Lakewood Nrsg & Rehab Center
14716 S Eastern Avenue · Plainfield, IL · 60544 · 8154363400
131 certified beds For profit - Limited Liability company Chain: Extended Care Clinical
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$84,925 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 1 · $84,925 |
Inspection citations (35 in the current record)
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Immediate jeopardy · J October 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 25, 2025 · Quality of Life and Care
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Potential for harm · D October 24, 2025 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected October 25, 2025 · Administration
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Actual harm · G June 2, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 6, 2025 · Quality of Life and Care
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Potential for harm · E April 3, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected April 22, 2025 · Resident Rights
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Potential for harm · D April 3, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 3, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 16, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Provide appropriate foot care.
Corrected April 16, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 16, 2025 · Quality of Life and Care
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Potential for harm · E April 3, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 18, 2025 · Pharmacy Service
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Potential for harm · D April 3, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 16, 2025 · Pharmacy Service
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Potential for harm · E April 3, 2025
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.
Corrected April 16, 2025 · Pharmacy Service
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Potential for harm · E April 3, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 21, 2025 · Nutrition and Dietary
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Potential for harm · D April 3, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 21, 2025 · Nutrition and Dietary
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Potential for harm · D April 3, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected April 18, 2025 · Nutrition and Dietary
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Potential for harm · E April 3, 2025
Provide and implement an infection prevention and control program.
Corrected April 18, 2025 · Infection Control
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Potential for harm · E April 3, 2025
Keep all essential equipment working safely.
Corrected April 14, 2025 · Environmental
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Actual harm · G February 6, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 17, 2025 · Quality of Life and Care
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Potential for harm · D October 31, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 6, 2024 · Quality of Life and Care
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Potential for harm · D May 24, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected June 5, 2024 · Resident Rights
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Potential for harm · E May 24, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 6, 2024 · Quality of Life and Care
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Potential for harm · D May 24, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected June 6, 2024 · Quality of Life and Care
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Potential for harm · D May 24, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 3, 2024 · Quality of Life and Care
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Potential for harm · D May 24, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected June 6, 2024 · Nutrition and Dietary
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Potential for harm · E April 13, 2023
Keep residents' personal and medical records private and confidential.
Corrected April 18, 2023 · Resident Rights
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Potential for harm · E April 13, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 18, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 24, 2025 | Fine | $84,925 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145761 · certified since July 7, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.