The Oaks at Lakewood

In the surveyor’s words

From the most serious findings on record at The Oaks at Lakewood, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Sep 19, 2022

  Based on observation, interview and record review, the facility failed to ensure the laundry equipment was disinfected after loading soiled linens and linens were stored in a sanitary manner by dusty fans blowing from soiled area to clean linens for one of one facility laundry areas; and failed to complete a Legionella, a waterborne bacteria, water management program for the facility. These failures placed residents at risk of cross-contamination, healthcare associated infections, and decreased quality of life. […]

• No harm, potential for more than minimal, patternF609Jan 29, 2026

  Based on interview and record review, the facility failed to ensure substantial injuries/injuries of unknown sources were reported to the State Agency Reporting Hotline for 2 of 3 sampled residents (Residents 7 and 9) when reviewed for abuse. This failure placed residents at risk for potential abuse/neglect and a diminished quality of life. Findings included .Resident 7 Review of the electronic health record (EHR) showed Resident 7 was re-admitted to the facility on [DATE] with diagnoses to include dementia (a decline in mental abilities such as memory, thinking, and reasoning), diabetes (too much sugar in the blood), and muscle weakness. […]

• No harm, potential for more than minimal, patternF880Oct 22, 2024

  Based on observation, interview, and record review the facility failed to implement transmission-based precautions (TBP) for 1 of 4 residents (Resident 4) reviewed for TBP, and failed to use gloves when administering an injectable medication for 1 of 4 sampled residents (Resident 54) reviewed for medication administration. This failure placed residents and staff at risk for communicable diseases, poor clinical outcomes, and a diminished quality of life. Findings included . Review of the facility isolation precautions sign titled AEROSOL CONTACT PRECAUTIONS dated 08/09/2023 showed staff were to wash or gel (hand sanitizer) hands, use full PPE (personal protective equipment) which included wearing gloves, a gown, a respirator (N95 mask which filters 95% of particles in the air) and wear eye… […]

• No harm, potential for more than minimal, patternF625Dec 8, 2023

  Based on interview and record review, the facility failed to provide a written bed-hold notice, at the time of transfer to the hospital, for 3 of 4 residents (Residents 22, 55 and 67) reviewed for hospitalization . This failure placed the residents at risk for a lack of knowledge regarding their right to hold their bed while in the hospital. Findings included . Resident 22 Review of Resident 22's medical record on 12/05/2023 showed that resident was transferred from the facility to the hospital on 10/30/2023 with a readmittance date of 11/04/2023. Review of Resident 22's medical record on 12/05/2022 showed no documentation that a written bed hold notice was provided to the resident and/or their responsible party for the transfer to the hospital. […]

• No harm, potential for more than minimal, patternF685Dec 8, 2023

  Based on interview and record review, the facility failed to provide services to improve hearing for 2 of 3 residents (Residents 13 and 33) reviewed for communication/sensory. This failure placed residents at risk of not being able to communicate, inability to participate in activities, feelings of isolation, and a diminished quality of life. Findings included . Resident 13 During an interview on 12/04/2023 at 12:56 PM, Resident 13 stated that they had previously used hearing aids which were lost, was deaf in one ear and had difficulty hearing with the other. Review of Resident 13's diagnosis list on 12/07/2023 showed unspecified hearing loss of the left ear. […]