The Oaks At Lakewood

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.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 157 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 72.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 97 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.62 therapist hours per resident per day in 2026Q1 — more than 89% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 80 beds and averages 71.3 residents a day — about 89% occupied, or roughly 9 beds typically open. It runs fairly full. 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 4.08 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.455 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 3.52 hrs/resident/day on weekends vs 4.30 on weekdays — 18% thinner on weekends. RN hours go from 0.55 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% is below the national median of 45%. 1 administrator has left in the past year.

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 fewer than at the previous inspection — improving. 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.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · E2026-01-29 · tag F0609 — failed to report abuse allegations — pattern
  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 substantial injuries/injuries of unknown sources were reported to the State Agency Reporting Hotline for 2 of 3 sampled residents (Residents 7 and 9) when reviewed for abuse. This failure placed residents at risk for potential abuse/neglect and a diminished quality of life. Findings included .Resident 7 Review of the electronic health record (EHR) showed Resident 7 was re-admitted to the facility on [DATE] with diagnoses to include dementia (a decline in mental abilities such as memory, thinking, and reasoning), diabetes (too much sugar in the blood), and muscle weakness. Resident 7 was sometimes able to make needs known. Review of Resident 7's EHR showed a Change of Condition form completed on 09/25/2025 related to Resident 7's complaint of pain/discomfort in the right upper shoulder with slight swelling noted. Review of the September 2025 accident and incident log showed an entry dated 09/29/2025 related to Resident 7's 09/25/2025 incident of…

  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 · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-29 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 the minimum data set assessment (MDS) accurately reflected the status for 2 of 18 sampled residents (Residents 11 and 5) when reviewed for accuracy of assessments. This failure placed the residents at risk for unmet care and a diminished quality of life. Findings included.Resident 11 Review of the electronic health record (EHR) showed Resident 11 readmitted to the facility on [DATE] with diagnoses of depression and schizophrenia (disorder that disrupts how a person thinks, feels, and behaves, causing them to interpret reality abnormally). Resident 11 was able to make needs known. Review showed Resident 11 had a pre-admission screening and resident review (PASSAR, a mental health assessment) level II evaluation completed on 03/24/2022 and a behavior health (BH) PASSAR notice of determination completed on 10/03/2024. Review of Resident 11's annual minimum data set assessment (MDS), dated [DATE], showed section A1500 was coded No for being…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-22 · tag F0880 — failed to prevent and control infections — pattern
  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 implement transmission-based precautions (TBP) for 1 of 4 residents (Resident 4) reviewed for TBP, and failed to use gloves when administering an injectable medication for 1 of 4 sampled residents (Resident 54) reviewed for medication administration. This failure placed residents and staff at risk for communicable diseases, poor clinical outcomes, and a diminished quality of life. Findings included . Review of the facility isolation precautions sign titled AEROSOL CONTACT PRECAUTIONS dated 08/09/2023 showed staff were to wash or gel (hand sanitizer) hands, use full PPE (personal protective equipment) which included wearing gloves, a gown, a respirator (N95 mask which filters 95% of particles in the air) and wear eye protection prior to entering the room. It further showed the door should remain closed unless it impacted patient care. Review of the CDC The Basics of Standard Precautions by ([NAME] JD, CDC Guidelines for Isolation…

  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 · D2024-10-22 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 and interview, the facility failed to provide a homelike environment during meal service for 1 or 3 sampled wings (North wing) when reviewed for dinning. This failure placed residents at risk for decreased appetite and a diminished quality of life. Findings included . During an interview on 10/16/2024 at 10:01 AM, Resident 33 stated they were unhappy that housekeeping would clean during mealtimes. Observation on 10/21/2024 at 12:12 PM, showed Staff R, Housekeeping Staff, cleaning resident room [ROOM NUMBER] with a spray while the resident in bed B was eating. Bed A's food was still covered and on the bedside table. During an interview on 10/21/2024 at 12:12 PM, Staff R, stated they were using Lysol to disinfect surfaces. When asked about appropriate times to clean Staff R stated, We are not allowed to clean while residents are eating in their room unless we ask them. During an observation and interview on 10/21/2024 at 12:17 PM, Staff Q, Housekeeping Manager, informed Staff R to stop…

  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 before2024-10-22 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 the Minimum Data Set assessment (MDS, an assessment tool) accurately reflected the status for 2 of 18 sampled residents (Residents 54 and 17) reviewed for accuracy of assessments. This failure placed the residents at risk for unmet care needs and a diminished quality of life. Findings included . Resident 54 Resident 54 admitted to the facility on [DATE] with diagnoses of chronic obstructive pulmonary disease (ongoing lung condition caused by damage to the lungs) and congestive heart failure. Resident 54 was able to make needs known. Review of the admission MDS, dated [DATE], showed the Dental section B marked YES to No natural teeth or tooth fragments. Review of Resident 54's denture consultation dated 01/24/2024 showed the resident had decayed, loose teeth and was missing some upper teeth and all lower teeth. During an interview on 10/22/2024 at 2:06 PM, Staff N, MDS Resource Nurse, stated section B was coded incorrectly as Resident 54 had a…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-22 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 offer a timely care conference to 1 of 3 sampled residents (Resident 36) and failed to revise a plan of care for 1 of 3 sampled residents (Resident 60) when reviewed for care plan revision. This failure placed residents at risk of not having input into their plan of care, inaccurate plans of care, and a diminished quality of life. Findings included . Review of the electronic health record showed Resident 36 admitted to the facility on [DATE] with a diagnosis of dementia ( loss of memory, language, problem-solving and other thinking abilities). Resident 36 was unable to make needs known and had a power of attorney (POA). During an interview on 10/16/2024 at 1:17 PM, Resident 36's POA stated they had not been contacted to conduct a care conference since December 2023. Review of the Care Plan Review assessments showed Resident 36 last had a care conference on 12/06/2023. During an interview on 10/18/2024 at 12:30 PM, Staff L, Social…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-22 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 provide the necessary assistance with activities of daily living (ADLs) for 1 of 2 sampled dependent residents (Resident 4) reviewed for ADL care. This failure placed the resident at risk for poor nutrition, weight loss, and a diminished quality of life. Findings Included . Resident 4 was admitted to the facility on [DATE] with diagnoses that included heart failure, dementia ( loss of memory, language, problem-solving and other thinking abilities) and severe malnutrition (condition when someone doesn't have enough nutrients to meet their needs). The admission Minimum Data Set (MDS) an assessment tool, dated 05/13/2024, showed Resident 4 was usually able to understand others. Observation on 10/17/2024 at 9:42 AM, showed Resident 4 lying in bed, they appeared very frail and weak. Observation and interview on 10/21/2024 at 1:02 PM, showed Resident 4 in bed with the head of the bed slightly up and the bedside table nearby with the lunch…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Resident 54 Review of the facility policy about Injections, Insulin administration dated 06/01/2023, showed Cleanse injection site with alcohol if necessary. Resident 54 was admitted to the facility on [DATE] with diagnoses that included heart failure and diabetes. The quarterly Minimum Data Set (MDS), an assessment tool, dated 09/25/2024, showed Resident 4 was able to make needs known. During an observation of medication administration on 10/21/2024 at 10:44 AM, Staff E, Licensed Practical Nurse (LPN) followed by Staff F, LPN administered 2 different insulins to different areas on Resident 54's abdominal wall without cleaning the skin area. In addition, the nurse did not wear gloves. During an interview on 10/21/2024 at 10:50 AM, when asked about injection practices, Staff E, LPN, stated they usually use alcohol wipes prior to administration. Reference WAC 388-97-1060(1) Based on observation, interview, and record review, the facility failed to follow providers orders for 1 of 5 sampled residents (Resident 125)…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 residents with pressure ulcers received necessary treatment/services to prevent new ulcers for 1 of 3 sampled residents (Resident 7) reviewed for pressure ulcers. This failure placed the resident at risk for decreased comfort, infection, and a diminished quality of life. Findings included . Review of the electronic health record (EHR) showed Resident 7 admitted to the facility on [DATE] with diagnoses to include chronic pain, diabetes and was a high risk for pressure injuries. Review of the Care Plan initiated on 05/03/2021 showed an intervention of Offload heels with pillows related to decreased mobility. Observations on 10/16/2024 at 1:58 PM, 10/17/2024 at 10:40 AM, 10/18/2024 at 9:03 AM and 10/21/2024 at 9:26 AM showed Resident 7 lying in bed without their heels offloaded. During an interview on 10/21/2024 at 9:38 AM, Staff M, Resident Care Manager/ Licensed Practical Nurse stated Resident 7's heels should have been floated…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 a safe environment was maintained related to facility equipment for 1 of 4 sampled residents (Resident 14) reviewed for accident hazards. This failure placed the resident at risk for avoidable injuries and a diminished quality of life. Findings included . Review of the electronic health record (EHR) showed Resident 14 admitted to the facility on [DATE] with diagnoses to include above the knee amputation and diabetes. Resident 14 was dependent on staff for transfers and able to make needs known. During an interview on 10/17/2024 at 10:57 AM, Resident 14 stated they did not feel comfortable using the sit to stand because the grab bars were loose. Observation on 10/21/2024 at 10:30 AM, showed two Tollos Steady aid Sit to Stand units #73508 and #870353 located on the [NAME] wing with grab bars that easily moved from left to right and appeared loose. During an observation and interview on 10/21/2024 at 10:36 AM, Staff K, Maintenance…

  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.

  Quality of Life and Care 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

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE ENSIGN GROUP — 342 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

4 organizational owners 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.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.0M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WA