Lakewood NRSG & Rehab Center
Plainfield, Illinois · CCN 145761
38 surveys since 2011, 10 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 119
- Surveys
- 38
- Harm or worse
- 10
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 131
- Ownership
- For profit - Limited Liability company
- Chain
- EXTENDED CARE CLINICAL
- County
- Will
- Medicare-certified since
- 1993
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 232 for-profit facilities with 128 or more beds in Illinois.
Last survey on record
Jun 4, 2026
158 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.33 | 3.12 |
| Registered-nurse hours per resident day | 0.81 | — |
| Annual nurse turnover | 38.7% | 43.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $55,201 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J12.8% | K— | L— |
| Actual harm | G25.6% | H— | I— |
| No harm, potential for more than minimal | D1952.8% | E1438.9% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6953×
Provide safe and appropriate respiratory care for a resident when needed.
- F6902×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F8032×
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.
In the surveyor’s words
From the most serious findings on record at Lakewood NRSG & Rehab Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF684Oct 24, 2025
Based on observation, interview, and record review, the facility failed to ensure residents with LVADs (Left Ventricular Assist Devices) received care and services to ensure their LVADs were functioning.This failure resulted in an Immediate Jeopardy (IJ). The Immediate Jeopardy began on [DATE] when R1 experienced a change in condition and staff did not know to assess the function of his LVAD. R1 experienced cardiac arrest, was emergently transferred to the hospital, and later expired. This applies to 1 resident (R1) reviewed for LVADs and has the potential to affect 1 other resident (R4) in the facility that uses an LVAD. […]
- Actual harm, isolatedF690Jun 2, 2025
Based on interview and record review, the facility failed to assess the urinary status of a resident with an indwelling urinary catheter. This failure resulted in the resident experiencing urinary retention and being hospitalized with a diagnosis of UTI (Urinary Tract Infection). This applies to 1 of 3 residents (R1) reviewed for catheters in a sample of 3. The findings include: R1's face sheet shows an admission date to the facility on 2/24/25. R1's face sheet showed his diagnoses chronic kidney disease, benign prostatic hyperplasia without lower urinary tract symptoms, and neuromuscular dysfunction of bladder. R1's 4/30/2025 MDS (Minimum Data Set) showed he was severely cognitively impaired and had an indwelling urinary catheter. […]
- Actual harm, isolatedF695Feb 6, 2025
Based on interviews and record reviews, the facility failed to provide timely tracheotomy (trach) care to a resident with a tracheotomy that required suctioning as needed to maintain the airway and Oxygen levels. This failure has caused severe respiratory distress, oxygen desecration, and the need for hospitalization . This applies to 1 of 3 residents (R1) reviewed for respiratory care and treatment in a sample of 3. The findings include: R1 is a [AGE] year-old male admitted on [DATE] with an admitting diagnosis including cerebral infraction, hemiplegia, chronic respiratory failure, tracheotomy (trach), and gastrostomy. On 2/4/25 at 12:10 PM, V12 (Licensed Practical Nurse/LPN) stated that she cared for the trach resident R1 last week, who is admitted to the hospital now. […]
- Actual harm, isolatedF686Mar 10, 2022
Based on observation, interview and record review the facility failed to transcribe a dressing treatment plan and failed to administer a pressure injury treatment as ordered for a resident with stage 4 pressure injury to promote healing. This applies to 1 of 5 residents (R47) reviewed for pressure injury in the sample of 21. This failure resulted in R47 not receiving the ordered treatment for 43 days that resulted in the delayed healing of the resident's right ischium pressure injury. The findings include: R47 has multiple diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]
- No harm, potential for more than minimal, patternF585Apr 3, 2025
Based on interview and record review the facility failed to ensure residents felt safe voicing grievances without fear of retaliation. This applies to 10 of 10 residents (R31, R36, R45, R48, R49, R50, R63, R79, R82, R167) reviewed for grievances in the sample 23. The findings include: On March 31, 2025 at 10:10 AM, R48 stated she has had other residents tell her not to say anything about the care for fear of retaliation. R48 is a [AGE] year old admitted to the facility on [DATE]. R48 Minimum Data Set (MDS) dated [DATE] showed her to be cognitively intact. On March 31, 2025, at 11: 00 AM, R167 stated it takes 2 hours for them to answer call lights. R167 stated, If you complain you get hurt. R167 stated she has reported to the staff regarding how long it takes to get help. […]
Read 27 findings in full →The most serious and the most recent: 27 of 119 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 4, 2026Complaint1 finding
- Oct 24, 2025Complaint2 findings · 1 harm
- Jun 2, 2025Complaint1 finding · 1 harm
- Apr 3, 2025Standard13 findings
- Feb 6, 2025Complaint1 finding · 1 harm
- Oct 31, 2024Complaint1 finding
- May 24, 2024Standard5 findings
- Apr 13, 2023Standard12 findings
Show the 30 earlier surveys
- Aug 26, 2022Complaint1 finding
- Mar 10, 2022Standard4 findings · 1 harm
- May 15, 2019Standard10 findings · 1 harm
- Apr 8, 2019Complaint2 findings · 1 harm
- Mar 1, 2019Complaint2 findings · 1 harm
- Feb 6, 2019Complaint1 finding
- Apr 19, 2018Standard2 findings
- Mar 13, 2018Complaint2 findings
- Jun 28, 2017Complaint2 findings
- Jun 15, 2017Complaint1 finding
- Mar 16, 2017Standard8 findings
- Aug 16, 2016Complaint2 findings
- May 13, 2016Standard4 findings
- Apr 16, 2015Standard3 findings
- Jun 3, 2014Complaint1 finding
- Mar 21, 2014Standard6 findings
- Mar 5, 2014Complaint1 finding · 1 harm
- Jul 24, 2013—1 finding
- May 16, 2013—3 findings
- Jun 1, 2012—4 findings
- Apr 30, 2012—2 findings
- Mar 29, 2012—1 finding
- Feb 15, 2012Complaint2 findings
- Jan 31, 2012—6 findings · 2 harm
- Nov 23, 2011—1 finding
- Aug 30, 2011—2 findings
- Jun 10, 2011—1 finding
- Apr 29, 2011—4 findings
- Mar 15, 2011—1 finding
- Feb 4, 2011—3 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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