Facility profile · CCN 395298
Lakewood Rehabilitation & Healthcare Center
93 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $261,356.
Record summary
Federal record · Q1 202693
Total citations
92
Last 3 years
6
Actual harm+
3
Federal penalties
$261,356
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
93 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 16, 2026 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint |
| Jan 16, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jan 16, 2026 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Dec 22, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Jun 13, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jun 13, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint |
| Jun 13, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Jun 13, 2025 | F807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Standard |
| Jun 13, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Jun 13, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jun 13, 2025 | F688 | 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. | D | Standard |
| Jun 13, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jun 13, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jun 13, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jun 13, 2025 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Standard |
| Jun 13, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Apr 2, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 5, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jan 18, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint |
| Jan 18, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jan 9, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 30, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Dec 30, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint |
| Dec 30, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Aug 30, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
| Aug 30, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint |
| Aug 30, 2024 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Aug 30, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint |
| Aug 30, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Aug 30, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Aug 30, 2024 | F732 | Post nurse staffing information every day. | B | Complaint |
| Aug 30, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Aug 30, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint |
| Aug 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Aug 30, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Aug 30, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Aug 30, 2024 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard |
| Aug 30, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Aug 30, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 30, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Aug 30, 2024 | F761 | 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. | D | Standard |
| Aug 30, 2024 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard |
| Aug 30, 2024 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard |
| Aug 30, 2024 | F710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | E | Standard |
| Aug 30, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Aug 30, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Aug 30, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Aug 30, 2024 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Aug 30, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Jul 21, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jul 21, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Jul 21, 2024 | F687 | Provide appropriate foot care. | D | Complaint |
| Jul 21, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Jul 21, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Jul 21, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Jul 21, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jul 21, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Apr 23, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Apr 23, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Mar 21, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint |
| Mar 21, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Mar 21, 2024 | F761 | 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. | F | Complaint |
| Mar 21, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint |
| Mar 21, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint |
| Mar 21, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Mar 21, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Mar 21, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 21, 2024 | F574 | The resident has the right to receive notices in a format and a language he or she understands. | D | Complaint |
| Feb 29, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Feb 29, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint |
| Feb 29, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint |
| Feb 29, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Feb 29, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Feb 29, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Feb 29, 2024 | F574 | The resident has the right to receive notices in a format and a language he or she understands. | D | Complaint |
| Feb 1, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Feb 1, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Feb 1, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Feb 1, 2024 | F687 | Provide appropriate foot care. | D | Complaint |
| Feb 1, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Feb 1, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint |
| Oct 5, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Oct 5, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Oct 5, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jul 12, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jul 12, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jul 12, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Jul 12, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
| May 25, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint |
| May 25, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| May 25, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| May 25, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Complaint |
| Apr 6, 2023 | F688 | 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. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $261,356 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 30, 2024 | Fine | $59,401 | — |
| Jul 21, 2024 | Fine | $102,684 | — |
| Feb 1, 2024 | Fine | $99,271 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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