Special Focus Facility

Overview

Address
30 WATERTOWN STREET, LEXINGTON, MA 02420
Phone
4136933330
Certified beds
81
Avg daily residents
69 (85% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1967-01-01
Setting
Urban
Rating not available

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
Footnote 18.
— Not Available
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
Footnote 18.
— Not Available
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 18.
— Not Available
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
Footnote 18.
— Not Available

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.40 3.55 3.70 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.82 0.62 0.89 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.58 0.79 0.63
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.00 2.14 2.18
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.40
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.00

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.25
hrs / resident / day
RN (weekend)
0.69
hrs / resident / day
Total nurse (adjusted, weekend)
3.53
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
30.6%
annual
RN turnover
25.0%
annual
Administrators departed
New facility — insufficient data.

Resident acuity

Nursing Case-Mix Index
1.26
higher acuity than avg
Case-Mix Index Ratio
0.91
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-09-05 14 14 0 52 1 52
Cycle 2/3 (prior) 2024-09-26 35 35 0 773 2 1,160
Total weighted health score
329.0
lower is better

Deficiencies (72)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

3 A/B/C No actual harm — minor
62 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
4 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0567 Honor the resident's right to manage his or her financial affairs. E 2025-09-05 2025-09-25
0638 Assure that each resident’s assessment is updated at least once every 3 months. B 2025-09-05 2025-09-25
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. B 2025-09-05 2025-09-25
0641 Ensure each resident receives an accurate assessment. B 2025-09-05 2025-09-25
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-09-05 2025-09-25
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-09-05 2025-09-25
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-09-05 2025-09-25
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-09-05 2025-09-25
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. D 2025-09-05 2025-09-25
0803 Ensure 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. D 2025-09-05 2025-09-25
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2025-09-05 2025-09-25
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. D 2025-09-05 2025-09-25
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-09-05 2025-09-26
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2025-09-05 2025-09-25
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2024-09-26 2024-10-22
0578 Honor 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. D 2024-09-26 2024-10-22
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. H 2024-09-26 2024-10-24
0583 Keep residents' personal and medical records private and confidential. E 2024-09-26 2024-10-22
0584 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. D 2024-09-26 2024-10-22
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. K 2024-09-26 2024-10-23
0637 Assess the resident when there is a significant change in condition D 2024-09-26 2024-11-15
0641 Ensure each resident receives an accurate assessment. D 2024-09-26 2024-10-22
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-09-26 2024-11-15
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-09-26 2024-10-23
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-09-26 2024-10-23
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2024-09-26 2024-11-15
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. K 2024-09-26 2024-10-23
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-09-26 2024-10-22
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-09-26 2024-10-23
0692 Provide enough food/fluids to maintain a resident's health. G 2024-09-26 2024-10-23
0695 Provide safe and appropriate respiratory care for a resident when needed. G 2024-09-26 2024-10-23
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2024-09-26 2024-10-22
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. K 2024-09-26 2024-10-23
0727 Have 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. F 2024-09-26 2024-10-22
0728 Ensure 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. F 2024-09-26 2024-10-22
0730 Observe each nurse aide's job performance and give regular training. F 2024-09-26 2024-10-22
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2024-09-26 2024-10-23
0758 Implement 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. D 2024-09-26 2024-11-15
0761 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. E 2024-09-26 2024-11-15
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2024-09-26 2024-10-22
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. K 2024-09-26 2024-10-23
0838 Conduct 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. F 2024-09-26 2024-10-23
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-09-26 2024-10-23
0849 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. E 2024-09-26 2024-10-22
0880 Provide and implement an infection prevention and control program. F 2024-09-26 2024-10-23
0881 Implement a program that monitors antibiotic use. F 2024-09-26 2024-11-15
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F 2024-09-26 2024-11-15
0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members. F 2024-09-26 2024-10-23
0945 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F 2024-09-26 2024-10-23
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2023-09-01 2023-10-13

Showing 50 most recent of 72. See the All Data CSV for the full list.

Penalties (2)

Fines issued
2
last 3 years
Total fines
$241,047
Date Type Fine amount
2023-09-01 Fine $21,970
2024-09-26 Fine $219,077

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 8.3% Medicaid 79.5% Other 12.2%

Operating performance

Operating Margin
1.2%
Total Margin
8.8%
Occupancy Rate
79.4%

Revenue & costs

Net Patient Revenue
$7.7M
Total Costs
$428K
Net Income
$735K

Balance sheet

Total Assets
$7.0M
Total Liabilities
$7.4M
Fund Balance
-$452K
Current Ratio
1.50

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager individuals (8)

Name Role Association
SWEENEY, MATTHEW 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/25/2024
WOODS, THOMAS 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/25/2024
GOUVEIA, JESSICA OPERATIONAL/MANAGERIAL CONTROL since 08/01/2024
MERCHANT, ASIF OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
SWEENEY, MATTHEW OPERATIONAL/MANAGERIAL CONTROL since 05/01/2018
WOODS, THOMAS OPERATIONAL/MANAGERIAL CONTROL since 05/01/2018
SWEENEY, MATTHEW CORPORATE OFFICER since 07/31/2024
WOODS, THOMAS CORPORATE OFFICER since 12/01/1999

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 1.50 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 79.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 8.3% metrics.medicare_day_share
Cost Report Net Income ($) $734,845 metrics.net_income
Cost Report Net Patient Revenue ($) $7,661,754 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 79.4% metrics.occupancy_rate
Cost Report Operating Margin (%) 1.2% metrics.operating_margin
Cost Report Total Assets ($) $6,952,414 metrics.total_assets
Cost Report Total Costs ($) $427,506 metrics.total_costs
Cost Report Total Fund Balances ($) $-451,703 metrics.fund_balance
Cost Report Total Liabilities ($) $7,404,117 metrics.total_liabilities
Cost Report Total Margin (%) 8.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.63101 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.17867 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.89063 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.70032 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.53075 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 68.7 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.78817 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.14206 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.62125 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.55148 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.13025 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating Chain Average QM Rating
Provider Information Chain Average Staffing Rating Chain Average Staffing Rating
Provider Information Chain ID Chain ID
Provider Information Chain Name Chain Name
Provider Information City/Town LEXINGTON City/Town
Provider Information CMS Certification Number (CCN) 225049 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Middlesex County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1967-01-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating Health Inspection Rating
Provider Information Health Inspection Rating Footnote 18 Health Inspection Rating Footnote
Provider Information Latitude 42.4194 Latitude
Provider Information Legal Business Name LONG TERM CENTERS OF LEXINGTON INC Legal Business Name
Provider Information Location 30 WATERTOWN STREET,LEXINGTON,MA,02420 Location
Provider Information Long-Stay QM Rating Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 18 Long-Stay QM Rating Footnote
Provider Information Longitude -71.208 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 81 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.25813 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.91324 Nursing Case-Mix Index Ratio
Provider Information Overall Rating Overall Rating
Provider Information Overall Rating Footnote 18 Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 30 WATERTOWN STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Pine Knoll Nursing Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 090 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating QM Rating
Provider Information QM Rating Footnote 18 QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 52 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 14 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-09-05 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 52 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 14 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 35 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-09-26 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 773 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 387 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 2 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 1160 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 35 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.69363 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 25.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.39968 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.58044 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.00406 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00000 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.81925 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.40374 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 18 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Special Focus Status
Provider Information Staffing Rating Staffing Rating
Provider Information Staffing Rating Footnote 18 Staffing Rating Footnote
Provider Information State MA State
Provider Information Telephone Number 4136933330 Telephone Number
Provider Information Total Amount of Fines in Dollars 241047.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.24777 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 30.6 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 329.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 02420 ZIP Code