Lakewood Place

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.

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