LAKEWOOD CARE CENTER

BAUDETTE, MN

CMS provider ID 245580CMS source updated July 29, 2026

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CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 32
Ownership descriptor: Non profit - Church related
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 2186343401CMS Provider Information

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 5-star staffing rating for this facility.

RN staffing was 0.89 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Jun 26, 2025 cited 8 deficiencies.

View inspection evidence

Ownership

CMS-published records list 27 ownership or control parties.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 19 facilities across 10 states or territories.

View chain evidence

Enforcement record

CMS records show a 98-day payment denial in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: Non profit - Church relatedCMS
Chain: COMMONSPIRIT HEALTHCMS identifies this facility as part of the COMMONSPIRIT HEALTH chain.
Related facilities: 12Current CMS organization identity

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

2 CMS-reported ownership organizations
CMS reports 24 individual ownership interests
a CMS chain / common-control group

Related facilities

12 currently connected nursing homes share this CMS organization identity with COMMONSPIRIT HEALTH.

Average CMS overall rating: 2.8 stars across 12 reporting facilities
CMS monetary penalties: 6 of 12 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 2 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 2 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 10 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $694,241

These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 27
Organizations shown: 3
Individuals shown: 24
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

COMMONSPIRIT HEALTH
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 1, 1996
Other facilities connected through this exact CMS organization identity: 0 across MN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
AUSTAD, JAMES
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BURTON, BRUCE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2011
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
EBNER, BERNICE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
NYLANDER, BRADLEY
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2017
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
OLSON, CRYSTAL
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
QUO, JUSTIN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 1, 2013
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
DROP, JEFFREY
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 1, 1994
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LOFTON, KEVIN
Individual · CORPORATE OFFICER
Association date reported to CMS: Feb 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SCHMIDT, BRENT
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 1, 2015
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
STAMPOHAR, JEFFRY
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 15, 2018
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SCHMIDT, BRENT
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jul 1, 2015
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
STAMPOHAR, JEFFRY
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jan 15, 2018
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
COMMONSPIRIT HEALTH
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 1, 1996
Other facilities connected through this exact CMS organization identity: 11 across CA, KY, MN, ND, OH, WA.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
AUSTAD, JAMES
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Jul 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
BURTON, BRUCE
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Jul 1, 2011
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
EBNER, BERNICE
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Jul 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
NYLANDER, BRADLEY
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Mar 1, 2017
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
OLSON, CRYSTAL
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Jul 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
QUO, JUSTIN
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Dec 1, 2013
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
DROP, JEFFREY
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Aug 1, 1994
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
LOFTON, KEVIN
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Feb 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
SCHMIDT, BRENT
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Jul 1, 2015
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
STAMPOHAR, JEFFRY
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Jan 15, 2018
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
SCHMIDT, BRENT
Individual · W-2 MANAGING EMPLOYEE
Published ownership percentage: 0%
Association date reported to CMS: Jul 1, 2015
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
STAMPOHAR, JEFFRY
Individual · W-2 MANAGING EMPLOYEE
Published ownership percentage: 0%
Association date reported to CMS: Jan 15, 2018
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
LAKEWOOD HEALTH CENTER
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across MN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS records connect COMMONSPIRIT HEALTH to 12 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with COMMONSPIRIT HEALTH

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 151 is a grouping identifier, not a legal organization.

Facilities: 19
States and territories: 10
Average overall rating: 2.8
Average staffing rating: 3
Average total nurse HPRD: 4.7
Total fines: 16

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	19	2.8	3
Mon Jun	19	2.9	3.3
Fri May	19	2.8	3.3
Wed Apr	19	2.8	3.3
Sun Mar	19	2.9	3.3
Sun Feb	19	2.9	3.3

Questions to ask

CMS groups facilities in 10 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 16 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Jun 26, 2025
Survey type: Fire Safety Standard
Linked findings: 0
Highest linked CMS classification: No linked health-deficiency finding in the loaded record

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 245580
Source record locator: csv-row:67805:ccn:245580

View official CMS source

Jun 26, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jun 26, 2025 — Health Standard — 8 linked findings

F0637 — Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189829:ccn:245580
View official CMS source
F0640 — Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189830:ccn:245580
View official CMS source
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189831:ccn:245580
View official CMS source
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189832:ccn:245580
View official CMS source
F0692 — Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189833:ccn:245580
View official CMS source
F0801 — Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189828:ccn:245580
View official CMS source
F0805 — Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189834:ccn:245580
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189835:ccn:245580
View official CMS source

Nov 20, 2024 — Health Complaint — 1 linked finding

F0604 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 8, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189836:ccn:245580
View official CMS source

Sep 11, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Sep 11, 2024 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Sep 11, 2024 — Health Standard — 4 linked findings

F0558 — Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 29, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189839:ccn:245580
View official CMS source
F0583 — Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 29, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189840:ccn:245580
View official CMS source
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 29, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189838:ccn:245580
View official CMS source
F0881 — Infection Control Deficiencies
Implement a program that monitors antibiotic use.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 29, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189841:ccn:245580
View official CMS source

Aug 2, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 2, 2023 — Health Standard — 6 linked findings

F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189843:ccn:245580
View official CMS source
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189844:ccn:245580
View official CMS source
F0676 — Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189845:ccn:245580
View official CMS source
F0699 — Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189846:ccn:245580
View official CMS source
F0881 — Infection Control Deficiencies
Implement a program that monitors antibiotic use.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189847:ccn:245580
View official CMS source
F0883 — Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 2, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:189842:ccn:245580
View official CMS source

Tags appearing across inspections

F0641 appears in 2 linked inspections.
F0657 appears in 2 linked inspections.
F0881 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

Payment Denial — Sep 11, 2024
Payment denial length: 98 days
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Jul 1, 2026
CMS provider ID
245580
Source record locator
csv-row:7349:ccn:245580
View official CMS source

Questions to ask

Questions generated from the evidence above

CMS records show F0641 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0657 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0881 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

8 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

RN staffing increasedRN staffing increased from 0.75 to 0.89 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
Health inspection completed8 deficiencies were recorded.

2026

Mar 2026
RN staffing increased
RN staffing increased from 0.75 to 0.89 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.75 → 0.89
CMS · Reported in a source release · View related evidence

2025

Dec 2025
Total nurse staffing decreased
Total nurse staffing decreased from 4.78 to 4.41 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
4.78 → 4.41
CMS · Reported in a source release · View related evidence
Jun 26
Health inspection completed
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2024

Nov 20
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Sep 11
Medicare payment denial recorded
CMS recorded a Medicare payment denial lasting 98 days.
CMS · Recorded event date · View related evidence
Sep 11
Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Sep 11
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence

2023

Aug 2
Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 5 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 4.408
RN categories: 0.895
LPN/LVN categories: 0.72
CNA: 2.793

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	4.614	3.898
RN categories	0.988	0.663

Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.142 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	4.608	0.792	0.885	2.932	0%	91
2025Q3	4.783	0.696	1.028	3.059	0%	92
2025Q4	4.407	0.752	0.995	2.659	0%	92
2026Q1	4.408	0.895	0.72	2.793	0%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 4-star overall rating.
CMS reports a 3-star health inspection rating.
CMS reports a 5-star staffing rating.
CMS reports a 2-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

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How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Penalties

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: g6vv-u9sr
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Penalties, enforcement, and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility All Owners

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

COMMONSPIRIT HEALTH

AUSTAD, JAMES

BURTON, BRUCE

EBNER, BERNICE

NYLANDER, BRADLEY

OLSON, CRYSTAL

QUO, JUSTIN

DROP, JEFFREY

LOFTON, KEVIN

SCHMIDT, BRENT

STAMPOHAR, JEFFRY

SCHMIDT, BRENT

STAMPOHAR, JEFFRY

COMMONSPIRIT HEALTH

AUSTAD, JAMES

BURTON, BRUCE

EBNER, BERNICE

NYLANDER, BRADLEY

OLSON, CRYSTAL

QUO, JUSTIN

DROP, JEFFREY

LOFTON, KEVIN

SCHMIDT, BRENT

STAMPOHAR, JEFFRY

SCHMIDT, BRENT

STAMPOHAR, JEFFRY

LAKEWOOD HEALTH CENTER

What this means

Questions to ask

CMS groups this facility with COMMONSPIRIT HEALTH

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0637 — Resident Assessment and Care Planning Deficiencies

F0640 — Resident Assessment and Care Planning Deficiencies

F0641 — Resident Assessment and Care Planning Deficiencies

F0657 — Resident Assessment and Care Planning Deficiencies

F0692 — Quality of Life and Care Deficiencies

F0801 — Nutrition and Dietary Deficiencies

F0805 — Nutrition and Dietary Deficiencies

F0880 — Infection Control Deficiencies

F0604 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0558 — Resident Rights Deficiencies

F0583 — Resident Rights Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0881 — Infection Control Deficiencies

F0641 — Resident Assessment and Care Planning Deficiencies

F0657 — Resident Assessment and Care Planning Deficiencies

F0676 — Quality of Life and Care Deficiencies

F0699 — Quality of Life and Care Deficiencies

F0881 — Infection Control Deficiencies

F0883 — Infection Control Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset

Payment Denial — Sep 11, 2024

Questions generated from the evidence above

Facility History

What changed recently?

2026

2025

2024

2023