Pine Knoll Nursing Center, Lexington, Massachusetts

82
Citations from health inspectionsMassachusetts average: 29 a home: 12
Residents harmed or put in dangerMassachusetts average: 1.4 a home: $432,082
Fines from the federal governmentMassachusetts average: $34,265 a home: No rating given
Overall rating in starsMassachusetts average: 3.0

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Three inspection visits produced 82 citations. Residents were in immediate danger in five findings. Residents were found hurt in seven cases. Federal fines came to $432,082 (two fines).

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating: No rating is given while the home stays on the Special Focus list
Rating for health inspections: No rating is given while the home stays on the Special Focus list
Rating for staffing: No rating is given while the home stays on the Special Focus list
Rating for quality of care: No rating is given while the home stays on the Special Focus list
Nurse time for each resident: 3.39 hours each dayThe Massachusetts average is 3.86 hours
Time from registered nurses: 0.65 hours each dayThe Massachusetts average is 0.65 hours
Nursing staff who left during one year: Not sent to CMS
Beds that are certified: 81
Ownership: Corporation (for profit)
Chain: This home is not part of a chain
Street address: 30 Watertown Street, Lexington, Massachusetts 02420
County: Middlesex

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

33 citations dated March 2, 2026

F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, one or a few residents.
F825 Specialized Rehabilitation Services: residents were harmed, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
F745 Medically Related Social Services: risk of harm, no one found hurt, one or a few residents.
F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, one or a few residents.
F740 Behavioral Health Care and Services: residents were harmed, a pattern, several residents.
F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents.
F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F688 Range of Motion and Mobility: immediate danger to residents, a pattern, several residents.
F685 Help Getting Vision and Hearing Care: risk of harm, no one found hurt, one or a few residents.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: minimal risk to residents, a pattern, several residents.
F638 Update Assessments Every Three Months: risk of harm, no one found hurt, one or a few residents.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, a pattern, several residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents.
F600 Freedom From Abuse and Neglect: residents were harmed, a pattern, several residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
F580 Telling the Family About a Change: residents were harmed, a pattern, several residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

14 citations dated Sept. 5, 2025

F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents.
F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, one or a few residents.
F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, one or a few residents.
F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: minimal risk to residents, a pattern, several residents.
F640 Send Assessment Data to State on Time: minimal risk to residents, a pattern, several residents.
F638 Update Assessments Every Three Months: minimal risk to residents, a pattern, several residents.
F567 Right to Manage Own Finances: risk of harm, no one found hurt, a pattern, several residents.

35 citations dated Sept. 26, 2024

F945 Infection Control Training for Staff: risk of harm, no one found hurt, widespread.
F940 Effective Staff Training Program: risk of harm, no one found hurt, widespread.
F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, widespread.
F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, a pattern, several residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread.
F835 Run the Facility Effectively: immediate danger to residents, a pattern, several residents.
F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, widespread.
F728 Trained and Competent Nurse Aides: risk of harm, no one found hurt, widespread.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
F726 Nurses and Aides Have Needed Skills: immediate danger to residents, a pattern, several residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
F695 Breathing and Oxygen Care: residents were harmed, one or a few residents.
F692 Enough Food and Fluids: residents were harmed, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, a pattern, several residents.
F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
F583 Keep Resident Records Private: risk of harm, no one found hurt, a pattern, several residents.
F580 Telling the Family About a Change: residents were harmed, a pattern, several residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
March 2, 2026	Fine	$213,005
Sept. 26, 2024	Fine	$219,077

Ownership and Management of the Home

The CMS ownership file names no owner or operator for this home.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 225049. Other homes in Massachusetts.