University Health Lakewood Medical Center faces challenges in its CMS ratings, earning a D grade with a score of 42/100. The facility ranks in the 49th percentile among Missouri nursing homes, suggesting significant room for improvement.
Staffing at University Health Lakewood Medical Center is near the national average, with 3.73 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 21 deficiencies at University Health Lakewood Medical Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.73 | 3.8 | Average |
| Registered Nurses (RN) | 0.58 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.96 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.19 | 2.4 | Average |
| Weekend Total Nursing | 3.28 | 3.8 | Below Average |
| Weekend RN Hours | 0.51 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Apr 29, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Apr 29, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0622 Severity DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is trSep 10, 2024 · Resident Rights Deficiencies
- Tag 0623 Severity DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aSep 10, 2024 · Resident Rights Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Mar 26, 2024 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.8% | 4.5% | Worse |
| Falls with major injury | 3.5% | 3.0% | Worse |
| On antipsychotic medication | 23.8% | 14.5% | Worse |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 24.2% | 14.0% | Worse |
| Excessive weight loss | 2.6% | 7.5% | Better |
| New/worsened incontinence | 25.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $14,901
How This Grade Was Calculated
This facility's grade of D is based on a score of 42 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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