CareOne at Lexington

    178 Lowell St, Lexington, MA 02420
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Attentive compassionate staff; excellent rehab

    I had a very positive experience: attentive, compassionate nurses and CNAs, excellent PT/OT/Speech rehab, and organized, communicative admissions and social services. Clean, bright rooms, tasty meals, and a caring team made recovery comfortable - I recommend this facility.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.58·(97)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.4
    • Meals

      2.6
    • Amenities

      3.5
    • Value

      3.6

    Pros

    • Compassionate, attentive nursing and CNA care
    • Skilled physical and occupational therapy services
    • On-site or on-call medical providers
    • Professional respiratory therapy support
    • Clean, bright, well-maintained interior spaces
    • Spacious rooms with private-room availability and outdoor patio
    • Varied and appealing meal options at times
    • Engaging activities and resident programming
    • Responsive admissions and social-work coordination
    • Streamlined intake and organized front-desk operations
    • Positive short-term rehabilitation outcomes for many patients
    • Dedicated staff recognized for end-of-life and palliative support

    Cons

    • Inconsistent staffing levels and shift coverage
    • Slow response times to call-button and assistance requests
    • Medication-administration and pain-management gaps
    • Inconsistent personal-care and bathing schedules
    • Gaps in communication and discharge planning with families
    • Sanitation and pest-control concerns in some rooms/areas
    • Limited English-language proficiency among some staff
    • Variability in staff training and professional conduct
    • Weekend limitations for therapy and physician coverage
    • Delays in diagnostic testing and respiratory/oxygen support
    • Documentation and continuity-of-care inconsistencies
    • Space and logistical constraints for visitors and vehicles

    Summary of reviews

    CareOne at Lexington elicits strongly mixed impressions. Many families and clinicians praise the facility’s therapy services, noting effective physical and occupational therapy and professional respiratory support that contributed to measurable rehabilitation progress. Numerous reviewers highlight individual staff members and teams—nurses, CNAs, admissions and social-work staff—for compassionate, attentive care, efficient intake, and helpful coordination. The building itself is frequently described as clean, bright, and well-maintained, with spacious rooms, private-room options, and outdoor patio space that families appreciate. Activity programming and short-term rehab outcomes are also cited as strengths, and several accounts describe excellent end-of-life support and thoughtful palliative attention.

    At the same time, an important pattern of operational weaknesses emerges across reviews. Staffing consistency is a recurrent concern: families describe thin coverage on nights and weekends, long wait times for assistance, and variability between shifts and units. Those operational shortfalls correlate with delayed responses to call buttons, late or missed medication administration, and inconsistent pain-management. Reviewers also raise concerns about irregular personal-care routines (including bathing and hygiene support) and about gaps in documentation and continuity of care that can complicate clinical handoffs.

    Communication and management are another area of contrast. Some families found the administrator and social-work team responsive and supportive, while others experienced difficulty reaching leadership and felt discharge planning or care transitions occurred without adequate family involvement. Several reviews describe delays in diagnostics or in providing respiratory/oxygen support when clinically needed, and a subset of comments reference maintenance and sanitation issues—including pest-control and odor concerns—that suggest uneven housekeeping and environmental oversight in parts of the facility.

    The overall pattern is one of pronounced variability: certain units, shifts, and individual staff provide high-quality, dignified care and effective rehabilitation, while other areas exhibit operational gaps that can meaningfully affect safety and comfort. Families considering the facility should verify staffing ratios and weekend coverage, clarify medication- and pain-management protocols, ask about bathing and continence-care schedules, review infection-control and pest-management practices, and confirm discharge-planning communication processes. There are clear strengths to build on, but consistent oversight and corrective action appear necessary to address the recurring concerns documented by multiple families.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of CareOne at Lexington

    CareOne at Lexington is located at 178 Lowell St, Lexington, MA, 02420.

    About CareOne at Lexington

    CareOne at Lexington is a newly renovated skilled nursing and assisted living community at 178 Lowell Street in Lexington, MA, and you'll notice right away that they keep the place clean and odor-free while providing care around the clock. Four Board Certified Geriatricians lead the nursing and rehab teams, working closely with skilled nurses, aides, and a therapy team that's known for being both passionate about their work and clear in their communication, although staff demeanor can vary some days. They focus a lot on short-term rehabilitation and medical management programs, and there's this expectation that over 95% of patients return home after their stay, which is pretty high. They take on everything from cardiac care and diabetes management to orthopedic and pulmonary rehab, vent weaning, neurorehabilitation, stroke recovery, wound care, and offer both sub-acute and post-hospital rehabilitation. There's a secure unit for people who need it, plus specialized memory care services for seniors who face memory challenges, and they're active in reducing off-label use of antipsychotics. The facility runs programs like Sepsis Smart, Falls Prevention, and End of Life Care, and supports transitions between care settings too, giving people some comfort as their needs change.

    The rehab director, Rudy, stays involved with patient care, and therapists provide physical, occupational, and speech therapy to help seniors with mobility and recovery. Amenities matter here, so residents have access to a garden, solarium, large day rooms, outdoor patios, and there are both private and semi-private rooms for those who prefer their own space or shared arrangements. Folks can take part in plenty of recreational and social activities, including trips out to restaurants, scenic spots, and local monuments, which helps break up the routine, and there are laundry, housekeeping, and dry cleaning services available so families don't have to worry about the little things. They keep a steady focus on patient dignity, safety, and comfort, with personalized care plans and a culture change approach that tries to center everything around the resident's needs.

    For those interested, the community accepts most managed care, state-funded programs, and private pay, offering care types that cover skilled nursing, short-term rehab, long-term care, hospice, respite care, and assisted living. Medical services include diagnostic labs and support for complex needs, and they keep the facility welcoming with a home-like environment. The staff presence is 24/7, so someone's always available, and educational programs and webinars help residents and caregivers stay informed. There's also a member resource section for families. CareOne at Lexington really does put a lot of thought into quality and wellness for seniors right there in Lexington, MA.

    People often ask...

    CareOne at Lexington offers assisted living, memory care, and skilled nursing.

    There are 12 photos of CareOne at Lexington on Mirador.

    The full address for this community is 178 Lowell St, Lexington, MA 02420.

    No, CareOne at Lexington does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of CareOne at Lexington. The information above has not been verified or approved by the owner or operator. For exact information, please contact CareOne at Lexington directly. There is no cost for this service. We are compensated by the community you select.

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