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Pine Knoll Nursing Center

30 WATERTOWN STREET · LEXINGTON, MA · 02420

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Record foundThis page contains a facility record from the named public source.

Before a visit

Key questions from this public record

These questions come from fields in the CMS record. They describe what to ask, not what care is like today.

  1. The CMS record displays an abuse icon. Could you show us the related inspection findings and explain what changed afterward?
  2. CMS lists 33 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?
  3. CMS lists 3 fines. What were they for, and where can we read the related records?

CMS data processed: 2026-08-01. See the source fields and all questions.

At a glance

Record status
Record found
CMS Certification Number
225049
Facility type
Nursing home
Certified beds
81
Ownership
For profit - Corporation
County or equivalent
Middlesex
CMS area classification
Urban
Phone
(781) 862-8151
CMS data processed
2026-08-01

Published CMS ratings

Overall
Not rated
Health inspection
Not rated
Staffing
Not rated
Quality measures
Not rated

Ratings are published by CMS. CareLedger does not create or alter federal star ratings.

Published CMS staffing measures

Staffing figures to ask about

CMS reports nurse hours per resident per day, weekend hours and staff turnover. These figures can help you prepare questions about coverage and continuity. How to read these staffing numbers.

Total nurse hours per resident per day
3.39 hours
RN hours per resident per day
0.65 hours
Weekend nurse hours per resident per day
3.22 hours
Weekend RN hours per resident per day
0.57 hours
Nursing staff turnover
Not reported in this CMS row
RN turnover
Not reported in this CMS row
Administrators who left
Not reported in this CMS row

Ask the home: how are weekday and weekend shifts staffed now, and how do you cover absences? More questions for a visit.

These published measures cover different reporting periods and are not a real-time staffing count or a judgment about care today. CMS processing date: 2026-08-01. CMS also records a staffing or turnover footnote for this facility; check the source before interpreting an omitted measure. Open this facility's CMS source row. How Medicare explains staffing measures.

Record timeline

  1. Retrieved by CareLedger

    The public source record was retrieved for this directory.

  2. CMS data processed

    CMS lists this as the processing date for the published dataset row.

  3. Standard survey listed

    Most recent standard survey: 2026-03-02. Health deficiencies: 33.

For your visit

Questions to take with you

Public records can help you prepare, but they cannot tell you what daily life feels like now. Ask to see current documents and talk through anything that matters to your family.

  1. The CMS record displays an abuse icon. Could you show us the related inspection findings and explain what changed afterward?Why this question: CMS abuse icon · CMS data processed 2026-08-01
  2. CMS lists 33 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?Why this question: CMS rating cycle 1 total number of health deficiencies · CMS data processed 2026-08-01
  3. CMS lists 3 fines. What were they for, and where can we read the related records?Why this question: CMS number of fines · CMS data processed 2026-08-01

These are conversation prompts, not new findings or recommendations. The source record may lag behind current conditions. Check the CMS source data

Inspection record

Most recent standard survey: 2026-03-02. Health deficiencies: 33.

How to read an inspection record

From the CMS Health Deficiencies file

Citations on the most recent survey date in this CMS file

The latest date with a citation for this facility in this file is . This may not be the facility’s latest inspection. The entries below are source records, not an assessment of care today.

  1. CMS tag 0550 Resident Rights Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  2. CMS tag 0580 Resident Rights Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: H

  3. CMS tag 0582 Resident Rights Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  4. CMS tag 0584 Resident Rights Deficiencies

    CMS requirement: 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.

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  5. CMS tag 0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: H

Show 28 more citations from this date

  1. CMS tag 0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: E

  2. CMS tag 0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

    CMS requirement: Respond appropriately to all alleged violations.

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: E

  3. CMS tag 0638 Resident Assessment and Care Planning Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  4. CMS tag 0641 Resident Assessment and Care Planning Deficiencies

    CMS requirement: Ensure each resident receives an accurate assessment.

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: B

  5. CMS tag 0656 Resident Assessment and Care Planning Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  6. CMS tag 0657 Resident Assessment and Care Planning Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  7. CMS tag 0658 Resident Assessment and Care Planning Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  8. CMS tag 0677 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  9. CMS tag 0679 Quality of Life and Care Deficiencies

    CMS requirement: Provide activities to meet all resident's needs.

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  10. CMS tag 0685 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  11. CMS tag 0688 Quality of Life and Care Deficiencies

    CMS requirement: 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.

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: K

  12. CMS tag 0689 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  13. CMS tag 0692 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  14. CMS tag 0695 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  15. CMS tag 0697 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  16. CMS tag 0699 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  17. CMS tag 0740 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: H

  18. CMS tag 0744 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  19. CMS tag 0745 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  20. CMS tag 0756 Pharmacy Service Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  21. CMS tag 0757 Pharmacy Service Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  22. CMS tag 0761 Pharmacy Service Deficiencies

    CMS requirement: 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.

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: E

  23. CMS tag 0791 Quality of Life and Care Deficiencies

    CMS requirement: Provide or obtain dental services for each resident.

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  24. CMS tag 0812 Nutrition and Dietary Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: E

  25. CMS tag 0825 Quality of Life and Care Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: H

  26. CMS tag 0867 Administration Deficiencies

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

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  27. CMS tag 0880 Infection Control Deficiencies

    CMS requirement: Provide and implement an infection prevention and control program.

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

  28. CMS tag 0887 Infection Control Deficiencies

    CMS requirement: 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.

    CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-29 · CMS scope/severity code: D

The correction field and date are reproduced from CMS; they do not independently verify a correction or establish whether a concern exists now. Open the CMS Health Deficiencies data for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22.

From the CMS citation file

CMS citation tags seen on multiple survey dates

These tags appear on at least two distinct CMS survey dates. The dates and source are shown; this is not a statement about current conditions or whether a finding remains unresolved.

Topics in citations from multiple survey dates

These topics group CMS tags with reviewed descriptions. The dated list below shows every repeated tag, including tags without a topic label. Open the CMS source.

  • Assessment and care planning 4 CMS tags · 3 survey dates Tags 0638, 0641, 0656, 0657 · Most recent citation date
  • Food service 2 CMS tags · 3 survey dates Tags 0692, 0805 · Most recent citation date
  • Abuse prevention and reporting 1 CMS tag · 2 survey dates Tags 0600 · Most recent citation date

These dates describe past CMS citations. Ask the facility about current practice.

  1. CMS tag 0580 Resident Rights Deficiencies

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

    Survey dates: ,

  2. CMS tag 0584 Resident Rights Deficiencies

    CMS describes the regulatory requirement as: 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.

    Survey dates: ,

  3. CMS tag 0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

    CMS describes the regulatory requirement as: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Survey dates: ,

  4. CMS tag 0638 Resident Assessment and Care Planning Deficiencies

    CMS describes the regulatory requirement as: Assure that each resident’s assessment is updated at least once every 3 months.

    Survey dates: ,

Show 15 more tags seen on multiple dates

  1. CMS tag 0641 Resident Assessment and Care Planning Deficiencies

    CMS describes the regulatory requirement as: Ensure each resident receives an accurate assessment.

    Survey dates: , ,

  2. CMS tag 0656 Resident Assessment and Care Planning Deficiencies

    CMS describes the regulatory requirement as: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Survey dates: ,

  3. CMS tag 0657 Resident Assessment and Care Planning Deficiencies

    CMS describes the regulatory requirement as: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Survey dates: ,

  4. CMS tag 0658 Resident Assessment and Care Planning Deficiencies

    CMS describes the regulatory requirement as: Ensure services provided by the nursing facility meet professional standards of quality.

    Survey dates: , ,

  5. CMS tag 0677 Quality of Life and Care Deficiencies

    CMS describes the regulatory requirement as: Provide care and assistance to perform activities of daily living for any resident who is unable.

    Survey dates: ,

  6. CMS tag 0689 Quality of Life and Care Deficiencies

    CMS describes the regulatory requirement as: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Survey dates: ,

  7. CMS tag 0692 Quality of Life and Care Deficiencies

    CMS describes the regulatory requirement as: Provide enough food/fluids to maintain a resident's health.

    Survey dates: ,

  8. CMS tag 0695 Quality of Life and Care Deficiencies

    CMS describes the regulatory requirement as: Provide safe and appropriate respiratory care for a resident when needed.

    Survey dates: ,

  9. CMS tag 0740 Quality of Life and Care Deficiencies

    CMS describes the regulatory requirement as: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Survey dates: ,

  10. CMS tag 0761 Pharmacy Service Deficiencies

    CMS describes the regulatory requirement as: 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.

    Survey dates: ,

  11. CMS tag 0880 Infection Control Deficiencies

    CMS describes the regulatory requirement as: Provide and implement an infection prevention and control program.

    Survey dates: ,

  12. CMS tag 0686 Quality of Life and Care Deficiencies

    CMS describes the regulatory requirement as: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Survey dates: ,

  13. CMS tag 0690 Quality of Life and Care Deficiencies

    CMS describes the regulatory requirement as: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Survey dates: ,

  14. CMS tag 0805 Nutrition and Dietary Deficiencies

    CMS describes the regulatory requirement as: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Survey dates: ,

  15. CMS tag 0842 Resident Assessment and Care Planning Deficiencies

    CMS describes the regulatory requirement as: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Survey dates: ,

Questions you could ask on a visit

  1. For CMS tag 0580 listed on 2026-03-02, 2024-09-26, could you show us the relevant inspection reports and explain how the facility handles family notification today?
  2. For CMS tag 0600 listed on 2026-03-02, 2024-09-26, could you show us the relevant inspection reports and explain how the facility handles abuse prevention and reporting today?

These prompts use reviewed topic labels from the CMS descriptions. They are not additional inspection findings.

Source: CMS Health Deficiencies for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22. These historical dates are not a claim about current practice.

Enforcement record

Fines: 3 ($454,052.00 total). Payment denials: 0.

Source and coverage

Coverage status
verified live data
Source agency
Centers for Medicare & Medicaid Services
Retrieved
2026-09-26
Confidence
primary_source
Open the official source

Public records can lag, omit context, or use terms differently across states. Verify material facts with the source agency and facility.

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