Deficiency timeline
Pine Knoll Nursing Center
Dated inspection findings, penalties, and correction notes for this nursing home in Lexington, MA. Newest events first.
- Class IIIPotential for more than minimal harm (D)cms
F0887: Infection Control
Infection control
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected Mar 29, 2026
- Class IVMinimal harm / potential for minimal harm (B)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Mar 29, 2026
- Fine $327,700cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IImmediate jeopardy (K)cms
F0688: Quality of Life and Care
Quality of life & care
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected Mar 29, 2026
- Class IIActual harm (H)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Mar 29, 2026
- Class IIActual harm (H)cms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Mar 29, 2026
- Class IIActual harm (H)cms
F0740: Quality of Life and Care
Quality of life & care
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected Mar 29, 2026
- Class IIActual harm (H)cms
F0825: Quality of Life and Care
Quality of life & care
Provide or get specialized rehabilitative services as required for a resident.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0761: Pharmacy Service
Pharmacy services
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 Mar 29, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0582: Resident Rights
Resident rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0584: Resident Rights
Resident rights
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 Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0638: Resident Assessment and Care Planning
Assessment & care planning
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0685: Quality of Life and Care
Quality of life & care
Assist a resident in gaining access to vision and hearing services.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0697: Quality of Life and Care
Quality of life & care
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0699: Quality of Life and Care
Quality of life & care
Provide care or services that was trauma informed and/or culturally competent.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0744: Quality of Life and Care
Quality of life & care
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0745: Quality of Life and Care
Quality of life & care
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0756: Pharmacy Service
Pharmacy services
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0757: Pharmacy Service
Pharmacy services
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0791: Quality of Life and Care
Quality of life & care
Provide or obtain dental services for each resident.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0867: Administration
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Mar 29, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0801: Nutrition and Dietary
Nutrition & dietary
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.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0567: Resident Rights
Resident rights
Honor the resident's right to manage his or her financial affairs.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0883: Infection Control
Infection control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0803: Nutrition and Dietary
Nutrition & dietary
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.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0805: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0810: Nutrition and Dietary
Nutrition & dietary
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Sep 26, 2025
- Class IVMinimal harm / potential for minimal harm (B)cms
F0638: Resident Assessment and Care Planning
Assessment & care planning
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected Sep 25, 2025
- Class IVMinimal harm / potential for minimal harm (B)cms
F0640: Resident Assessment and Care Planning
Assessment & care planning
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected Sep 25, 2025
- Class IVMinimal harm / potential for minimal harm (B)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Sep 25, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0758: Pharmacy Service
Pharmacy services
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected Nov 15, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Oct 23, 2024
- Class IImmediate jeopardy (K)cms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Oct 23, 2024
- Class IImmediate jeopardy (K)cms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Oct 23, 2024
- Class IImmediate jeopardy (K)cms
F0726: Nursing and Physician Services
Nursing & physician services
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 Oct 23, 2024
- Class IImmediate jeopardy (K)cms
F0835: Administration
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected Oct 23, 2024
- Class IIActual harm (H)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Oct 24, 2024
- Class IIActual harm (G)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Oct 23, 2024
- Class IIActual harm (G)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Oct 23, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Oct 22, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0727: Nursing and Physician Services
Nursing & physician services
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected Oct 22, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0728: Nursing and Physician Services
Nursing & physician services
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected Oct 22, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0730: Nursing and Physician Services
Nursing & physician services
Observe each nurse aide's job performance and give regular training.
Corrected Oct 22, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0838: Administration
Administration
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected Oct 23, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Oct 23, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0881: Infection Control
Infection control
Implement a program that monitors antibiotic use.
Corrected Nov 15, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0882: Infection Control
Infection control
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected Nov 15, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0940: Administration
Administration
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected Oct 23, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0945: Infection Control
Infection control
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected Oct 23, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0583: Resident Rights
Resident rights
Keep residents' personal and medical records private and confidential.
Corrected Oct 22, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Nov 15, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0761: Pharmacy Service
Pharmacy services
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 Nov 15, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0849: Administration
Administration
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected Oct 22, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0552: Resident Rights
Resident rights
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected Oct 22, 2024
- Fine $219,077cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)cms
F0578: Resident Rights
Resident rights
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 Oct 22, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0584: Resident Rights
Resident rights
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 Oct 22, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0637: Resident Assessment and Care Planning
Assessment & care planning
Assess the resident when there is a significant change in condition
Corrected Nov 15, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Oct 22, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Nov 15, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Oct 23, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0805: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected Oct 22, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Oct 23, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 22, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Oct 23, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0740: Quality of Life and Care
Quality of life & care
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected Oct 23, 2024
- Fine $21,970cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile