Lakewood Nrsg & Rehab Center
14716 S Eastern Avenue, Plainfield, IL 60544 · Will County · 131 certified beds · avg 113 residents/day · certified since Jul 7, 1993
Part of chain: EXTENDED CARE CLINICAL (9 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 24, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 25, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 2, 2025 · F-0690 · triggered by a complaint
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 6, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 6, 2025 · F-0695 · triggered by a complaint
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 17, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (36)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 24, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 24, 2025 | D · Potential for harm, one-off | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · from a complaint |
| Jun 2, 2025 | ▲ G · Actual harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Feb 6, 2025 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 24, 2024 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| May 24, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| May 24, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| May 24, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 24, 2024 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 12 | 0 | E |
| 2024 | 6 | 0 | E |
| 2025 | 17 | 3 | J ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $55,201.
| Date | Type | Amount / length |
|---|---|---|
| Oct 24, 2025 | Fine | $55,201 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.59 | 2.99 | 3.95 | bottom 44% in Illinois; bottom 5% in the U.S. |
| Registered Nurse hours | 0.63 | 0.63 | 0.69 | top 33% in Illinois; top 45% in the U.S. |
| Weekend total nurse staffing | 2.29 | 2.67 | 3.50 | bottom 42% in Illinois; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.61 | 0.56 | 0.48 | top 31% in Illinois; top 22% in the U.S. |
| Total nursing staff turnover (%) | 38.7 | 44.5 | 45.8 | top 35% in Illinois; top 33% in the U.S. |
| RN turnover (%) | 31.3 | 41.8 | 42.9 | top 34% in Illinois; top 32% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.33, RN 0.81, weekend 2.95. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Rothner Health Ventures G II, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2013 |
| Adams Vales Accumulation Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Aronin, David | Individual | Corporate Director | NOT APPLICABLE | 01/01/2005 |
| Daniel Rothner Accumulation Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Extended Care Clinical LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2015 |
| Extended Care Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2015 |
| Israel, Levi | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2023 |
| Kare Technologies LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2020 |
| Kathryn Vales Accumulation Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Kimberly Vales Accumulation Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Kimberly Vales Accumulation Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| Kota, Srinivas | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2022 |
| Kota, Srinivas | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2022 |
| Melissa Rothner Accumulation Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Nathan and Shirley Rothner Family Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Paetsch, Ronald | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/23/2024 |
| Paetsch, Ronald | Individual | ADP of the SNF | NOT APPLICABLE | 07/23/2024 |
| Rachel Rothner Accumulation Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Roth & Co, LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/08/2025 |
| Rothner Health Ventures G II, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Renwick Nursing and Rehab | 3.5 mi | Joliet, IL | ★☆☆☆☆ | 1/5 | |
| Alden Estates of Shorewood | 5.5 mi | Shorewood, IL | ★★★★★ | 5/5 | |
| Alden Courts of Shorewood | 5.5 mi | Shorewood, IL | ★★★★☆ | 5/5 | |
| Avantara Joliet | 6.9 mi | Joliet, IL | ★★☆☆☆ | 3/5 | |
| Parc Joliet | 7.1 mi | Joliet, IL | ★★☆☆☆ | 2/5 | abuse |
| Pearl of Joliet, the | 7.2 mi | Joliet, IL | ★☆☆☆☆ | 2/5 | |
| Meadowbrook Manor | 7.4 mi | Bolingbrook, IL | ★★☆☆☆ | 2/5 | |
| Joliet Living & Rehab Center | 7.6 mi | Joliet, IL | ★★★☆☆ | 2/5 | abuse |
| Pearl at the Tillers | 8.9 mi | Oswego, IL | ★★★★★ | 4/5 | |
| Spring Creek | 9.0 mi | Joliet, IL | ★★★★☆ | 4/5 | |
| Alden of Waterford | 9.2 mi | Aurora, IL | ★★★☆☆ | 3/5 | |
| Alden Courts of Waterford | 9.2 mi | Aurora, IL | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 145761.