Middlesex County, Massachusetts · Nursing home
Pine Knoll Nursing Center
Not rated
30 Watertown Street, Lexington, MA 02420
At a glance
- Overall rating Not rated
- Nurse time per resident, per day 3.39 hours Below the state average of 3.86
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 82 12 at the harm level or above
- Fines in 3 years $432,082 2 fines
- Certified beds in use 85.7% of 81 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Pine Knoll Nursing Center is a 81-bed nursing home in Lexington, Massachusetts (Middlesex County). CMS has not published an overall star rating for it as of Sep 2026. It reports 3.39 nurse staffing hours per resident per day, below the Massachusetts average of 3.86. CMS lists 2 fines totaling $432,082 in the past three years.
- Certified beds
- 81
- Residents per day (average)
- 69.4
- Certified since
- 1967 (59 yrs)
For profit - Corporation Participates in Medicare and MedicaidCMS Special Focus: SFFCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus Facility. CMS has placed this home under closer oversight because of its inspection record. CMS does not publish star ratings for a home while it is in the program. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Pine Knoll Nursing Center
Chosen from this home's public data.
- CMS lists this home in its Special Focus Facility program. What is the improvement plan, and what has changed so far?Special Focus status in CMS data
- CMS lists 2 fines totaling $432,082 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 33 health deficiencies in the latest inspection cycle (the standard inspection on Mar 2, 2026 plus complaint and infection-control inspections); the Massachusetts average is 6.8. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall Not rated Massachusetts average 3.0
- Health inspections Not rated Massachusetts average 3.0
- Staffing Not rated Massachusetts average 3.1
- Quality measures Not rated Massachusetts average 3.3
The vertical line marks the Massachusetts average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.39 h Massachusetts average 3.86
- Nurse aides 2.17 h Massachusetts average 2.25
- Licensed practical nurses 0.57 h Massachusetts average 0.95
- Registered nurses 0.65 h Massachusetts average 0.65
- All staff, weekends 3.22 h Massachusetts average 3.48
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Massachusetts average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnoverNot reported
- Massachusetts average38.2%
- Registered nurse turnoverNot reported
- Massachusetts average42.6%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Massachusetts and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Massachusetts | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 9.6% | 16.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.3% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.5% | 1.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 15.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.1% | 3.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 52.0% | 92.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 12.5% | 15.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.9% | 19.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.0% | 94.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.4% | 4.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.2% | 21.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 38.7% | 21.4% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.19 | 1.88 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.71 | 1.50 | 1.78 |
Short-stay residents
| Measure | This home | Massachusetts | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 21.1% | 78.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 77.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.5% | 25.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 8.4% | 11.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 82 health deficiencies in the three most recent inspection cycles. Of these, 5 were at the immediate jeopardy level and 7 involved actual harm; the rest were graded as no actual harm. The most recent citation at the harm level or above was on Mar 2, 2026: 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.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 2, 2026 | 33 | 0 |
| Sep 5, 2025 | 14 | 0 |
| Sep 26, 2024 | 35 | 6 |
Massachusetts homes averaged 6.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (82)
-
KImmediate jeopardy, pattern
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.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
HActual harm, pattern
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Mar 29, 2026)
-
HActual harm, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 29, 2026)
-
HActual harm, pattern
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
HActual harm, pattern
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 29, 2026)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 29, 2026)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Mar 29, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Mar 29, 2026)
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DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Mar 29, 2026)
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DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2026)
-
DPotential for more than minimal harm, isolated
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Mar 29, 2026)
Showing the 30 most recent of 82.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 2, 2026 | Fine | $213,005 |
| Sep 26, 2024 | Fine | $219,077 |
Massachusetts homes averaged 0.8 fines and $34,265 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Massachusetts
Common questions
What is the CMS star rating for Pine Knoll Nursing Center?
CMS has not published an overall star rating for Pine Knoll Nursing Center as of Sep 2026.
How many beds does Pine Knoll Nursing Center have?
Pine Knoll Nursing Center has 81 certified beds. It averages 69.4 residents per day, about 85.7% of its certified beds.
How much nursing care do residents get at Pine Knoll Nursing Center?
The home reports 3.39 hours of nurse staffing per resident per day, including 0.65 hours from registered nurses. The Massachusetts average is 3.86 hours and 0.65 hours from registered nurses.
Has Pine Knoll Nursing Center been fined?
Yes. CMS lists 2 fines totaling $432,082 in the past three years.
Does Pine Knoll Nursing Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Brookhaven at Lexington 49beds 18.6%in use –nurse hours a day
- 3 of 5 Care One at Lexington 211beds 74.5%in use 3.55nurse hours a day
- 1 of 5 Park Avenue Health Center 89beds 85.2%in use 3.59nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Middlesex County
Who to call in Massachusetts
These offices serve residents of every nursing home in Massachusetts.
- Long-term care ombudsman Massachusetts Long-Term Care Ombudsman Program 617-222-7495 (Long-Term Care Ombudsman line listed on the state's nursing and rest home ombudsman page. Local ombudsman programs are listed by city/town on the same page. MassOptions: 800-243-4636.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit, Division of Health Care Facility Licensure and Certification 800-462-5540 (24-hour Consumer Complaint Line. Main Intake Number 617-753-8150 (during business hours). Fax 617-753-8165. Mail: Complaint Intake Unit, 67 Forest Street, Marlborough, MA 01752. No online form; email is not accepted for complaint materials.) The state agency that inspects nursing homes.
Massachusetts staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 225049. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.