Inspection Reports for
Lakewood Gardens

The complaint alleged staff refused to allow a resident to return after hospitalization. The allegation was unsubstantiated based on interviews with staff, residents, and review of hospital and psychiatric records.

The investigation found insufficient evidence to support the allegation. Interviews and record reviews indicated the resident was not denied re-entry but required a psychiatric evaluation for safety reasons. The resident returned to the facility on 2026-02-12.

The complaint alleged that staff did not address a resident's change in medical condition. The allegation was unsubstantiated after investigation.

The investigation found insufficient evidence to support the allegation. Interviews and record reviews indicated that although the resident fell and did not report it to staff, there was no preponderance of evidence to prove staff neglect or abuse.

The facility was found to be in compliance with all applicable regulations with no deficiencies observed. The inspection covered infection control, operational requirements, staffing, physical plant safety, personnel records, resident records, residents' rights, planned activities, food service, incidental medical and dental care, disaster preparedness, and care for residents with special health needs.

The complaint alleged that a staff member punched a resident in the face. Interviews with staff and residents did not support the allegation. No signs of injury were observed on the resident. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation found no corroborating evidence that staff physically assaulted residents. Interviews with staff and residents indicated no reports or observations of physical abuse, and the allegation was determined to be unsubstantiated.

The facility was found to be in full compliance with no deficiencies observed. The environment was clean and safe, medications and documentation were properly managed, and all required safety equipment and signage were present and operational.

The complaint investigation was unsubstantiated based on interviews with residents and staff, review of pest control invoices, physician orders, and facility observations. Allegations included bed bugs, bathroom access prohibition, safety bed alarm denial, forced diaper use, and bad odor, none of which were supported by sufficient evidence.

The investigation found no evidence to substantiate the allegations. Resident and staff interviews, physical plant tours, and pest control records indicated the facility was clean, free of pests, and odor-free. Bed alarms and adult briefs were provided only with physician orders.

The complaint investigation was triggered by allegations that staff were not addressing a scabies outbreak and were allowing residents to wear other residents' clothing. The allegations were unsubstantiated after investigation including interviews with staff and residents, review of health department actions, and inspection of resident clothing.

The investigation found no evidence of a scabies outbreak or that staff allowed residents to wear other residents' clothing. All allegations were determined to be unsubstantiated based on interviews, assessments, and observations.

The complaint included allegations that the facility does not provide activities as advertised, staff do not treat residents with dignity or respect, and the facility failed to meet residents' needs. The investigation concluded these allegations were unsubstantiated.

The investigation found no preponderance of evidence to substantiate the allegations. Residents and staff interviews, activity calendar review, and observations indicated that activities were provided as advertised, residents were treated with dignity, and their needs were met.

The Licensing Program Analyst completed reviews of planned activities, incidental medical and dental care, and residents with special health needs. No deficiencies were observed during the visit.

No deficiencies were observed during the visit. The facility met all regulatory requirements including safety, infection control, staffing, and environmental standards.

The complaint involved allegations that a resident sustained an unexplained fracture while in care, the facility did not seek timely medical attention, and the facility did not notify the resident’s representative of an unusual incident. The findings were unsubstantiated.

The investigation found no preponderance of evidence to prove or disprove the alleged violations. All allegations were determined to be unsubstantiated based on interviews, medical records, and documentation review.

The complaint alleged that the facility was refusing to readmit a resident from the hospital. The allegation was investigated through interviews and record reviews and was found to be unsubstantiated.

The investigation found that the facility did not refuse to readmit the resident but requested a reassessment and clearance from the hospital to ensure the resident's safety. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

No deficiencies were observed during the visit. The facility met all regulatory requirements including safety, medication administration, and COVID-19 protocols.

The complaint alleged that a resident contracted scabies while in care. The allegation was unsubstantiated after interviews and record reviews showed no evidence of scabies.

The investigation found no preponderance of evidence to prove the alleged violation occurred. The resident was not diagnosed with scabies, and staff and other residents denied any scabies cases. The dermatologist ruled out scabies and attributed the rash to an allergic reaction.

The facility had appropriate infection control measures including entrance screening, PPE supply, and signage. Some issues were noted with spacing of activity room furniture and lack of lids on trash cans and soap/paper towels in isolation/quarantine room restrooms. No deficiencies were cited at this time.