THE OAKS AT LAKEWOOD

TACOMA, WA · 80 beds · For profit - Limited Liability company

78 Trust Score
Grade: B+ LOW Risk → Stable

Red Flags

  • RN hours significantly below state average

Green Flags

  • 4-star health inspection rating
  • No fines or penalties on record

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
14
0.8x state avg
Deficiencies
$0
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

October 21, 2024

13 deficiencyies
F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0790 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide routine and 24-hour emergency dental care for each resident.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide or obtain dental services for each resident.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

December 7, 2023

7 deficiencyies
F0625 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0645 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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PASARR screening for Mental disorders or Intellectual Disabilities

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0685 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Assist a resident in gaining access to vision and hearing services.

See full violation history →

Staffing

0.43
RN hrs/res/day
1.11
LPN hrs/res/day
2.33
CNA hrs/res/day
3.33
Weekend hrs/res/day
43%
Total nurse turnover
50%
RN turnover

A nurse checks on each resident roughly every 6.2 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Limited Liability company Chain: THE ENSIGN GROUP
  • PENNANT HEALTHCARE LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 03/22/2021

    100% Organization
  • THE ENSIGN GROUP INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/22/2021

    100% Organization
  • BRADBURN, KASEY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/2021

    Individual
  • HOOPES, TYLER

    CORPORATE DIRECTOR

    Since since 03/22/2021

    Individual
  • BURNAM, SOON

    CORPORATE OFFICER

    Since since 03/22/2021

    Individual
  • FITCH, CRAIG

    CORPORATE OFFICER

    Since since 03/22/2021

    Individual
  • JENKINS, TRACY

    CORPORATE OFFICER

    Since since 03/22/2021

    Individual
  • BRADBURN, KASEY

    W-2 MANAGING EMPLOYEE

    Since since 06/01/2021

    Individual

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