University Health Lakewood Medical Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 188 beds and averages 129.9 residents a day — about 69% occupied, or roughly 58 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.05 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.47 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.39 hrs/resident/day on weekends vs 4.32 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.52 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · J2025-04-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure two residents (Residents #1 and #2) out of 10 sampled residents were free physical and mental abuse from Certified Nurse Aide (CNA) A. On 4/17/25, Certified Nurse Aide (CNA) A grabbed Resident #1's arm, resulting in bruising and calling the resident a name. Additionally, CNA A refused to take the resident to the toilet and told the resident to be quiet. Later the same day, Resident #2 was heard asking CNA A to let the water warm up before being showered. CNA A said he/she didn't have time and placed the resident into the shower and sprayed him/her with cold water and then left him/her alone in the shower room partially naked for approximately five minutes while the resident was heard repeatedly yelling loudly for help and that he/she was cold while in the shower room and heard crying following the shower. The facility census was 134 residents. On 4/30/25 at 4:26 P.M., the Administrator was notified of the immediate jeopardy (IJ)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · E2026-03-20 · tag F0557 — pattern
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure six sampled residents (Residents #2, #5, #10, #11, #13, #14) out of 14 sampled residents were treated with dignity and respect and cared for in a manner that promoted maintenance or enhancement of their quality of life. The facility census was 130 residents. The Administrator and Director of Nurses (DON) was notified on 3/20/26 of Past Non-Compliance which occurred on 3/12/26. On 3/12/26 the facility administration suspended Certified Nurses Aide (CNA) A, begun an investigation, and notified appropriate parties. Facility staff and residents were interviewed. Facility staff in-services were started on abuse and neglect policy which included dignity for all employees. The deficiency was corrected on 3/13/26. Review of the facility's policy titled, Abuse and Neglect dated 8/11/23 showed:-Residents had the right to maintain good mental and psychosocial well-being.-Facility staff were required to ensure the prevention of use of verbal or nonverbal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Past Non-Compliance
• Potential for harm · Fcited before2025-08-22 · tag F0761 — failed to label and store drugs safely — widespread
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure appropriate storage and labeling of medications throughout the facility's medication carts and medication cabinets which had the potential to affect all residents within the facility. The facility census was 131 residents.Review of the facility's policy titled Medication Purchasing and Storage dated 1/10/24 showed:-Medications would be stored consistently with manufacturers' recommendations and in a manner that reduces the opportunity for a medication error to occur.-When medications were placed into active stock, expiration dates would be reviewed and stock rotated so products with the earliest expiration dates were dispensed first.1. Observation on 8/20/25 at 11:34 A.M. of the Three North (3N) Certified Medication Technician (CMT) medication cart showed:-37 Culturelle (a probiotic supplement to support digestive health) capsules that were outside of their original package and expiration dates could not be found on each packet.-18 Guaifenesin (a common expectorant drug that helps loosen and this mucus…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-08-22 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to establish and maintain a comprehensive, facility-specific infection prevention and control program designed to help prevent the development and transmission of Legionella (A [NAME] of pathogenic Gram-negative bacteria that includes the species L. pneumophila, causing legionellosis, all illnesses caused by Legionella, including a pneumonia-type illness called Legionnaires' disease and a mild flu-like illness called Pontiac fever) and/or other water-borne pathogens (a bacterium, virus, or other microorganism that can cause disease) that included specific assessments and contents, in accordance with State of Missouri rules and Centers for Disease Control (CDC) and Centers for Medicare and Medicaid Services (CMS) standards and guidelines. This deficient practice had the potential to affect all residents, visitors, volunteers, and staff who resided, visited, used, or worked in the facility. The facility failed to ensure appropriate hand…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-22 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure one sampled resident (Resident #31) was invited to their care plan meeting out of 26 sampled residents. The facility census was 131 residents.A facility policy related to care plan invitations was requested and not received prior to exit.1. Review of Resident #31's admission record showed he/she admitted to the facility with a diagnosis of Hemiplegia (paralysis to one side of the body) and Hemiparesis (partial weakness affecting one side of the body) following Cerebral Infarction (ischemic stroke- occurs as a result of disrupted blood flow and restricted oxygen to the brain) affecting the left non-dominant side.Review of the resident's Minimum Data Set (MDS- a federally mandated assessment instrument completed by facility staff for care planning) note dated 6/12/25 at 4:51 P.M. completed by MDS Coordinator B showed he/she had reached out to the resident's Durable Power of Attorney (DPOA- a legal document that gives a designated person the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-22 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure medications were administered with an error rate of less than five percent (%). Two medication errors were detected out of 38 observed opportunities resulting in a medication rate of 5.26 %. One error involved administration of insulin (medication used to treat high blood sugars) with an insulin pen (an injection device that delivers preloaded insulin by dialing a desired dose) and one error involved the correct method for measuring the quantity of a liquid medication). In addition, the facility failed to have a policy that addressed insulin pens, including to follow manufacturers' instructions regarding how many units of insulin to use in priming differed insulin pens. The facility census was 131 residents.Review of the facility Insulin Injection Administration policy dated 11/11/23 showed:-Use of insulin pens (an insulin delivery system that generally looked like a large pen, used an insulin cartridge rather than a vial, and used disposable needles for injection of insulin) was not addressed in the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-30 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure timely reporting of abuse allegations per the facility policy for two sampled residents (Resident #1 and #2) out of 10 sampled residents. Certified Nurse Aide (CNA) A was allowed to continue his/her shift on 4/17/25 and to work part of his/her shift on 4/18/25 potentially affecting all residents in his/her assignment. The facility census was 134 residents. On 4/30/25 the Administrator was notified of the past noncompliance which took place from mid-afternoon on 4/17/25 and 4/18/25. Corrective measures began immediately. The CNA was suspended. All staff were re-educated on abuse and neglect reporting. The deficiency was corrected on 4/18/25. Review of the facility's Abuse and Neglect policy, revised 7/26/24, showed: -The facility will implement an abuse prohibition program to include training of employees, identification of possible incidents or allegations which need investigation, protection of residents during investigations, and reporting…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · D2024-09-11 · tag F0622 — isolated
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure discharge/transfer documentation was completed to include reasons for the discharge/transfer, discharge plan and notification of the resident's responsible party, for one sampled resident (Resident #1), who was discharged to another facility, out of five sampled residents. The facility census was 147 residents. Review of the Facility's Transfer and Discharges/Notice of Proposed Discharge Policy revised on 6/27/24 showed: -Transfer and discharge will be handled appropriately to ensure proper notification and assistance to resident and families in accordance with federal and state specific regulations. -Procedure: --The transfer or discharge is necessary for the resident welfare and the resident needs cannot be met in their current placement in the facility. --When the health and safety of individuals in the facility is endangered due to clinical or behavioral status of the resident. -In an event that the resident requires transfer or discharge…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-11 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure an emergency discharge letter was provided to the resident's and/or the resident's representatives with Durable [NAME] of Attorney (DPOA) (a person who has the legal authority and responsibility to make decisions for another person) including the right to appeal the discharge and Ombudsman (a person who investigates, reports on, and helps settle complaints) contact information upon discharge for one sampled resident (Resident #1) out of 5 sampled residents. The facility census of 147 residents. Review of the Facility's Transfer and Discharges/Notice of Proposed Discharge Policy revised on 6/27/24 showed: -Transfer and discharge will be handled appropriately to ensure proper notification and assistance to resident and families in accordance with federal and state specific regulations. -Procedure: --The transfer or discharge is necessary for the resident welfare and the resident needs cannot be met in their current placement in the facility.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-03-27 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure infection control practices were followed to prevent contamination and spread of infection for one sampled resident (Resident #4) who was on contact droplet isolation for Respiratory Syncytial Virus (RSV - a respiratory virus that infects the lungs and breathing passages and can be serious, especially for infants and older adults) out of two sampled residents who were on isolation on the third floor south unit. The sample was five residents. The facility census was 145 residents. Review of the facility's Isolation Precautions policy and procedure, dated 2/20/23, showed: -The facility will use contact precautions in addition to standard precautions based on the disease or infection transmission as outlined by the Department of Health and by the long term care federally regulatory agency to assist health care personnel in preventing and controlling the spread of organisms and communicable diseases. -Standard precautions include…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-27 · tag F0559 — pattern
  Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide residents and/or the resident's responsible party's timely notifications (verbal and/or in writing) prior to a roommate change for three sampled residents (Residents #1, #2, and #3) out of five sampled residents. The facility census was 149 residents. Review of the facility's Resident Right's policy dated 11/16 showed: -Notification of changes: --A facility must immediately inform the resident, consult with the resident's physician; and notify, consistent with his/her authority, the resident representative(s) when there is a change in room or roommate assignment. Review of the facility's current Census List dated 2/27/24 showed Resident #1 and Resident #2 were currently roommates. 1. Review of Resident #1's Face Sheet showed the resident was admitted to the facility on [DATE]. Review of the resident's Care Center Resident's Rights dated 11/9/16 showed: -The resident had the right to receive notice before the resident's room or roommate in the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$14,901 in federal fines across 1 penalty.

• $14,901 — penalty dated 2025-04-30

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 39 rows in the source record cover these 34 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in MO