Skilled nursing · Lexington, MA

Pine Knoll Nursing Center

30 WATERTOWN STREET, Lexington, MA 02420

0 / 5CMS 81 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Pine Knoll Nursing Center carries a Palmelle Clarity Score of 4 out of 100, derived from federal CMS Care Compare data plus Massachusetts state records. Health inspection rating sits at 0-star, staffing at 0-star, quality measures at 0-star. Long-stay antipsychotic prescribing is at 42.0 percent versus a 14 percent national median. RN coverage is None hours per resident per day. Nurse turnover None percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Massachusetts DPH

In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

—

National

0.78

Annual nurse turnover

This

—

National

53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This

42.0%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Massachusetts state data

The full record.

Federal CMS ratings

Overall★★★★★0 / 5

Health inspection★★★★★0 / 5

Staffing★★★★★0 / 5

Quality measures★★★★★0 / 5

Staffing

RN hours per resident, daily

This

—

Nat

0.78

Total nurse hours / resident, daily

This

—

Nat

3.62

Annual nurse turnover

This

—

Nat

53%

Annual RN turnover

This

—

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

42.0%

Nat

14%

Sedative / sleep med

This

15.4%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

2.8%

Nat

1.6%

Penalties & status

No abuse iconSFFInspection current$241,047 in fines (2)

Identity & licensing

CMS ID225049

OwnershipFor profit - Corporation

ChainIndependent

Beds81

Avg residents72

Citations · last 36 months

Flagged by CMS data
CMS has designated this facility as a Special Focus Facility (SFF). This designation is given to nursing homes with a history of serious quality problems. Only the worst performers in the country receive this designation.
From the latest CMS Care Compare reconcile
Flagged by CMS data
This facility's long-stay antipsychotic rate is 42% — roughly three times the national median of about 14%. CMS already excludes residents with schizophrenia, Tourette's, and Huntington's from this measure, so this reflects prescribing for residents who don't have a primary psychotic diagnosis. Worth asking on a tour: 'How does my parent get back off these meds if started?'
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Massachusetts DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for Pine Knoll Nursing Center?

Pine Knoll Nursing Center has an overall CMS Care Compare rating of 0 out of 5 stars. It scores 0 of 5 on health inspection, 0 of 5 on staffing, and 0 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Pine Knoll Nursing Center been cited for resident harm?

It has $241,047 in federal fines across 2 penalties on record in the last 36 months. CMS data flagged 2 concerns on the latest reconcile. The full record for Pine Knoll Nursing Center appears in the record section above.

Does Pine Knoll Nursing Center use antipsychotic medications?

42.0 percent of long-stay residents at Pine Knoll Nursing Center are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is also elevated at 15.4 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Pine Knoll Nursing Center's Palmelle Clarity Score?

Pine Knoll Nursing Center has a Palmelle Clarity Score of 4 out of 100, putting it below the national median. The score is a composite of federal CMS and Massachusetts state inspection data. Higher is better.

How can I tour or contact Pine Knoll Nursing Center?

Pine Knoll Nursing Center is located at 30 WATERTOWN STREET, Lexington, MA 02420. Phone: (781) 862-8151. Website: contact facility. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Pine Knoll Nursing Center a special focus facility?

Pine Knoll Nursing Center carries special focus status (SFF) on the federal program that identifies facilities with persistent quality problems.

What does F-689 mean on Pine Knoll Nursing Center's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Pine Knoll Nursing Center has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Pine Knoll Nursing Center compare to other Lexington skilled nursing facilities?

Pine Knoll Nursing Center holds a Palmelle Clarity Score of 4. The full Lexington directory shows nearby facilities ranked by score, antipsychotic prescribing, staffing, and citation history. Browse the full Lexington directory to compare more facilities by score, staffing, and inspection record.

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