The Oaks at Lakewood

Name: The Oaks at Lakewood
Address: 11411 BRIDGEPORT WAY, Tacoma, WA, 98499, US
Telephone: 2535819002

11411 Bridgeport Way, Tacoma, WA 98499 · Pierce County · 80 certified beds · avg 71 residents/day · certified since Jul 26, 1989

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.01

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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.

All citations in the current public record (28)

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
Jan 29, 2026	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 29, 2026	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Oct 22, 2024	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.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 22, 2024	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.
Oct 22, 2024	D · Potential for harm, one-off	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.
Oct 22, 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.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Oct 22, 2024	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.
Oct 22, 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.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Oct 22, 2024	D · Potential for harm, one-off	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.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Dec 8, 2023	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Dec 8, 2023	E · Potential for harm, repeated	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Dec 8, 2023	E · Potential for harm, repeated	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 8, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 8, 2023	D · Potential for harm, one-off	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.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Dec 8, 2023	C · Minimal risk, facility-wide	The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (14 → 3).

Year	Citations	Worst severity that year
2023	11	E
2024	14	E
2026	3	E

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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Washington avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.01	4.24	3.95	top 47% in Washington; top 39% in the U.S.
Registered Nurse hours	0.53	0.91	0.69	bottom 6% in Washington; bottom 41% in the U.S.
Weekend total nurse staffing	3.46	3.69	3.50	top 49% in Washington; top 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.67	0.48	bottom 27% in Washington; top 34% in the U.S.
Total nursing staff turnover (%)	28.6	45.1	45.8	top 9% in Washington; top 12% in the U.S.
RN turnover (%)	33.3	45.4	42.9	top 26% in Washington; top 33% 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 4.08, RN 0.53, weekend 3.52. Staffing rating: 4/5.

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: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bradburn, Kasey	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2021
Bradburn, Kasey	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2021
Bradburn, Kasey	Individual	ADP of the SNF	NOT APPLICABLE	07/08/2025
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	03/22/2021
Caretrust GP LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2021
Caretrust Reit INC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2021
Ctr Partnership LP	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2021
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	03/25/2021
Farnsworth, Stephen	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/08/2025
Ross, Steve	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Sato, Ami	Individual	Corporate Officer	NOT APPLICABLE	09/09/2024
Sekeramayi, Maggie	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2022
Sekeramayi, Maggie	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2022
Sekeramayi, Maggie	Individual	ADP of the SNF	NOT APPLICABLE	07/08/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Where do you post your daily staffing numbers, and can I see today's?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Tacoma Nursing and Rehabilitation Center	3.0 mi	Tacoma, WA	★★★★★	4/5
Birch Creek Post Acute & Rehabilitation	3.7 mi	Tacoma, WA	★☆☆☆☆	1/5
Alaska Gardens Health and Rehabilitation	3.7 mi	Tacoma, WA	★☆☆☆☆	1/5
Agility Health and Rehabilitation	4.0 mi	University Place, WA	★★★☆☆	3/5
Avalon Healthcare - Tacoma	4.1 mi	Tacoma, WA	★★☆☆☆	2/5
Orchard Park Health Care & Rehab Center	4.2 mi	Tacoma, WA	★☆☆☆☆	1/5	abuse
Heartwood Extended Healthcare	5.0 mi	Tacoma, WA	★☆☆☆☆	1/5
Avamere at Pacific Ridge	6.0 mi	Tacoma, WA	★★☆☆☆	2/5
Park Rose Care Center	6.2 mi	Tacoma, WA	★★☆☆☆	2/5
Avamere Transitional Care of Puget Sound	7.1 mi	Tacoma, WA	★★★★☆	3/5
Eliseo	7.6 mi	Tacoma, WA	★★★☆☆	2/5
Cottesmore of Life Care	9.5 mi	Gig Harbor, WA	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Tacoma →

Facility data as of CMS processing date 2026-08-01. CCN 505347.

The Care File

Visit checklist — The Oaks at Lakewood

11411 Bridgeport Way, Tacoma, WA 98499 · 2535819002

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 505347 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)