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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Lakewood Place operates as a 46-bed assisted living and nursing home in Loudon, Tennessee, at 1125 Grove Street in Loudon County, just 0.1 miles from the city center. The three-story, privately owned facility (Kristie Valentino, owner; Lakewood Place Loudon, LLC, operator) has held its license since June 2006. Administrator Shelley Hicks oversees operations. The community offers private and companion suite accommodations and permits pets.
A one-star CMS overall rating reflects substantial performance gaps: health inspections run 31.5% below Tennessee averages, staffing measures 59.2% below state norms at 2 hours 47 minutes per resident daily (ranked 163rd of 172 facilities), and quality measures fall 46.4% below average.
Weekend nursing drops to 2 hours 34 minutes per resident (23% below state average). The 113-person workforce comprises 79 employees and 34 contractors (30% contractor rate). Clinical staffing includes 8 RNs, 36 LPNs, and 35 CNAs, along with clinical nurse specialists, speech language pathologists, and mental health workers. Staff-to-resident ratio of 1.16:1 runs significantly below state average of 1.75:1, indicating lower staffing density relative to census.
August 2025 inspection identified 24 total citations across 5 inspections since 2022; ranked 144th of 176 Tennessee facilities by total citations. No critical or serious citations documented; 23 moderate and 1 minor. Deficiency themes center on quality of life and care (29%), resident rights (13%), and infection control (4%). No federal penalties imposed in past three years.
Strengths: depressive symptoms 0.0%, urinary tract infections 1.1%, antipsychotic use 9.8%, vaccination rates 100% (pneumococcal and influenza). Weaknesses: walking ability decline 35.6% (64% worse than state average), falls with major injury 4.6%, pressure ulcers 6.4%, high-risk clinical events 34% worse.
Current census is 43 of 46 beds (94% occupancy). Resident demographics: 74.2% female, 100% white, age concentration 75–89 years. Payer mix comprises 58.8% Medicaid, 39.2% private pay, 2.1% Medicare.
2023 financial performance: $10.5M revenue, -$174.3K operating loss, payroll 34% of revenue.
Occupancy declined from 65.6% (2019) to 50.7% (2023), reflecting financial pressures and operational challenges.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 163rd out of 172 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 26m per day | ▼ 25% State avg: 35m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 56m per day | ▼ 13% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 40m per day | ▼ 22% State avg: 2h 8m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 47m per day | ▼ 17% State avg: 3h 21m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 30% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day | ▼ 42% State avg: 23m per day · National avg: 29m per day |
Higher than the Tennessee average: 71.6%Lakewood Place is legally operated by Lakewood Place Loudon, LLC, and administrated by Shelley Hicks.
Tennessee average 3.5
Last Health inspection on Aug 2025
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 24 citations resulted from standard inspections; 3 of 24 resulted from complaint investigations; and 3 of 24 came from combined inspections (standard and complaint).
100% better than Tennessee averageTennessee average: 1.1
100% better than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
33% fewer staff per resident than Tennessee average
5% better than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursAssists with medical care and medications.
36 total: 18 full-time employees and 18 contractors.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 35 CNA Staff are full-time employees. No contractors work on this role.
35
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,110 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 0 | 35 | 13,840 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 18 | 18 | 36 | 8,125 | 92 | 100% | 9.5 |
| Registered Nurse | 8 | 0 | 8 | 2,285 | 92 | 100% | 9.1 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,128 | 64 | 70% | 7.5 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,095 | 74 | 80% | 9 |
| Speech Language Pathologist | 0 | 4 | 4 | 910 | 67 | 73% | 7.2 |
| Mental Health Service Worker | 2 | 0 | 2 | 801 | 70 | 76% | 7.6 |
| Administrator | 2 | 0 | 2 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 481 | 66 | 72% | 7.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 461 | 64 | 70% | 7.2 |
| Dietitian | 1 | 0 | 1 | 454 | 61 | 66% | 7.4 |
| Physical Therapy Aide | 0 | 4 | 4 | 446 | 74 | 80% | 5.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 416 | 66 | 72% | 5.7 |
| Qualified Social Worker | 0 | 3 | 3 | 352 | 59 | 64% | 6 |
| RN Director of Nursing | 1 | 0 | 1 | 272 | 37 | 40% | 7.4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.0
34% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.3
19% worse than Tennessee averageTennessee average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
16.9%
5% worse than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
35.6%
64% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
16% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
24% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
6.4%
17% worse than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.1%
49% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
6.6%
5% worse than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
9.8%
40% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
19% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.1%
17% better than Tennessee averageTennessee average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
18% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
97Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Lakewood Place based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #132 / 176Payroll — State benchmarkedThis home is ranked 132nd out of 176 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Housing Options: Private / Companion Suites
Building Type: 3-story
Transportation Services
Fitness and Recreation
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
0.1 miles from city center
Estimated distance in miles from Loudon's city center to Lakewood Place's address, calculated via Google Maps.
Add your location
Lakewood Place is located in Loudon, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| Charter Senior Living of Cleveland |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cleveland | 49
Facility
49
TN AVG
88
Rank
#352 / 426 |
77.6%
Facility
77.6%
TN AVG
73%
Rank
#143 / 303 | +6% | - | -12% | - | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 177 | - | - | - | 104 |
32
Facility
32
TN AVG
34
Rank
#295 / 553 | Snh Tenn Tenant, LLC | - | - | - | 445543 | ||||
| Lakewood Place |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Loudon (Grove Street) | 46
Facility
46
TN AVG
88
Rank
#371 / 426 |
93.5%
Facility
93.5%
TN AVG
73%
Rank
#266 / 303 | +28% | 2.78
Facility
2.78
TN AVG
3.63
Rank
#163 / 172 | -19% | -23% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 177 | 24
Facility
24
TN AVG
15.4
Rank
#144 / 176 | 4.8
Facility
4.8
TN AVG
4.4
Rank
#104 / 176 | - | 97 |
27
Facility
27
TN AVG
34
Rank
#328 / 553 | Kristie Valentino | $11.0M
Facility
$11.0M
TN AVG
$11.5M
Rank
#112 / 176 | $3.8M
Facility
$3.8M
TN AVG
$4.6M
Rank
#132 / 176 | 34%
Facility
34%
TN AVG
41%
Rank
#153 / 176 | 445253 | ||||
| River Oaks Place Loudon |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Loudon (Grove Street) | 49
Facility
49
TN AVG
88
Rank
#352 / 426 | - | - | 2.78
Facility
2.78
TN AVG
3.63
Rank
#163 / 172 | -19% | -23% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 177 | 24
Facility
24
TN AVG
15.4
Rank
#144 / 176 | 4.8
Facility
4.8
TN AVG
4.4
Rank
#104 / 176 | - | 97 |
27
Facility
27
TN AVG
34
Rank
#328 / 553 | Kristie Valentino | $11.0M
Facility
$11.0M
TN AVG
$11.5M
Rank
#112 / 176 | $3.8M
Facility
$3.8M
TN AVG
$4.6M
Rank
#132 / 176 | 34%
Facility
34%
TN AVG
41%
Rank
#153 / 176 | 445253 |
Lakewood Place is in the Grove Street neighborhood of Loudon.
The legal owner and operator of Lakewood Place is Lakewood Place Loudon, LLC.
Lakewood Place has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TN state health department records, Lakewood Place's license number is 00000265.
According to TN state health department records, Lakewood Place's license expires on August 6, 2026.
Lakewood Place's occupancy is 94%.
Shelley Hicks is the administrator of Lakewood Place.
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