Lexington, MA

Care One At Lexington

2-star overall rating with 2-star inspections with $51,765 in total fines with 22 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

178 Lowell Street, Lexington, MA

(617) 901-8365

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

211

Certified beds

Average residents

139

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Careone

Operator or chain grouping

Approved since

1985-07-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

37 facilities

Chain averages 3 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.85

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.80

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.08

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.73

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.65

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.39

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.62

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.79

CMS adjusted RN staffing hours

Adjusted total hours

3.49

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

17%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,291

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

45.03

Composite VBP score used to determine payment impact.

Payment multiplier

0.9982

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.60% · Performance 24.02% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

6.23

Baseline 7.54% · Performance 5.97% · Measure score 6.23 · Achievement 6.23 · Improvement 5.66

Total nurse turnover

10

Baseline 11.63% · Performance 12.50% · Measure score 10 · Achievement 10 · Improvement 0

Adjusted total nurse staffing

1.78

Baseline 3.55 hours · Performance 3.58 hours · Measure score 1.78 · Achievement 1.78 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 13.22%
10.72%
2.5 pts worse
Worse than the National Rate · Eligible stays 583 · Observed rate 14.58% · Lower 95% interval 11.46%
Discharge to community 58.46%
50.57%
7.9 pts better
Better than the National Rate · Eligible stays 565 · Observed rate 50.62% · Lower 95% interval 53.7%
Medicare spending per beneficiary 0.84
1.02
0.2 pts better
Drug regimen review with follow-up 97.42%
95.27%
2.2 pts better
Numerator 340 · Denominator 349
Falls with major injury 0.29%
0.77%
0.5 pts better
Numerator 1 · Denominator 349
Discharge self-care score 51.33%
53.69%
2.4 pts worse
Numerator 135 · Denominator 263
Discharge mobility score 41.06%
50.94%
9.9 pts worse
Numerator 108 · Denominator 263
Pressure ulcers or injuries, new or worsened 2.01%
2.29%
0.3 pts better
Numerator 7 · Denominator 349 · Adjusted rate 1.79%
Healthcare-associated infections requiring hospitalization 5.97%
7.12%
1.2 pts better
No Different than the National Rate · Eligible stays 341 · Observed rate 5.87% · Lower 95% interval 4.44%
Staff COVID-19 vaccination coverage 3.91%
8.2%
4.3 pts worse
Numerator 7 · Denominator 179
Staff flu vaccination coverage 56.88%
42%
14.9 pts better
Numerator 124 · Denominator 218
Discharge function score 54.75%
56.45%
1.7 pts worse
Numerator 144 · Denominator 263
Transfer of health information to provider 97.26%
95.95%
1.3 pts better
Numerator 71 · Denominator 73
Transfer of health information to patient 97.13%
96.28%
0.8 pts better
Numerator 203 · Denominator 209
Resident COVID-19 vaccinations up to date 15.2%
25.2%
10 pts worse
Numerator 26 · Denominator 171

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.9
0.2 pts better
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.5
0.7 pts better
1.8
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.7%
92.2%
5.5 pts better
93.4%
4.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 98.2% · Q3 97.2% · Q4 96.3% · 4Q avg 97.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.6%
94.8%
1.8 pts better
95.5%
1.1 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of long-stay residents experiencing one or more falls with major injury 3.9%
3.5%
0.4 pts worse
3.3%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.6% · Q3 4.6% · Q4 4.6% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.8%
12.0%
10.2 pts better
11.4%
9.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 2.0% · Q4 4.1% · 4Q avg 1.8%
Percentage of long-stay residents who lose too much weight 5.6%
5.2%
0.4 pts worse
5.4%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 6.3% · Q3 7.4% · Q4 6.2% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.9%
19.2%
8.3 pts better
19.6%
8.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 12.7% · Q3 11.1% · Q4 9.7% · 4Q avg 10.9%
Percentage of long-stay residents who received an antipsychotic medication 30.9%
22.5%
8.4 pts worse
16.7%
14.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 28.4% · Q3 36.2% · Q4 29.5% · 4Q avg 30.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 22.2%
17.7%
4.5 pts worse
16.3%
5.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 27.5% · Q3 22.5% · Q4 16.6% · 4Q avg 22.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 16.8%
17.6%
0.8 pts better
14.9%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 16.7% · Q3 13.6% · Q4 10.0% · 4Q avg 16.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
1.0%
0.8 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.0%
2.0%
1 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 0.9% · Q4 1.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.8%
21.7%
0.9 pts better
19.8%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 19.6% · Q3 19.4% · Q4 25.7% · 4Q avg 20.8%
Percentage of long-stay residents with pressure ulcers 3.7%
4.6%
0.9 pts better
5.1%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 3.6% · Q3 3.5% · Q4 3.5% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.6%
77.1%
11.5 pts better
81.7%
6.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 82.9% · Q2 89.0% · Q3 92.9% · Q4 91.2% · 4Q avg 88.6%
Percentage of short-stay residents who had an outpatient emergency department visit 9.6%
11.8%
2.2 pts better
12.0%
2.4 pts better
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 9.2% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.3%
0.8 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 0.6% · Q4 1.3% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81.7%
77.7%
4 pts better
79.7%
2 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.7%
25.8%
1.1 pts better
23.9%
0.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 24.7% · Observed 24.7% · Expected 23.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-30 · Fire 2024-12-30

22 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-01-11 · Fire 2024-01-11

10 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-12-12 · Fire 2022-12-12

7 health deficiencies

Top issue: Resident Rights (3 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-30

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-02-10

F · Potential for more than minimal harm 2024-12-30

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-10

F · Potential for more than minimal harm 2024-12-30

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-02-10

F · Potential for more than minimal harm 2024-12-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-10

F · Potential for more than minimal harm 2024-12-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-10

F · Potential for more than minimal harm 2024-12-30

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2025-02-10

E · Potential for more than minimal harm 2024-12-30

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-02-10

D · Potential for more than minimal harm 2024-12-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-02-10

E · Potential for more than minimal harm 2024-01-11

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-02-05

E · Potential for more than minimal harm 2024-01-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-05

D · Potential for more than minimal harm 2022-12-12

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-02-06

D · Potential for more than minimal harm 2022-12-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-02-06

D · Potential for more than minimal harm 2022-12-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-12-30

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-02-03

E · Potential for more than minimal harm 2024-12-30

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-02-03

E · Potential for more than minimal harm 2024-12-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-03

E · Potential for more than minimal harm 2024-12-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-03

E · Potential for more than minimal harm 2024-12-30

F924 · Environmental Deficiencies

Health

Put firmly secured handrails on each side of hallways.

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-02-03

D · Potential for more than minimal harm 2024-12-30

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-02-03

C · Minimal harm 2024-12-30

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-02-03

B · Minimal harm 2024-12-30

F844 · Administration Deficiencies

Health

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Corrected 2025-02-03

G · Actual harm 2024-01-11

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2023-11-06

D · Potential for more than minimal harm 2024-01-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F685 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F699 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F825 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-01-11

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-02-06

D · Potential for more than minimal harm 2022-12-12

F550 · Resident Rights Deficiencies

Health

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

Corrected 2023-01-05

D · Potential for more than minimal harm 2022-12-12

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-01-05

D · Potential for more than minimal harm 2022-12-12

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-01-05

D · Potential for more than minimal harm 2022-12-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-01-05

D · Potential for more than minimal harm 2022-12-12

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-01-05

D · Potential for more than minimal harm 2022-12-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-05

Penalties and ownership

What sits behind the stars

$51,765 2024-01-11

Fine

Fine · fine $51,765

Fine

Ownership

Straus, Daniel

5% Or Greater Indirect Ownership Interest · Individual

55% 37 facilities 2003-07-01
Baruch, David

Corporate Officer · Individual

0% 37 facilities 2021-12-01
Baruch, David

W-2 Managing Employee · Individual

0% 37 facilities 2021-12-01
Care Realty, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2002-04-30
Des 2009 Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 18 facilities 2021-12-01
Healthbridge Management LLC

Operational/Managerial Control · Organization

0% 35 facilities 2003-07-01
Straus, Moshael

5% Or Greater Indirect Ownership Interest · Individual

0% 6 facilities 2003-07-01
Thci Of Massachusetts, LLC

5% Or Greater Direct Ownership Interest · Organization

0% 15 facilities 2003-07-01

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1-star overall rating with 1-star inspections with $113,612 in total fines with 17 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

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#2

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1-star overall rating with 1-star inspections with $195,559 in total fines with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

Overall
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Staffing
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Fines
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#3

Pine Knoll Nursing Center

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0-star overall rating with 0-star inspections with Special Focus status with $241,047 in total fines with 14 recent health deficiencies

Overall
0 / 5
Health
0 / 5
Staffing
0 / 5
Fines
$241,047

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