Lakewood Healthcare Center
LAKEWOOD HEALTHCARE CENTER in DOWNEY, CA — inspection on April 28, 2026.
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 review of Resident 1's Minimum Data Set ([MDS], a resident assessment tool), dated 3/29/2026, the MDS indicated Resident 1's cognitive skills (ability to think and reason) for daily decision making were severely impaired.
The MDS indicated Resident 1 required supervision for activities of daily living (ADLs- routine tasks/activities such as bathing, dressing and toileting a person performs daily to care for themselves).
During a review of Resident 1's History and Physical (H&P), dated 4/4/2026, the H&P indicated Resident 1 had fluctuating capacity to understand and make medical decisions.
During an interview on 4/28/2026 at 9:41 a.m. with Resident 1's Representative Party (RP), RP 1, RP 1 stated Resident 1 never received a radio headset that had been purchased and delivered for his use. RP 1 stated the delivery company confirmed facility staff signed for the package. RP 1 stated the item was intended to support Resident 1 due to his legal blindness and enjoyment of music.
During a concurrent interview and record review on 4/28/2026 at 10:42 a.m. with Social Services Designee (SSD) 1, all of Resident 1's Social Services Progress Notes, Inventory Lists, and Electronic Personal Effects Inventory Forms, dated 8/2025 through 4/28/2026, were reviewed.
There was no documentation of a radio headset, nor was there documentation that Resident 1 received a delivery of a radio headset. SSD 1 stated it was standard practice to document deliveries and update the resident's inventory list to reflect all personal belongings in the resident's possession.
SSD 1 stated she recalled receiving the delivery in approximately 8/2025 or 9/2025, labeling the item, and placing it on his nightstand. SSD 1 stated the item later went missing and no follow-up or grievance was initiated to locate or replace the item. SSD 1 stated she should have documented the delivery and filed a grievance on Resident 1's behalf. SSD 1 stated it was Resident 1's right to maintain property and his belongings.
During a review of the facility's policy and procedure (P&P) titled, Personal Property, revised 10/2/2025, the P&P indicated the facility would ensure residents' personal property was respected, safeguarded, and properly documented. An inventory of personal belongings will be completed upon admission and updated as necessary to reflect additions, removals or changes.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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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.