Lakewood Healthcare Center
LAKEWOOD HEALTHCARE CENTER in DOWNEY, CA — inspection on December 31, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a concurrent interview on 12/31/2025 at 10:14 a.m., with the Director of Rehab (DOR), Resident 6's Physical Therapy (PT) Treatment Note, dated 12/17/2025, was reviewed.
The PT Treatment Note indicated Resident 6 exhibited self-limiting behavior and required encouragement to participate and exhibited anxiety (feeling of unease, fear, or dread) with activity.
The PT Treatment Note indicated supervision or touching assistance was required when Resident 6 walked ten feet.
The DOR stated Resident 6 required supervision or touching assistance when ambulating (walking) which meant Resident 6 required physical or verbal cues for safety.
The DOR stated optimal safety precautions required the staff member to walk next to or slightly behind Resident 6 when ambulating.
The DOR stated this precaution would allow the staff member to quickly react and assist Resident 6 if she became unsteady.
During an interview on 12/31/2025 at 11:45 a.m., with the Director of Nursing (DON), the DON stated when a resident needs supervision or touch assistance, the staff member was responsible for cueing, guiding, and redirecting, if needed.
The DON stated when CNA 4 assisted Resident 6, CNA 4 should have been walking next to Resident 6.
The DON stated walking next to Resident 6 would have provided visual supervision to steady Resident 6 when she became unbalanced and could have minimized Resident 6's injury and/or prevented Resident 6's fall.
During a review of the facility's Policy and Procedure (P&P) titled, Ambulation, revised 1/1/2012, the P&P indicated, Ambulation techniques are utilized to increase safety for the resident and staff.
The P&P indicated to ensure safety during ambulation, the staff member had to observe correct guarding or spotting by standing on the weakest side and just a little behind and to use their other hand to support the resident's shoulder or hip, if needed.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.