Starfile / Massachusetts

Pine Knoll Nursing Center

30 WATERTOWN STREET, LEXINGTON, MA 02420 · CCN 225049

SFF

Inspection history vs Massachusetts & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$241,047

Number of fines

2

Number of penalties

2

Payment denials

0

Inspection citations (72)4 immediate jeopardy3 actual harm

1. EF0567Honor the resident's right to manage his or her financial affairs.2025-09-05 · Health · corrected 2025-09-25

   Potential for more than minimal harm

2. BF0638Assure that each resident’s assessment is updated at least once every 3 months.2025-09-05 · Health · corrected 2025-09-25

   Potential for minimal harm

3. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-09-05 · Health · corrected 2025-09-25

   Potential for minimal harm

4. BF0641Ensure each resident receives an accurate assessment.2025-09-05 · Health · corrected 2025-09-25

   Potential for minimal harm

5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-05 · Health · corrected 2025-09-25

   Potential for more than minimal harm

6. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-05 · Health · corrected 2025-09-25

   Potential for more than minimal harm

7. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-05 · Health · corrected 2025-09-25

   Potential for more than minimal harm

8. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-09-05 · Health · corrected 2025-09-25

   Potential for more than minimal harm

9. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-09-05 · Health · corrected 2025-09-25

   Potential for more than minimal harm

10. DF0803Ensure 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.2025-09-05 · Health · corrected 2025-09-25

    Potential for more than minimal harm

11. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-09-05 · Health · corrected 2025-09-25

    Potential for more than minimal harm

12. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2025-09-05 · Health · corrected 2025-09-25

    Potential for more than minimal harm

13. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-05 · Health · corrected 2025-09-26

    Potential for more than minimal harm

14. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-09-05 · Health · corrected 2025-09-25

    Potential for more than minimal harm

15. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

16. DF0578Honor 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.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

17. HF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-26 · Health · corrected 2024-10-24

    Actual harm

18. EF0583Keep residents' personal and medical records private and confidential.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

19. DF0584Honor 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.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

20. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-26 · Health · corrected 2024-10-23

    Immediate jeopardy

21. DF0637Assess the resident when there is a significant change in condition2024-09-26 · Health · corrected 2024-11-15

    Potential for more than minimal harm

22. DF0641Ensure each resident receives an accurate assessment.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-26 · Health · corrected 2024-11-15

    Potential for more than minimal harm

24. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-26 · Health · corrected 2024-10-23

    Potential for more than minimal harm

25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-26 · Health · corrected 2024-10-23

    Potential for more than minimal harm

26. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-26 · Health · corrected 2024-11-15

    Potential for more than minimal harm

27. KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-26 · Health · corrected 2024-10-23

    Immediate jeopardy

28. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

29. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-26 · Health · corrected 2024-10-23

    Potential for more than minimal harm

30. GF0692Provide enough food/fluids to maintain a resident's health.2024-09-26 · Health · corrected 2024-10-23

    Actual harm

31. GF0695Provide safe and appropriate respiratory care for a resident when needed.2024-09-26 · Health · corrected 2024-10-23

    Actual harm

32. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

33. KF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-09-26 · Health · corrected 2024-10-23

    Immediate jeopardy

34. FF0727Have 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.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

35. FF0728Ensure 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.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

36. FF0730Observe each nurse aide's job performance and give regular training.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

37. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-09-26 · Health · corrected 2024-10-23

    Potential for more than minimal harm

38. DF0758Implement 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.2024-09-26 · Health · corrected 2024-11-15

    Potential for more than minimal harm

39. EF0761Ensure 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.2024-09-26 · Health · corrected 2024-11-15

    Potential for more than minimal harm

40. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

41. KF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-09-26 · Health · corrected 2024-10-23

    Immediate jeopardy

42. FF0838Conduct 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.2024-09-26 · Health · corrected 2024-10-23

    Potential for more than minimal harm

43. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-26 · Health · corrected 2024-10-23

    Potential for more than minimal harm

44. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-09-26 · Health · corrected 2024-10-22

    Potential for more than minimal harm

45. FF0880Provide and implement an infection prevention and control program.2024-09-26 · Health · corrected 2024-10-23

    Potential for more than minimal harm

46. FF0881Implement a program that monitors antibiotic use.2024-09-26 · Health · corrected 2024-11-15

    Potential for more than minimal harm

47. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-09-26 · Health · corrected 2024-11-15

    Potential for more than minimal harm

48. FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-09-26 · Health · corrected 2024-10-23

    Potential for more than minimal harm

49. FF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-09-26 · Health · corrected 2024-10-23

    Potential for more than minimal harm

50. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-01 · Health · corrected 2023-10-13

    Potential for more than minimal harm

51. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

52. FF0584Honor 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.2023-09-01 · Health · corrected 2023-10-13

    Potential for more than minimal harm

53. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

54. DF0610Respond appropriately to all alleged violations.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

55. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

56. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

57. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-01 · Health · corrected 2023-10-15

    Potential for more than minimal harm

58. EF0679Provide activities to meet all resident's needs.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

59. DF0685Assist a resident in gaining access to vision and hearing services.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

60. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

61. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-01 · Health · corrected 2023-10-13

    Potential for more than minimal harm

62. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-01 · Health · corrected 2023-10-15

    Potential for more than minimal harm

63. EF0730Observe each nurse aide's job performance and give regular training.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

64. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

65. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

66. DF0761Ensure 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.2023-09-01 · Health · corrected 2023-11-03

    Potential for more than minimal harm

67. DF0791Provide or obtain dental services for each resident.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

68. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-09-01 · Health · corrected 2023-10-15

    Potential for more than minimal harm

69. DF0825Provide or get specialized rehabilitative services as required for a resident.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

70. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

71. DF0880Provide and implement an infection prevention and control program.2023-09-01 · Health · corrected 2023-09-21

    Potential for more than minimal harm

72. DF0881Implement a program that monitors antibiotic use.2023-09-01 · Health · corrected 2023-10-13

    Potential for more than minimal harm

Ownership

Other facilities in LEXINGTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.