CareOne at Lexington

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

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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

    3.59·(105)

    Overall rating

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

      3.2
    • Staff

      3.5
    • Meals

      2.5
    • Amenities

      3.2
    • Value

      3.6

    Pros

    • Compassionate and dedicated caregiving staff
    • Effective physical and occupational therapy services
    • Clean, bright, well-maintained interior spaces
    • Engaging activities and recreation program
    • On-site or on-call medical and respiratory specialists
    • Supportive social work and streamlined admissions
    • Clean, spacious private rooms and outdoor patio areas
    • Varied meal options with flavorful selections
    • Visible staff identification and presence of CNAs
    • Responsive end-of-life and hospice support

    Cons

    • Inconsistent staffing levels, especially nights and weekends
    • Slow or unreliable call-button response and resident assistance
    • Medication administration delays and documentation gaps
    • Inconsistent bathing and basic personal-care delivery
    • Gaps in clinical documentation and continuity of care
    • Poor communication and discharge-planning coordination
    • Variable food-service quality and temperature control
    • Sanitation and pest-control concerns in some areas
    • Language barriers limiting English communication
    • Safety and maintenance deficiencies in building upkeep
    • Limited weekend clinical coverage for therapy and physicians
    • Staff conduct and resident handling

    Summary of reviews

    CareOne at Lexington elicits strongly mixed impressions. Many families and patients praise the facility’s rehabilitation services and a number of staff members who provide compassionate, dignity-preserving care; these strengths are especially evident in accounts of effective physical and occupational therapy, attentive CNAs, and supportive social-work/admissions coordination. The facility’s interior is commonly described as clean, bright, and well maintained with spacious private rooms and usable outdoor patio space, and some reviewers highlighted skilled respiratory support and positive end-of-life care.

    At the same time, there is a consistent pattern of operational shortcomings that affect clinical reliability and resident comfort. Staffing levels are described as inconsistent, with notable gaps on nights and weekends; this correlates with repeated complaints about slow call-button responses and delays in assistance for toileting, bathing, and medication needs. Several accounts indicate problems with medication administration timing and documentation, and with delayed diagnostics or imaging workflows, which can reduce clinical continuity and elevate family concern.

    Dining and activities present a mixed picture. A number of reviewers commend varied, flavorful meal choices and an active engagement program, including a visible activities director. Conversely, others cite cold meals, limited choices for dietary needs (e.g., diabetes), and meal-delivery timing issues. The activities program and therapy services appear to be meaningful strengths when staffing allows them to run consistently.

    Facility maintenance and sanitation are another area of divergence. While many note clean common areas and routine housekeeping, there are also reports consistent with sanitation and pest-control concerns and episodic maintenance issues (loose outlets, trim, etc.). These items, along with complaints about inconsistent personal-care schedules and incontinence-care concerns, point to variability in frontline caregiving practices and environmental oversight.

    Communication and management practices are similarly variable. Some families highlight responsive leadership, helpful case management, and streamlined admissions; others report poor follow-through on discharge planning, unreturned phone calls, unreliable transfer coordination, and periodic phone-system failures. Language barriers are a recurring practical limitation for non–English-speaking residents and families, and reviewers recommend confirming staff language capabilities when relevant.

    In summary, CareOne at Lexington demonstrates clear strengths in rehabilitation therapy, individual staff members’ compassion, and the physical environment, but operational inconsistencies—notably staffing variability, responsiveness to call bells, medication and documentation controls, sanitation oversight, and communication during transitions of care—create risk points for vulnerable residents. Prospective residents and families should weigh the facility’s rehabilitation and therapy offerings and positive staff examples against these operational patterns and ask specific, practical questions about staffing ratios, weekend coverage, call-response metrics, medication management procedures, pest-control measures, and discharge coordination before admission.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

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

    Location

    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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