Federal inspection record · CMS data as of October 1, 2026
Brookhaven at Lexington
1010 Waltham Street, Lexington, MA · (781) 863-9660
- CMS high-performer trophy
- Certified beds
- 49
- Residents per day
- 11
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- January 9, 1990
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Brookhaven at Lexington carries 3 inspection points. That is fewer than 93% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
4 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service2D
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2025-11-24
0 health deficiencies · 7 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-10-22
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-10-11
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 8 h 12 min of nursing staff time a day, 2 h 36 min of it from a registered nurse.
This home
8 h 12 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 96.0% | 92.9% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 4.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.1 pts better | 8.3% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 4.5% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.8 pts worse | 27.3% | 19.5% | 19.5% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts better | 19.2% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 4.8% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.6 pts better | 97.5% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.6 pts better | 5.2% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission25.7 pts better | 0.0% | 25.7% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Finn, Erin | Corporate Director · Individual | 0% | 1 facilities |
| Freehling, James | Corporate Director · Individual | 0% | 1 facilities |
| Freehling, James | Corporate Officer · Individual | 0% | 1 facilities |
| Freehling, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kirpatrick, Susanna | Corporate Director · Individual | 0% | 1 facilities |
| Kirpatrick, Susanna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kirpatrick, Susanna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kreiger, Jeanne | Corporate Director · Individual | 0% | 1 facilities |
| Noe, Cherie | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Noe, Cherie | Adp Of The SNF · Individual | 0% | 2 facilities |
| Risom, Furtuna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rolett, Roderic | Corporate Director · Individual | 0% | 1 facilities |
| Schwartz, Eric | Corporate Director · Individual | 0% | 1 facilities |
| Shaw, James | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- D
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1F
- F
Establish staff and initial training requirements.
Egress1F
- F
Have properly located and lighted "Exit" signs.
Construction1F
- F
Meet requirements for sections of health care facilities separated by fire resistive construction.
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Other homes nearby
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Pine Knoll Nursing Center
Lexington, MA · Special Focus · Abuse icon
Not rated- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 46 min
- Fines
- $432,082
-
Meadow Green Nursing and Rehabilitation Center
Waltham, MA
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 3 h 47 min
- Fines
- $195,559
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Care One At Lexington
Lexington, MA · Careone
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 44 min
- Fines
- $51,765