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Pine Knoll Nursing Center

Nursing Home Facility

30 Watertown Street, Lexington, MA 02420

Nursing Home Care Senior Living
Pine Knoll Nursing Center

Pine Knoll Nursing Center is a senior care community located in Lexington, MA. It provides nursing home care and senior living for older adults in the Lexington area. To learn more or schedule a tour, call (781) 862-8151.

With 81 beds, Pine Knoll Nursing Center is smaller than most nearby options, senior care communities in Lexington average about 123 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 86% of its licensed beds. That is above the Lexington average of roughly 60%.

Residents receive about 3.4 hours of nursing care per day on average, including 0.6 hours from a registered nurse.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 82 problems at Pine Knoll Nursing Center. 12 findings involved harm to a resident, including 5 that put residents in immediate danger.

In the last three years Medicare fined this home twice, a total of $432,082.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, a pattern Quality of Life and Care

    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.

    Inspected March 2026. Corrected by March 29, 2026.

  • Caused harm to a resident, a pattern Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected March 2026. Corrected by March 29, 2026.

  • Caused harm to a resident, a pattern Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected March 2026. Corrected by March 29, 2026.

  • Caused harm to a resident, a pattern Quality of Life and Care

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Inspected March 2026. Corrected by March 29, 2026.

  • Caused harm to a resident, a pattern Quality of Life and Care

    Provide or get specialized rehabilitative services as required for a resident.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected March 2026. Corrected by March 29, 2026.

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  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Assure that each resident’s assessment is updated at least once every 3 months.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Assist a resident in gaining access to vision and hearing services.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate pain management for a resident who requires such services.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care or services that was trauma informed and/or culturally competent.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide or obtain dental services for each resident.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Administration

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    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.

    Inspected March 2026. Corrected by March 29, 2026.

  • Minimal harm or the potential for it, a pattern Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected March 2026. Corrected by March 29, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Pine Knoll Nursing Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 81
  • Occupancy 86%
  • Nursing hours per resident/day 3.4
  • Last health inspection March 2026

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