PINE KNOLL NURSING CENTER

LEXINGTON, MA · 81 beds · For profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • Government has flagged this facility for serious quality issues
  • 4 citation(s) at the highest severity level — immediate risk to residents
  • 3 citation(s) where residents suffered actual harm
  • $241,047 in fines over 3 years

Green Flags

  • Above-average RN staffing (0.89 hrs vs 0.64 state avg)

Quick Facts

N/A
CMS Overall
N/A
Health Inspection
14
1.5x state avg
Deficiencies
$241,047
Fines (3-yr)
N/A
Staffing

Violation Timeline

September 4, 2025

20 deficiencyies
F0567 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to manage his or her financial affairs.

F0638 No Harm Scope/Severity: B

Resident Assessment and Care Planning Deficiencies

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Assure that each resident’s assessment is updated at least once every 3 months.

F0640 No Harm Scope/Severity: B

Resident Assessment and Care Planning Deficiencies

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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

F0641 No Harm Scope/Severity: B

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0801 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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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.

F0803 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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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.

F0805 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

F0810 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Provide special eating equipment and utensils for residents who need them and appropriate assistance.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0883 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0567 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to manage his or her financial affairs.

F0638 No Harm Scope/Severity: B

Resident Assessment and Care Planning Deficiencies

Show details

Assure that each resident’s assessment is updated at least once every 3 months.

F0640 No Harm Scope/Severity: B

Resident Assessment and Care Planning Deficiencies

Show details

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

F0641 No Harm Scope/Severity: B

Resident Assessment and Care Planning Deficiencies

Show details

Ensure each resident receives an accurate assessment.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

See full violation history →

Staffing

0.89
RN hrs/res/day
0.63
LPN hrs/res/day
2.18
CNA hrs/res/day
3.53
Weekend hrs/res/day
31%
Total nurse turnover
25%
RN turnover

A nurse checks on each resident roughly every 6.5 hours on average.

Fines & Penalties

  • Fine Sep 25, 2024
    $219,077
  • Fine Aug 31, 2023
    $21,970
Total $241,047

Ownership

For profit - Corporation Independent (not part of a chain)
  • SWEENEY, MATTHEW

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/25/2024

    25% Individual
  • WOODS, THOMAS

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/25/2024

    75% Individual
  • GOUVEIA, JESSICA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/01/2024

    Individual
  • MERCHANT, ASIF

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2014

    Individual
  • SWEENEY, MATTHEW

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/01/2018

    Individual
  • WOODS, THOMAS

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/01/2018

    Individual
  • SWEENEY, MATTHEW

    CORPORATE OFFICER

    Since since 07/31/2024

    Individual
  • WOODS, THOMAS

    CORPORATE OFFICER

    Since since 12/01/1999

    Individual

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