Lakewood Health System: Daily Care Assistance Gaps - MN
The resident, identified in inspection records only as R39, required substantial assistance with every activity of daily living. He could not shave himself. His care plan, last revised in December 2025, listed shaving as a staff responsibility.
Inspectors observed him on the afternoon of February 17, 2026, unshaved. He told them he wanted to be shaved daily. His family member, reached by phone that same evening, said he wanted it done every day but wasn't sure staff had the time.
The next morning, inspectors found him again in the activity room doing exercises, still unshaved. Later that morning, seated with other residents watching television, he told the inspector again that he needed to be shaved.
A nursing assistant who had completed his morning care that day acknowledged he had whiskers and said the bath aides usually shaved him on Mondays. She said she had offered to shave him on other occasions but had not offered that morning.
A licensed practical nurse confirmed he had whiskers and said she had shaved him about twenty minutes before the interview, because he needed it. She said she had been unaware he wanted to be shaved daily.
The director of nursing said her expectation was that staff offer shaving daily, unless a resident's care plan directed otherwise. She also acknowledged the facility had no written policy on shaving residents.
Nobody had tracked whether he was being shaved. Nobody had added him to the treatment administration records that would have flagged the task each day. His family had noticed. He had noticed. He kept telling people. For at least two days during the inspection, and by his own account for longer than that, nobody had acted on it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lakewood Health System from 2026-02-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
Lakewood Health System in STAPLES, MN was cited for violations during a health inspection on February 19, 2026.
The resident, identified in inspection records only as R39, required substantial assistance with every activity of daily living.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.