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Lakewood Health System

Open-data reference.

Lakewood Health System is a non profit - corporation facility in STAPLES, MN with 87 certified beds and a 5-star overall CMS rating. The facility has 8 deficiency records on file.

401 PRAIRIE AVENUE NORTHEAST, STAPLES, MN 56479

Phone: 2188941515

Overall Rating

5/5

Health Inspection

4/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
245420
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
87
Residents
81
In Hospital
Yes
County
Todd
Last Inspection
Feb 19, 2026

Staffing Data

RN Hours
0.89 (nat'l avg: 0.68)
LPN Hours
0.53
CNA Hours
2.80
Total Nursing Hours
4.23 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
39.1%
RN Turnover
25.0%

What the CMS Record Reveals About Lakewood Health System

Lakewood Health System operates 87 certified beds in STAPLES, MN with approximately 81 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 8 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.23 total nursing hours per resident day (national average 3.89), with RN coverage at 0.89 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Lakewood Health System falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 39.1%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (8 most recent)

G — Isolated - Actual harm Jul 17, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

C — Widespread - No harm Nov 8, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 20, 2023

D — Isolated - Minimal harm Nov 8, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Nov 20, 2023

E — Pattern - Minimal harm Nov 8, 2023 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Nov 20, 2023

E — Pattern - Minimal harm Nov 8, 2023 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Nov 20, 2023

D — Isolated - Minimal harm Aug 11, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 9, 2023

F — Widespread - Minimal harm Jun 29, 2022 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 26, 2022

F — Widespread - Minimal harm Jun 29, 2022 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 26, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 86.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 0.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.8% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Lakewood Health System?
Lakewood Health System has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at Lakewood Health System?
Lakewood Health System reports 4.23 total nursing hours per resident day (national average: 3.89). RN hours are 0.89 per resident day (national average: 0.68). Nursing staff turnover is 39.1%.
How many beds does Lakewood Health System have?
Lakewood Health System has 87 certified beds with approximately 81 residents. The facility is located at 401 PRAIRIE AVENUE NORTHEAST, STAPLES, MN 56479.
Does Lakewood Health System have any deficiencies on record?
Yes, Lakewood Health System has 8 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Lakewood Health System received any fines or penalties?
No, Lakewood Health System has no fines or penalties on record.
Who owns Lakewood Health System?
Lakewood Health System is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was Lakewood Health System last inspected?
The most recent health inspection for Lakewood Health System was on Feb 19, 2026. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Lakewood Health System?
Lakewood Health System is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial