2025 and cited 8 deficiencies, plus 0 from complaint visits.
The visit before, on December 30, 2024, found 22.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Care One at Lexington 1 time in the past 3 years, for $51,765 in total.
Beds and residents
On an average day 141.4 residents live here, about 67% of its 211 certified beds.
- Certified beds
- 211
- Average residents per day
- 141.4
- Certified since
- July 24, 1985
- Resident or family council
- Resident
Who owns Care One at Lexington
- Legal business name
- 178 Lowell Street Operating Company, LLC
- Ownership type
- For profit - Corporation
- Chain
- 37 homes nationally under Careone, 3.5-star chain average
Other nursing homes near Care One at Lexington
- Park Avenue Health Center146 Park Avenue, Arlington 02174
- Meadow Green Nursing and Rehabilitation Center45 Woburn Street, Waltham 02453
- Pine Knoll Nursing Center30 Watertown Street, Lexington 02420
- Winchester Rehabilitation and Nursing Center223 Swanton Street, #1968, Winchester 01890
- Aberjona Rehabilitation and Nursing Center184 Swanton Street, #1998, Winchester 01890
Who inspects nursing homes in Massachusetts
Massachusetts's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Massachusetts, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Care One at Lexington, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Care One at Lexington
What is the CMS star rating of Care One at Lexington?
3 out of 5 stars overall.
Does Care One at Lexington accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Care One at Lexington?
8 cited at the last standard visit.
Who owns Care One at Lexington?
178 Lowell Street Operating Company, LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.