Plainfield, IL

Lakewood Nrsg & Rehab Center

2-star overall rating with 2-star inspections with 15 recent health deficiencies

14716 S Eastern Avenue, Plainfield, IL

(815) 436-3400

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

131

Certified beds

Average residents

119

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Extended Care Clinical

Operator or chain grouping

Approved since

1993-07-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 2 overall / 2 health / 1 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.74

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.61

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.88

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.23

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.92

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.55

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

2.60

CMS adjusted total nurse staffing hours

Case-mix index

1.70

Higher values indicate more complex resident acuity

RN turnover

32%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,535

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.50

Composite VBP score used to determine payment impact.

Payment multiplier

0.9855

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.17

Baseline 23.21% · Performance 19.09% · Measure score 6.17 · Achievement 5.05 · Improvement 6.17

Healthcare-associated infections

Baseline 7.32% · Performance 8.63% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.63

Baseline 54.84% · Performance 40.66% · Measure score 5.63 · Achievement 5.63 · Improvement 4.23

Adjusted total nurse staffing

Baseline 2.85 hours · Performance 2.82 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.18%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 340 · Observed rate 13.24% · Lower 95% interval 9.15%
Discharge to community	55.74%	50.57% 5.2 pts better	No Different than the National Rate · Eligible stays 326 · Observed rate 47.85% · Lower 95% interval 48.07%
Medicare spending per beneficiary	1.26	1.02 0.2 pts worse
Drug regimen review with follow-up	99.61%	95.27% 4.3 pts better	Numerator 258 · Denominator 259
Falls with major injury	1.16%	0.77% 0.4 pts worse	Numerator 3 · Denominator 259
Discharge self-care score	21.38%	53.69% 32.3 pts worse	Numerator 34 · Denominator 159
Discharge mobility score	12.58%	50.94% 38.4 pts worse	Numerator 20 · Denominator 159
Pressure ulcers or injuries, new or worsened	1.54%	2.29% 0.8 pts better	Numerator 4 · Denominator 259 · Adjusted rate 1.16%
Healthcare-associated infections requiring hospitalization	8.63%	7.12% 1.5 pts worse	No Different than the National Rate · Eligible stays 203 · Observed rate 10.34% · Lower 95% interval 5.94%
Staff COVID-19 vaccination coverage	3.67%	8.2% 4.5 pts worse	Numerator 4 · Denominator 109
Staff flu vaccination coverage	68.68%	42% 26.7 pts better	Numerator 125 · Denominator 182
Discharge function score	24.53%	56.45% 31.9 pts worse	Numerator 39 · Denominator 159
Transfer of health information to provider	99.33%	95.95% 3.4 pts better	Numerator 148 · Denominator 149
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 76 · Denominator 76
Resident COVID-19 vaccinations up to date	31.08%	25.2% 5.9 pts better	Numerator 46 · Denominator 148

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.0 0.2 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.3	2.3 1 pts better	1.8 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.6%	89.6% 7 pts better	93.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 97.5% · Q3 97.5% · Q4 96.3% · 4Q avg 96.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.4%	91.6% 2.8 pts better	95.5% 1.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.4%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	3.3% 1.4 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.3% · Q3 1.2% · Q4 2.4% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	34.6%	50.3% 15.7 pts better	11.4% 23.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 27.0% · Q3 45.6% · Q4 41.2% · 4Q avg 34.6%
Percentage of long-stay residents who lose too much weight	6.8%	6.5% 0.3 pts worse	5.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 3.0% · Q3 8.7% · Q4 8.3% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.6%	18.5% 10.9 pts better	19.6% 12 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 8.3% · Q3 6.9% · Q4 6.9% · 4Q avg 7.6%
Percentage of long-stay residents who received an antipsychotic medication	1.8%	22.8% 21 pts better	16.7% 14.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.5% · Q3 0.0% · Q4 1.9% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	22.1%	17.2% 4.9 pts worse	16.3% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 13.4% · Q3 23.2% · Q4 30.2% · 4Q avg 22.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.0%	15.0% 1 pts better	14.9% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 10.1% · Q3 12.9% · Q4 23.2% · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	1.7% 1.4 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.9%	21.3% 6.6 pts worse	19.8% 8.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 32.0% · Q3 24.9% · Q4 29.9% · 4Q avg 27.9%
Percentage of long-stay residents with pressure ulcers	2.2%	5.2% 3 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.0% · Q3 2.4% · Q4 2.3% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	69.0%	68.8% 0.2 pts better	81.7% 12.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 63.5% · Q2 71.8% · Q3 72.1% · Q4 67.3% · 4Q avg 69.0%
Percentage of short-stay residents who had an outpatient emergency department visit	10.4%	14.0% 3.6 pts better	12.0% 1.6 pts better	Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 10.8% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	2.3% 2.1 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	57.8%	63.0% 5.2 pts worse	79.7% 21.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 57.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.5%	26.2% 3.7 pts better	23.9% 1.4 pts better	Short Stay · 20240701-20250630 · Adjusted 22.5% · Observed 25.1% · Expected 26.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

16 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-24 · Fire 2024-05-24

7 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-04-13 · Fire 2023-04-13

12 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

J · Immediate jeopardy 2025-10-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-10-25

D · Potential for more than minimal harm 2025-10-24

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2025-10-25

G · Actual harm 2025-06-02

F690 · Quality of Life and Care Deficiencies

Health

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 2025-06-06

E · Potential for more than minimal harm 2025-04-03

F585 · Resident Rights Deficiencies

Health

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 2025-04-22

E · Potential for more than minimal harm 2025-04-03

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-16

E · Potential for more than minimal harm 2025-04-03

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-04-03

F761 · Pharmacy Service Deficiencies

Health

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 2025-04-16

E · Potential for more than minimal harm 2025-04-03

F803 · Nutrition and Dietary Deficiencies

Health

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 2025-04-21

E · Potential for more than minimal harm 2025-04-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-04-03

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-04-14

D · Potential for more than minimal harm 2025-04-03

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-04-03

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-04-16

D · Potential for more than minimal harm 2025-04-03

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-16

D · Potential for more than minimal harm 2025-04-03

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-16

D · Potential for more than minimal harm 2025-04-03

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-04-03

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-04-18

G · Actual harm 2025-02-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-17

D · Potential for more than minimal harm 2024-10-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-05-24

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-05-24

F578 · Resident Rights Deficiencies

Health

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 2024-06-05

D · Potential for more than minimal harm 2024-05-24

F693 · Quality of Life and Care Deficiencies

Health

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 2024-06-06

D · Potential for more than minimal harm 2024-05-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-05-24

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-06-06

E · Potential for more than minimal harm 2023-04-13

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-04-13

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-04-13

F803 · Nutrition and Dietary Deficiencies

Health

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 2023-04-18

E · Potential for more than minimal harm 2023-04-13

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-04-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-04-13

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-04-13

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-04-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-04-13

F690 · Quality of Life and Care Deficiencies

Health

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 2023-04-18

D · Potential for more than minimal harm 2023-04-13

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-04-13

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-04-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-18

Penalties and ownership

What sits behind the stars

Ownership

Rothner Health Ventures G Ii, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2013-01-01

Adams Vales Accumulation Trust