Brookhaven At Lexington

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

65.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 39 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 54.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 37 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

CMS has not published payroll-based (PBJ) staffing hours for this facility yet — this can happen for newer, hospital-based, or recently-certified homes. It can also mean the home simply did not file, which CMS does not distinguish in this data, so treat the gap as unexplained rather than benign. Staffing is one of the three parts of the CMS star rating; where it’s missing, weigh the independent health-inspection score most, and ask the facility directly about its nurse-to-resident ratios and weekend RN coverage.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · D2024-10-22 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed for one Resident (#5) to follow the physician's order to obtain an apical pulse prior to administering the heart medication Digoxin, out of a total sample of ten residents. Findings include: Resident #5 was admitted to the facility in March 2018 and has active diagnoses which include heart failure, atrial fibrillation, seizures, and stroke. Review of Resident #5's most recent Minimum Data Set assessment, dated 9/3/24, indicated a Brief Interview for Mental Status exam score of 5 out of a possible 15, indicating severe cognitive impairment. Review of Resident #5's current physician orders indicated the following order: - Digoxin, 125 mcg (0.125 mg) tablet. Give 1 tablet by oral route once daily. Hold if AP [apical pulse] less than 60. Monitoring: pulse (apical). Digoxin is a medication used to treat heart failure and atrial fibrillation. On 10/22/24 at 10:05 A.M., during a medication pass with Nurse #1, the surveyor observed Nurse #1 place a pulse oximeter over one of Resident #5's fingers. The pulse oximeter…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-22 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed for one Resident (#5), to follow the professional standard for monitoring heart rate by apical pulse prior to administering the heart medication Digoxin, out of a total sample of ten residents. Findings include: Review of the [NAME] Drug Guide, 19th edition, 2024, indicated: - Monitor apical pulse for one full minute before administering oral Digoxin. Hold dose and notify health care professional if pulse rate is less than 60 beats per minute in an adult. The apical pulse is a pulse point located on the chest at the bottom tip (apex) of the heart. A stethoscope is used to hear the arterial pulse rate as the heart contracts and pumps out blood. Resident #5 was admitted to the facility in March 2018 and has active diagnoses which include heart failure, atrial fibrillation, seizures, and stroke. Review of Resident #5's most recent Minimum Data Set assessment, dated 9/3/24, indicated a Brief Interview for Mental Status exam score of 5 out of a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-22 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to secure medications left on top of the medication cart during the medication pass. Findings include: On 10/22/24 at 9:51 A.M., during a medication pass with Nurse #1, the surveyor observed a small pink pill in a medication cup, located on top of the medication cart. Between 9:51 A.M. and 10:11 A.M., Nurse #1 left this medication unattended at various times, including while she was in a resident's bedroom administering medications. On 10/22/24 at 10:01 A.M., during a medication pass with Nurse #1, the surveyor observed Nurse #1 pour medications for a resident and place one tablet of Carbamazepine (an anticonvulsant) into a medication cup, located on top of the medication cart. Nurse #1 gathered the other medications and entered a resident's bedroom, leaving the Carbamazepine unsecured on top of the cart. At approximately 10:09 A.M., eight minutes after entering the resident's bedroom, Nurse #1 re-entered the hallway, closed the bedroom door, and stood by the medication cart. During an interview with Nurse #1 on 10/22/24 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-10-11 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview the facility failed to ensure that it is free of medication error rates of five percent or greater. Specifically the medication error rate was 7.69%. Findings include: Review of the facility policy titled Mobile Med Pass and dated March, 10 2017, failed to indicate the nurse is to follow doctor's orders in dispensing medications to a resident. Further review indicated that the nurse is to follow the 5 rights for medication pass. The right patient, the right drug, the right dose, the right route and the right time. Resident #163 was admitted to the facility in October 2023 with diagnoses including Parkinson's disease, fractures and dementia. During medication pass on 10/11/23, at 8:58 A.M. the surveyor observed Nurse #1 pour and administer the following medications: Donepezil 10 mg (milligrams) 1 tablet Carbidopa ER (extended release) 25 mg-levodopa 100 mg 1 tablet Comtan 200 mg 1 tablet Nuplazid 34 mg 1 tablet Myrbetriq 50 mg 1 tablet Vitamin B1 100 mg 1 tablet Multivitamin 1 tablet Vitamin D3 25 mcg (micrograms) Review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

What families pay in MA