Lakewood Nrsg & Rehab Center

Penalties

• Oct 24, 2025 — Fine ($55,201)
• Oct 24, 2025 — IDPH fine (Nursing Home Care Act) ($50,000)
• Jun 2, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Feb 6, 2025 — IDPH fine (Nursing Home Care Act) ($25,000)
• May 24, 2024 — IDPH fine (Nursing Home Care Act) ($500)

Inspection findings

1. Jun 4, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Jun 12, 2026 · CMS health inspection

2. Oct 24, 2025 Health · 3 findings
   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Oct 25, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0940 Administration Deficiencies

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

     Corrected Oct 25, 2025 · CMS health inspection

   • Serious Scope/severity AA

     Type AA Illinois Nursing Home Care Act violation

     Type AA: proximately caused a resident's death (210 ILCS 45/1-128.5). Sections of the Illinois Administrative Code cited: 300.610a), 300.1030c), 300.1210b), and 300.1210c). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation:300.1210b).

     Statement of deficiencies (PDF)

3. Jun 2, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint Under dispute

     F0690 Quality of Life and Care Deficiencies

     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 Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), and 300.1210d)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b).

     Statement of deficiencies (PDF)

4. Apr 3, 2025 Health · 13 findings
   • Not serious Scope/severity E

     F0585 Resident Rights Deficiencies

     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 Apr 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

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

     Corrected Apr 22, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Apr 16, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0687 Quality of Life and Care Deficiencies

     Provide appropriate foot care.

     Corrected Apr 16, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Apr 16, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

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

     Corrected Apr 18, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Apr 16, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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 Apr 16, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0803 Nutrition and Dietary Deficiencies

     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 Apr 21, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0806 Nutrition and Dietary Deficiencies

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

     Corrected Apr 21, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0810 Nutrition and Dietary Deficiencies

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

     Corrected Apr 18, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 18, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Apr 14, 2025 · CMS health inspection

5. Feb 6, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Feb 17, 2025 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), 300.1210c), and 300.1210d)2). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b).

     Statement of deficiencies (PDF)

6. Oct 31, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Nov 6, 2024 · CMS health inspection

7. May 24, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     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 Jun 5, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Jun 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     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 Jun 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Jun 3, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0805 Nutrition and Dietary Deficiencies

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

     Corrected Jun 6, 2024 · CMS health inspection

   • Not serious Scope/severity C

     Type C Illinois Nursing Home Care Act violation

     Type C: less than minimal harm (1-132). Sections of the Illinois Administrative Code cited: 300.615e). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e).

     Statement of deficiencies (PDF)

8. Apr 13, 2023 Health · 12 findings
   • Not serious Scope/severity E

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     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 Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     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 Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0694 Quality of Life and Care Deficiencies

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

     Corrected Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     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 Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0803 Nutrition and Dietary Deficiencies

     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 Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0805 Nutrition and Dietary Deficiencies

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

     Corrected Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 18, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0883 Infection Control Deficiencies

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

     Corrected Apr 18, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• ARONIN, DAVID — corporate director, NOT APPLICABLE, since 01/01/2005
• ISRAEL, LEVI — corporate officer, NOT APPLICABLE, since 01/01/2023
• KOTA, SRINIVAS — operational/managerial control, NOT APPLICABLE, since 05/01/2022
• KOTA, SRINIVAS — adp of the snf, NOT APPLICABLE, since 05/01/2022
• PAETSCH, RONALD — operational/managerial control, NOT APPLICABLE, since 07/23/2024
• PAETSCH, RONALD — adp of the snf, NOT APPLICABLE, since 07/23/2024
• ADAMS VALES ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• DANIEL ROTHNER ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• EXTENDED CARE CLINICAL LLC — adp of the snf, NOT APPLICABLE, since 01/01/2015
• EXTENDED CARE CONSULTING LLC — adp of the snf, NOT APPLICABLE, since 01/01/2015
• KARE TECHNOLOGIES LLC — adp of the snf, NOT APPLICABLE, since 05/01/2020
• KATHRYN VALES ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• KIMBERLY VALES ACCUMULATION TRUST — adp of the snf, NOT APPLICABLE, since 01/01/2013
• KIMBERLY VALES ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• MELISSA ROTHNER ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• NATHAN AND SHIRLEY ROTHNER FAMILY TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• RACHEL ROTHNER ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• ROTH & CO, LLP — adp of the snf, NOT APPLICABLE, since 01/08/2025
• ROTHNER HEALTH VENTURES G II, LLC — 5% or greater direct ownership interest, 100%, since 01/01/2013
• ROTHNER HEALTH VENTURES G II, LLC — adp of the snf, NOT APPLICABLE, since 01/01/2013
• STRAIGHT CARE STAFFING NURSING AGENCY LLC — adp of the snf, NOT APPLICABLE, since 05/01/2020
• WILLIAM ROTHNER ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013