Lakewood Healthcare Center
Inspection Findings
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
urine not draining or the presence of sediment could indicate infection. TN 1 stated no documentation meant the care was not provided, which could negatively affect the residents' quality of care. During a concurrent interview and record review on 8/28/2025 at 1:25 p.m. with Registered Nurse Supervisor (RNS) 1, Resident 1's MAR for 2/2025 was reviewed. The MAR indicated that nurses were to assess the urinary drainage from the Foley catheter bag for signs and symptoms of infection and the amount of urine output every shift, starting on 2/7/2025 at 3 p.m. RNS 1 stated there was no documentation of the urinary drainage assessment or accurate urine output on the MAR for the evening shift on 2/7/2025 and the night shift on 2/8/2025. RNS 1 stated it was unclear if Resident 1 had any signs or symptoms of infection. RNS 1 stated
the LVN should document on the MAR every shift. RNS 1 stated it was standard of care and important to follow the physician's order. RNS 1 stated the lack of assessment and documentation increased the risk of quality of care. RNS 1 stated the Foley catheter care included monitoring urine output, observing color, monitoring for pain, and following up with a urologist (a medical specialist who diagnoses and treats disorders of the urinary system [kidneys, ureters, bladder, urethra]) if needed. RNS 1 stated dark or concentrated urine might mean the resident needed more fluids. RNS 1 stated sediment in the urine may mean there was a blockage. During a review of the facility's LVN Job Description, undated, the Job Description indicated, LVN's responsibilities included providing nursing care as ordered by the physician and recording care information accurately, timely and concisely. The Job Description further indicated LVNs should complete all required documentation, including resident assessments and interventions, in the medical record. During a review of the facility's policy and procedure (P&P) titled Indwelling Catheter, dated 9/1/2014, the P&P indicated, catheter care included intake and output recording. The P&P indicated documentation of catheter care would be maintained in the resident's medical record.
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LAKEWOOD HEALTHCARE CENTER in DOWNEY, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DOWNEY, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LAKEWOOD HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.