Care One At Lexington is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1985-07-24. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (617) 901-8365 or your local Medicaid office to verify current eligibility.

Care One At Lexington holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (4★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 75.7/100, placing it #5593 of 14703 facilities nationally and #131 of 341 in Massachusetts. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Care One At Lexington receives a reported average of 3 hours 44 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 51 minutes; Licensed Practical Nurse (LPN) — 48 minutes; Nurse Aide — 2 hours 5 minutes. On weekends, total nurse staffing is 3 hours 24 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 16.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $51,765. One substantiated complaint was recorded across the 5-year period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $51,765, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 90.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Care One At Lexington ranks 5593rd out of 14,703 facilities (composite score: 75.7/100), placing it in the above average nationwide. Within MA, it ranks 131st out of 341 nursing homes. In Lexington, it ranks 2nd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #6,887 nationally and RN hours rank #3,171 nationally (#49 in MA). Our composite quality score of 75.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Lexington, visit: https://nursinghomesnearme.org/massachusetts/lexington/