CareWitness
Federal record · CMS Care Compare · CCN 225288 · Processed JUN 1 2026
CareWitnessMassachusettsLexingtonNursing HomesCare One At Lexington

Care One At Lexington

178 Lowell Street, Lexington, MA, 02420

Type
Nursing home
Medicare/Medicaid certified · CCN 225288

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall2 / 5
Health inspections2 / 5
Staffing4 / 5
Quality measures4 / 5

Facility & Staffing

Ownership
For profit - Corporation · Chain: Careone
Certified beds
211 · avg 149 residents/day
Total nursing staff turnover
15.6%lower than most Massachusetts nursing homesMassachusetts avg: 39.2% · National avg: 46.1% · per CMS Care Compare
RN turnover
27.6%lower than most Massachusetts nursing homesMassachusetts avg: 43.7% · National avg: 43.3% · per CMS Care Compare
Administrators who left
1 departednear the Massachusetts averageMassachusetts avg: 0.6 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
1 fine · $51,765 total

Medicare certification

CMS Certification Number
225288
Certified beds
211 beds · avg 149 residents/day
Ownership type
For profit - Corporation
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
178 Lowell Street Operating Company, Llc
Chain affiliation
Careone

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlc

Chain affiliation

Part of the Careone chain — 37 facilities across 4 states. Chain-wide average overall rating 3.4 / 5.

Disclosed owners (7 on record)

  • David Baruch

    Corporate Officer · since 2021

  • Des-i 2016 Grat

    5% or Greater Indirect Ownership Interest · since 2021

  • Daniel e Straus

    5% or Greater Indirect Ownership Interest · 55% · since 2003

  • Healthbridge Management Llc

    Operational/managerial Control · since 2003

  • Moshael Straus

    5% or Greater Indirect Ownership Interest · 4% · since 2003

  • Thci of Massachusetts, Llc

    5% or Greater Direct Ownership Interest · since 2003

+ 1 additional owner on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.

Federal inspection record

41 health citations on file2 from complaints1 federal fine totalling $52K

Recent health-deficiency citations (most recent 8 of 41)

  • D0842·Dec 24, 2025

    Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • D0812·Dec 24, 2025

    Nutrition and Dietary Deficiencies

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

  • D0689·Dec 24, 2025

    Quality of Life and Care Deficiencies

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

  • D0658·Dec 24, 2025

    Resident Assessment and Care Planning Deficiencies

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

  • D0585·Dec 24, 2025

    Resident Rights Deficiencies

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  • E0584·Dec 24, 2025

    Resident Rights Deficiencies

    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.

  • E0576·Dec 24, 2025

    Resident Rights Deficiencies

    Ensure residents have reasonable access to and privacy in their use of communication methods.

  • D0558·Dec 24, 2025

    Resident Rights Deficiencies

    Reasonably accommodate the needs and preferences of each resident.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20241 fine · $52K

Most recent events

  • Jan 11, 2024Fine · $52K

Fire-safety citations

13 Life-Safety-Code citations on file. Most recent: Dec 24, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Care One At Lexingtoninto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.