The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Lakewood Healthcare Center are:
F-0689 · June 13, 2025 · Grade J — Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date June 27, 2025
F-0688 · December 18, 2025 · Grade G — Actual harm
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.
Status: Deficient, Provider has date of correction · correction date January 21, 2026
F-0689 · December 18, 2025 · Grade G — Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Status: Deficient, Provider has date of correction · correction date February 26, 2026
F-0600 · August 2, 2024 · Grade G — Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date September 1, 2024
F-0583 · December 18, 2025 · Grade F — Potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Status: Deficient, Provider has date of correction · correction date January 21, 2026
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Lakewood Healthcare Center, 15 subject areas appear across health and fire-safety inspections.
Quality of life and daily care
26 citations between October 2, 2023 and June 8, 2026. The most serious was graded J — immediate jeopardy, affecting one or a very small number of residents. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 16 of these citations came out of complaint investigations. Correction record: 26 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0689 · June 13, 2025 · Grade J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0688 · December 18, 2025 · Grade G — 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.
F-0689 · December 18, 2025 · Grade G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from abuse, neglect, and exploitation
15 citations between October 2, 2023 and January 9, 2026. The most serious was graded G (actual harm). 12 of these citations came out of complaint investigations. Correction record: 15 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0600 · August 2, 2024 · Grade G — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0605 · July 31, 2025 · Grade E — Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F-0609 · October 2, 2023 · Grade E — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident rights
18 citations between October 2, 2023 and April 28, 2026. The most serious was graded F (potential for more than minimal harm). 7 of these citations came out of complaint investigations. Correction record: 18 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0583 · December 18, 2025 · Grade F — Keep residents' personal and medical records private and confidential.
F-0580 · January 28, 2026 · Grade E — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F-0558 · October 4, 2024 · Grade E — Reasonably accommodate the needs and preferences of each resident.
Food, nutrition, and hydration
14 citations between October 2, 2023 and December 18, 2025. The most serious was graded F (potential for more than minimal harm). Correction record: 14 citations show a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0812 · October 2, 2023 · Grade F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0814 · October 2, 2023 · Grade F — Dispose of garbage and refuse properly.
F-0802 · December 18, 2025 · Grade E — Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Assessments and care planning
20 citations between October 2, 2023 and June 8, 2026. The most serious was graded E (potential for more than minimal harm). 16 of these citations came out of complaint investigations. Correction record: 20 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0656 · October 4, 2024 · Grade E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0658 · August 26, 2024 · Grade E — Ensure services provided by the nursing facility meet professional standards of quality.
F-0657 · October 2, 2023 · Grade E — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Medication and pharmacy services
11 citations between October 2, 2023 and December 18, 2025. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 11 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0755 · December 18, 2025 · Grade E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0755 · October 4, 2024 · Grade E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0759 · October 4, 2024 · Grade E — Ensure medication error rates are not 5 percent or greater.
Fire, smoke, and emergency safety
9 citations between October 2, 2023 and December 18, 2025. The most serious was graded E (potential for more than minimal harm). Correction record: 9 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0342 · December 18, 2025 · Grade E — Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
K-0353 · December 18, 2025 · Grade E — Inspect, test, and maintain automatic sprinkler systems.
K-0363 · December 18, 2025 · Grade E — Install corridor and hallway doors that block smoke.
Physical environment and safety
8 citations between October 2, 2023 and December 18, 2025. The most serious was graded E (potential for more than minimal harm). Correction record: 8 citations show a recorded correction date.
Environmental citations cover the building itself — safe water temperatures, clean and working equipment, hazard-free spaces. Ask what was repaired, when, and what checks are in place now.
F-0912 · December 18, 2025 · Grade E — Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F-0912 · October 4, 2024 · Grade E — Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F-0921 · October 2, 2023 · Grade E — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Infection prevention and control
5 citations between September 14, 2023 and December 18, 2025. The most serious was graded E (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · October 4, 2024 · Grade E — Provide and implement an infection prevention and control program.
F-0880 · October 2, 2023 · Grade E — Provide and implement an infection prevention and control program.
F-0880 · September 14, 2023 · Grade E — Provide and implement an infection prevention and control program.
Egress
4 citations between October 2, 2023 and December 18, 2025. The most serious was graded E (potential for more than minimal harm). Correction record: 4 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0291 · October 2, 2023 · Grade E — Install emergency lighting that can last at least 1 1/2 hours.
K-0211 · December 18, 2025 · Grade D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0291 · December 18, 2025 · Grade D — Install emergency lighting that can last at least 1 1/2 hours.
Nursing and Physician Services
3 citations between October 2, 2023 and December 18, 2025. The most serious was graded E (potential for more than minimal harm). Correction record: 3 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0726 · December 18, 2025 · Grade E — Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F-0726 · October 2, 2023 · Grade E — Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F-0726 · October 4, 2024 · Grade D — Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Miscellaneous
2 citations between October 2, 2023 and December 18, 2025. The most serious was graded E (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0753 · December 18, 2025 · Grade E — Have restrictions on the use of highly flammable decorations.
K-0741 · October 2, 2023 · Grade E — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems
1 citation between October 2, 2023 and October 2, 2023. The most serious was graded E (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0920 · October 2, 2023 · Grade E — Ensure proper usage of power strips and extension cords.
Administration and leadership
2 citations between December 18, 2025 and December 18, 2025. The most serious was graded D (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0849 · December 18, 2025 · Grade D — Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F-0941 · December 18, 2025 · Grade D — Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Services
1 citation between December 18, 2025 and December 18, 2025. The most serious was graded D (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0511 · December 18, 2025 · Grade D — Have properly installed electrical wiring and gas equipment.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Lakewood Healthcare Center appears in CMS data on 35 survey dates between September 14, 2023 and June 8, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
June 8, 2026
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
April 28, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
January 28, 2026
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
January 9, 2026
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
December 31, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
December 18, 2025
Standard health survey — 26 citations, worst grade G (actual harm)
December 18, 2025
Fire-safety survey — 7 citations, worst grade E (potential for more than minimal harm)
August 28, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
August 27, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
July 31, 2025
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
July 30, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
July 16, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
July 8, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
June 24, 2025
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
June 13, 2025
Complaint health survey — 2 citations, worst grade J (immediate jeopardy)
May 9, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
April 21, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
April 16, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
March 17, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
February 20, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
February 4, 2025
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
November 7, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
October 4, 2024
Standard health survey — 26 citations, worst grade E (potential for more than minimal harm)
October 4, 2024
Fire-safety survey — 1 citation, worst grade E (potential for more than minimal harm)
September 24, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
August 26, 2024
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
August 2, 2024
Complaint health survey — 5 citations, worst grade G (actual harm)
April 18, 2024
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
April 12, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
March 28, 2024
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
February 5, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
October 16, 2023
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
October 2, 2023
Health survey including complaint investigations — 19 citations, worst grade F (potential for more than minimal harm)
October 2, 2023
Fire-safety survey — 9 citations, worst grade E (potential for more than minimal harm)
September 14, 2023
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
Penalties imposed
December 18, 2025 — Fine of $87,071
December 18, 2025 — Payment denial · Medicare/Medicaid payments denied for 35 days from January 22, 2026
June 13, 2025 — Fine of $14,901
June 13, 2025 — Payment denial · Medicare/Medicaid payments denied for 13 days from July 10, 2025
August 2, 2024 — Fine of $26,625
Payment denials are the stronger federal sanction: CMS stops paying for new admissions until the home corrects the problems. Lakewood Healthcare Center has 2 denial periods on record totalling 48 days.
How Lakewood Healthcare Center compares with peer homes
Raw citation counts mean more in context. The table below compares Lakewood Healthcare Center with the median reviewed facility in Los Angeles County (181 homes in this research set) and across California (350 homes), using the same CMS data. On health citations alone, Lakewood Healthcare Center sits above 88% of its reviewed county peers — near the top of the county for citation volume.
Measure
This home
Los Angeles Co. median
California median
Health citations on record
122
84
74
Citations from complaint investigations
55
31
27
Citations at actual-harm level or worse
4
3
2
Immediate-jeopardy citations
1
1
0
Total fines in CMS penalty records
$128,597
$57,906
$43,467
Penalty records (fines + payment denials)
5
3
2
What families should ask Lakewood Healthcare Center
- Ask why CMS flags Lakewood Healthcare Center with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0689 on June 13, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the freedom from abuse, neglect, and exploitation citations — most recently F-0600 on August 2, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the resident rights citations — most recently F-0583 on December 18, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the food, nutrition, and hydration citations — most recently F-0812 on October 2, 2023 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 3 totalling $128,597, the most recent dated December 18, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Lakewood Healthcare Center first document the change?
- Were recent complaint-related citations at Lakewood Healthcare Center connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
555099
Legal business name
THE HEALTHCARE CENTER OF DOWNEY LLC
Ownership type
For profit - Corporation
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
August 1, 1978
Chain name
PACIFIC HEALTHCARE HOLDINGS
Certified beds
290
Average residents per day
281.5
Overall CMS rating
1 star
Health inspection rating
1 star
Staffing rating
1 star
Reported nurse staffing hours per resident day
Not listed
Total nursing staff turnover
Not listed
Public records are a starting point, not a conclusion
This profile of Lakewood Healthcare Center uses official CMS provider data as a research starting point. It does not state that Lakewood Healthcare Center abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Sources for Lakewood Healthcare Center
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.