Care One at Lexington
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 101 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (22 vs median 7.0)
Below average in MA · Meets national RN staffing standard · Low staff turnover (stable workforce) · Below chain average · $51,765 in fines
What this means for your family
This facility's therapy department is frequently praised for helping patients return home, making it a potential option for short-term rehab. However, the recurring reports of severe understaffing, particularly on nights and weekends, are a critical concern. If you choose this facility, you must be prepared to be a daily advocate for your loved one to ensure basic hygiene and medication needs are met.
Google Reviews
Google Reviews
101 reviews on Google“CareOne at Lexington receives highly polarized feedback, with many families praising the dedicated nursing and therapy teams for successful rehabilitation outcomes, while others report severe neglect and systemic communication failures. Recurring complaints highlight significant understaffing, particularly on weekends and nights, leading to delayed responses to call bells, medication management errors, and poor hygiene standards. Families considering this facility should be aware that experiences appear to vary significantly by unit and staffing levels.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Dedicated, compassionate individual nursing staff
- Clean, well-maintained facility environment
- Responsive admissions and administrative support
Concerns
- Chronic understaffing leading to delayed call bell responses (mentioned by 14 reviewers)
- Poor medication management and delays in pain relief (mentioned by 8 reviewers)
- Lack of hygiene assistance and basic patient care (mentioned by 9 reviewers)
- Inadequate communication with families and medical providers (mentioned by 6 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 95 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given that staffing levels are a priority for your team, what specific protocols are in place to ensure that call bells are answered promptly throughout the day and night?
- 2I noticed that medication management is a key focus area for your facility; could you walk me through the process for ensuring residents receive their pain relief and daily medications on time?
- 3Since maintaining hygiene and personal care is so important for resident comfort, how do you monitor and support the nursing assistants to ensure these daily needs are consistently met?
- 4I appreciate that your team is active in responding to feedback online; how do you typically handle communication with families when there is a concern regarding a loved one's care or health status?
- 5With a capacity of 211 residents, how do you ensure that the dining experience remains personalized and that residents receive the assistance they need during meal times?
- 6Could you share how your physical and occupational therapy teams coordinate with the nursing staff to ensure a resident's progress in therapy is reflected in their daily care plan?
Personalized based on this facility's data
Key Review Excerpts
“The staff, especially the therapists, were knowledgeable, caring, and patient. They all helped her to progress to the point where she could go home.”
“My mother was in the Munroe Unit for nearly 8 years with Alzheimer’s. The staff was absolutely amazing. She had pretty much the same caregivers during that entire time and they treated her with dignity and kindness.”
“When she used the call button for pain meds or for help getting to the bathroom, she was either ignored or made to wait sometimes over an hour for a response. They are considerably understaffed and are rude and condescending to patients.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
4
measures
1
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Care One at Lexington shows concerning patterns across 52 deficiencies over three surveys, with families filing complaints that led to citations for safety hazards and treatment decisions. Recurring issues include medication management, care planning, emergency preparedness, and fire safety systems. While all deficiencies show correction dates, the persistence of problems across multiple years—particularly with emergency power systems and medication labeling—suggests ongoing operational challenges that families should discuss during visits.
Dec 24, 2025Routine11
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
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 Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Dec 30, 2024Routine30
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Resident Rights Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
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 Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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 Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
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.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Administration Deficiencies
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Jan 11, 2024Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
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.
Jan 11, 2024Routine11
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
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.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
Jan 11, 2024
$51,765
Ownership & Operations
Who Operates This Facility
Care One at Lexington
for profit
Chain Affiliation
Careone
37 facilities nationwide
Chain avg rating: 3.4/5 · Rank 34 of 37
Ownership & Management
Owners
Thci of Massachusetts, LLC
Owner · Organization
Care Realty, LLC
Owner (parent company) · Organization
Des-I 2016 Grat
Owner (parent company) · Organization
Straus, Daniel
Owner (parent company)
Straus, Moshael
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
101 reviews from families & visitors
Official Website
Visit care-one.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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