Pine Knoll Nursing Center
A nursing home in Lexington, Massachusetts 02420
30 Watertown Street, Lexington, Massachusetts 02420. (781) 862-8151.
- On CMS’s special focus list
- Cited for abuse (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- Not rated CMS’s overall rating
- 33 health citations at the latest inspection cycle Massachusetts average: 6.4
- 3.76 nurse hours per resident per day Massachusetts average: 3.94
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
33 health citations at the latest inspection cycle
The Massachusetts average is 6.4.
Last standard inspection Mar 2, 2026.
Most serious in three years: immediate jeopardy to health or safety (K), at a standard inspection on Mar 2, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
82 citations in 3 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 82 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 2, 2026: standard inspection33 citations
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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.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Provide or get specialized rehabilitative services as required for a resident.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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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.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Assure that each resident’s assessment is updated at least once every 3 months.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide activities to meet all resident’s needs.
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Assist a resident in gaining access to vision and hearing services.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide enough food/fluids to maintain a resident’s health.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate pain management for a resident who requires such services.
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Provide care or services that was trauma informed and/or culturally competent.
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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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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.
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Provide or obtain dental services for each resident.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Provide and implement an infection prevention and control program.
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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.
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Ensure each resident receives an accurate assessment.
Sep 5, 2025: standard inspection14 citations
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Honor the resident’s right to manage his or her financial affairs.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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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.
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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.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Assure that each resident’s assessment is updated at least once every 3 months.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Ensure each resident receives an accurate assessment.
Sep 26, 2024: standard inspection35 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide enough food/fluids to maintain a resident’s health.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure that residents are fully informed and understand their health status, care and treatments.
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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.
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Keep residents’ personal and medical records private and confidential.
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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.
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Assess the resident when there is a significant change in condition
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Ensure each resident receives an accurate assessment.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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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.
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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.
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Observe each nurse aide’s job performance and give regular training.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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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.
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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.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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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.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
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Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 1967.
- On CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 81 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $432,082 in all.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Mar 2, 2026 | Fine | $213,005 |
| Sep 26, 2024 | Fine | $219,077 |
Who does the caring?
3.76 nurse hours per resident per day
The Massachusetts average is 3.94.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Massachusetts average |
|---|---|---|
| Nurse hours per resident per day | 3.76 | 3.94 |
| Of which registered nurses | 0.67 | 0.66 |
| At weekends | 3.49 | 3.52 |
| Nursing staff turnover | Not given | 37.6% |
| Registered nurse turnover | Not given | 42.7% |
| Administrators who left | Not given | Not given |
Who owns it?
- 12 owners or officers are people: Thomas E Woods (owns 5% or more directly, 75%); Thomas E Woods (corporate officer, 75%); Matthew J Sweeney (owns 5% or more directly, 25%); Matthew J Sweeney (corporate officer, 25%); Thomas E Woods (runs it (operational or managerial control)); Thomas E Woods (additional disclosable party (controls, leases property to, or provides services to the home)); Matthew J Sweeney (runs it (operational or managerial control)); Matthew J Sweeney (additional disclosable party (controls, leases property to, or provides services to the home)); Asif Merchant (runs it (operational or managerial control)); Asif Merchant (additional disclosable party (controls, leases property to, or provides services to the home)); Jessica Gouveia (runs it (operational or managerial control)); Jessica Gouveia (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
How do residents fare?
- CMS hasn’t rated this home’s quality measures.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | Not rated |
| Health inspections | Not rated |
| Staffing | Not rated |
| Quality measures | Not rated |
How does it compare nearby?
- Among the 12 nearest homes, within 4.5 miles, this one had the 1st most health citations at the latest inspection cycle (33; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Pine Knoll Nursing Center This nursing home | 33 | |
| Brookhaven at Lexington | 1.3 | 0 |
| Care One at Lexington | 1.6 | 8 |
| Park Avenue Health Center | 1.8 | 8 |
| Meadow Green Nursing and Rehabilitation Center | 2.0 | 15 |
| Belmont Manor Nursing Home, in | 2.3 | 10 |
| Maristhill Nursing & Rehabilitation Center | 3.2 | 12 |
| Sancta Maria Nursing Facility | 3.3 | 11 |
| Neville Center at Fresh Pond for Nursing & Rehab | 3.7 | 5 |
| Winchester Rehabilitation and Nursing Center | 3.9 | 3 |
| Aberjona Rehabilitation and Nursing Center | 3.9 | 0 |
| Watertown Rehabilitation and Nursing Center | 4.5 | 14 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.