Beverly Law — Accident AttorneysBEVERLY LAW NURSING HOME ABUSE ATTORNEYS
NURSING HOME INSPECTION REPORT

Lakewood Healthcare Center in Downey: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

Beverly Law
Published by Beverly Law
12023 Lakewood Blvd, Downey · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 16 state citations for Lakewood Healthcare Center since 2023, including 0 Class AA and 2 Class A, and 4 federal deficiencies that inspectors rated at the actual-harm level or higher (G through L). The most serious state action was a Class A citation (Patient Care), penalty $26,050, issued February 4, 2026. The federal Medicare Care Compare site shows its abuse icon for this facility as of our data date. Cal Health Find also lists 16 complaint or incident reports since 2023 that included a sexual abuse allegation; CDPH substantiated 1.

Is your loved one at Lakewood Healthcare Center?

If they fell, developed a bed sore, lost weight, were hurt or abused at Lakewood Healthcare Center, leave your name and phone. We call back today, request the chart and the full inspection file, and tell you plainly whether there is a case. Free, confidential, English or Spanish.

Free consultation · English y Español · No fees or costs unless we win

Lakewood Healthcare Center at a glance: owner, beds and ratings

Address
12023 Lakewood Blvd, Downey, CA 90242
CDPH license / facility ID
940000074 / 940000006
Medicare CCN
555099
Licensed beds
290
Licensee (CDPH)
THE HEALTHCARE CENTER OF DOWNEY, LLC
Chain / affiliated entity (CMS)
Pacific Healthcare Holdings (chain or affiliated entity listed by CMS)
Administrator of record
Enriquez, Alice
CMS overall rating
1 of 5 stars
CMS staffing rating
4 of 5 stars
Nurse staffing (CMS)
4.38 reported nurse hours per resident per day*
CMS fines (last 3 years)
$128,597
CMS abuse icon
Shown

* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.

Records: Cal Health Find ↗ · Medicare Care Compare ↗

↑ Back to contents

Lakewood Healthcare Center citations and inspection findings

Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.

DateSourceFindingRecord
February 17, 2026State (CDPH)Class B citation (Patient Rights), penalty $3,000Government record (CDPH) ↗
February 4, 2026State (CDPH)Class A citation (Patient Care), penalty $26,050
Read what inspectors found ↓
Government record (CDPH) ↗
February 3, 2026State (CDPH)Class B citation (Patient Care), penalty $3,000Government record (CDPH) ↗
January 30, 2026State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
December 15, 2025Federal (CMS-2567), CertificationF600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated)
F688 – Increase/Prevent Decrease in ROM/Mobility, severity G (actual harm, one or a few residents)
F689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
AbuseFalls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗
December 10, 2025State (CDPH)Class WMF>$1000 citation (Willful Material Falsification), penalty $3,500Government record (CDPH) ↗
August 13, 2025State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
July 11, 2025State (CDPH)Class B citation (Patient Care), penalty $3,750Government record (CDPH) ↗
July 8, 2025Federal (CMS-2567), ComplaintF600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
June 10, 2025Federal (CMS-2567), ComplaintF689 – Free of Accident Hazards/Supervision/Devices, severity J (immediate jeopardy, one or a few residents)
Falls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗
April 25, 2025State (CDPH)Class B Trebled citation (Abuse/Facility Not Self Reported), penalty $9,000
Abuse
Government record (CDPH) ↗
March 10, 2025Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
Show 14 older findings
DateSourceFindingRecord
September 11, 2024State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
September 11, 2024State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
September 11, 2024State (CDPH)Class A citation (Patient Rights), penalty $25,000
Read what inspectors found ↓
Government record (CDPH) ↗
July 30, 2024Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
F600 – Free from Abuse and Neglect, severity G (actual harm, one or a few residents)
F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Read what inspectors found ↓
Government record (CDPH) ↗
May 22, 2024State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
April 17, 2024State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
April 12, 2024Federal (CMS-2567), ComplaintF600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
March 18, 2024Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
February 27, 2024State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
February 5, 2024Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
November 8, 2023State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
September 26, 2023Federal (CMS-2567), CertificationF609 – Reporting of Alleged Violations, severity E (no actual harm, potential for more than minimal harm, pattern)
F610 – Investigate/Prevent/Correct Alleged Violation, severity E (no actual harm, potential for more than minimal harm, pattern)
Abuse
Government record (CDPH) ↗
September 14, 2023State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
August 18, 2023Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗

↑ Back to contents

What inspectors found at Lakewood Healthcare Center

Tap a finding to read the summary. Each one is written from the government report linked under it.

·
February 2026: Class A citation and F689 (severity G) after a resident fell from an air mattress during one-person hygiene care and fractured her eye socket

According to the citation, CDPH found during the facility's annual recertification survey that a resident fell during hygiene care while on a low air loss mattress, a special air mattress that keeps shifting pressure. Resident 139 was a 65-year-old woman with obesity, a history of falls and severe cognitive impairment who depended on two or more staff to roll in bed.

The department determined that on November 27, 2025, CNA 4 cleaned and repositioned Resident 139 alone, without the two-person help her assessment and the facility's policies required. Inspectors found that CNA 4 also did not switch the mattress to static mode (no shifting pressure) before giving care, as the mattress manual and his training required. According to the citation, CNA 4 told inspectors he rolled her onto her left side, less than six inches from the edge, and she slid off while he reached behind her to adjust her incontinence brief. Her bed had no side rails, and the left side of her face hit the floor first. He said he should have asked for help.

CDPH found that Resident 139 was taken to an acute care hospital, where a CT scan showed a fracture of the floor of her left eye socket, a bulging left eye (proptosis) and a 2-centimeter hematoma (a collection of blood under the skin) on her face. She stayed in the hospital from November 27 to December 3, 2025 and received four doses of hydrocodone for pain. CDPH issued a Class A citation with a $25,000 penalty. The 2567 report from the federal survey of the same inspection lists F689 (free of accident hazards, supervision and devices) at severity G.

↑ Back to this finding in the timeline

June 2025: F689 (severity J) after a confused resident left the facility through an unsecured window

The 2567 report states that inspectors investigating a complaint in June 2025 found the facility did not prevent Resident 1 from leaving the building unsupervised on June 8, 2025. Resident 1 was confused and had COPD (a lung disease), high blood pressure and type 2 diabetes, among other diagnoses. Resident 1 had been admitted on June 4, 2025 and took several daily medications, including insulin and blood pressure medication.

Inspectors found that the resident's window was not secured with a screw, which allowed Resident 1 to leave through it. According to the report, the elopement (leaving without supervision) evaluation done on admission said Resident 1 was not at risk and had no history of elopement, although the resident had a history of leaving while at home, and staff did not interview the resident's responsible party. The care plan named confusion and agitation as triggers, and inspectors found staff did not monitor them. The report states Resident 1 could have been without medications for five days and had not been found as of June 12, 2025.

The 2567 report states inspectors called an immediate jeopardy on June 11, 2025. According to the report, the facility's removal plan included searching the area, filing a missing person report, calling hospitals and police, hiring a private investigator, reassessing all residents for elopement risk, checking the windows of the 45 residents found at risk and replacing locking mechanisms on outside-facing windows. The immediate jeopardy was removed on June 12, 2025. The federal survey cited F689 (free of accident hazards, supervision and devices) at severity J.

↑ Back to this finding in the timeline

September 2024: Class A citation and F600 (severity G) after a CNA pushed a resident to the floor, fracturing his hip

According to the citation, CDPH investigated a facility-reported incident involving Resident 8, a 60-year-old man with Alzheimer's disease who could make his own decisions. CDPH found that surveillance video from July 28, 2024, reviewed with the assistant director of nursing, showed that at 8:09 a.m. CNA 4 walked behind Resident 8, grabbed his left upper arm, and pulled and pushed him to the floor onto his left side. Resident 8 grimaced and could not get up, and CNA 4 pulled him up by his right arm.

Inspectors found that the video showed Resident 8 limping and unable to stand on his left leg as CNA 4 walked him to a hallway chair and then back to his room. According to the citation, CNA 4's own fall report said the resident slipped while CNA 4 was trying to take his vital signs. Resident 8 told inspectors that CNA 4 pushed him to the floor and dragged him in the hallway because he did not want his blood pressure checked, and that he did not feel safe going back to the facility.

CDPH found that an X-ray that day showed a displaced fracture of the neck of the left femur (a hip fracture), and Resident 8 was admitted to an acute care hospital. The 2567 report states he had a hemiarthroplasty, a surgery that replaces half of the hip joint. CDPH issued a Class A citation with a $25,000 penalty, and the federal survey cited F600 (freedom from abuse and neglect) at severity G. The same survey also lists F609 (reporting of alleged violations) and F610 (investigating and preventing alleged violations), each at severity D.

↑ Back to this finding in the timeline

↑ Back to contents

Complaints against Lakewood Healthcare Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
202370313938
20241242310177
2025105327331
20264717301

Cal Health Find lists 346 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 147 of them. 214 intakes involved an allegation in CDPH’s abuse category, and 75 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.

↑ Back to contents

Sexual abuse reports at Lakewood Healthcare Center

Cal Health Find lists 16 intakes for Lakewood Healthcare Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (2 from complaints and 14 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 1 of them. Federal rules require a nursing home to report an abuse allegation to the state within two hours, so a facility-reported incident means staff raised the allegation, not that it was proven. “Unsubstantiated” means CDPH did not find enough evidence; it does not mean nothing happened.

YearIntakes with a sexual abuse allegationSubstantiated
202321
202470
202570

Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →

↑ Back to contents

Staffing at Lakewood Healthcare Center

Payroll records Lakewood Healthcare Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.38 nursing hours per resident per day, counting registered nurses (RNs), licensed vocational nurses and nurse aides. The California average CMS published for the same period is 4.54, and the Los Angeles County median is 4.32. RN time averaged 0.32 hours per resident per day (California average 0.68). Staffing averaged 3.99 hours on weekends and 4.53 on weekdays.

California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day (Health and Safety Code section 1276.65). Counting the RN, LVN and nurse aide hours in the same payroll data, Lakewood Healthcare Center was below 3.5 on 0 of 91 days. This is our calculation from CMS data, not a CDPH finding: CDPH counts some staff differently (for example psychiatric technicians in special treatment programs) and can grant waivers.

Lakewood Healthcare CenterLA County medianCalifornia average
Total nursing hours per resident per day4.384.324.54
RN hours per resident per day0.320.460.68
Weekend nursing hours per resident per day3.993.894.10

Compare staffing, profits and fines across Los Angeles County nursing homes →

↑ Back to contents

Who owns Lakewood Healthcare Center

The owners and operators below are listed for Lakewood Healthcare Center in the federal CMS nursing home ownership file (data as of October 1, 2026). CMS requires each Medicare-certified nursing home to report anyone with a 5% or greater ownership stake and anyone with operational or managerial control.

Owner or operatorRoleShareSince
Rechnitz Lakewood Gp5% or greater direct ownership89%October 1, 2011
Corporate Interface Services LLCOperational or managerial control–March 18, 2024
Rockport Administrative Services, LLCOperational or managerial control–October 1, 2011
Alice EnriquezOperational or managerial control–April 15, 2019
Arnold LingOperational or managerial control–November 1, 2007
Shlomo RechnitzOperational or managerial control–October 1, 2011

In its annual report to the California Department of Health Care Access and Information (HCAI) for the year ending April 30, 2025, the facility listed $2.3 million in payments to related companies (businesses that share owners or management with the facility): $1.1 million to SNF Htf I Inc for liability insurance; $632,763 to Rfc Insurance Indemnity Limited for insurance – workers compensation; $69,495 to Ji Ramat Dba Ramat Medical for specialized support surfaces; $66,000 to Boardwalk West Financial Services for i/c admin services fee. Payments to related companies are legal; California requires nursing homes to disclose them.

↑ Back to contents

Lakewood Healthcare Center finances

Lakewood Healthcare Center reported $48.0 million in health care revenue and net income of $9.6 million for the year ending April 30, 2025, a margin of 20.0%, in its annual financial report to HCAI (as submitted; HCAI has not finished reviewing it). The median operating margin that year was 5.9% for Los Angeles County nursing homes and 6.1% statewide. Medi-Cal paid for 80% of resident days. Salaries for RNs, LVNs and nurse aides came to $12.1 million.

YearRevenueNet incomeMarginOccupancyMedi-Cal days
2023$39.5 million$1.4 million3.6%99%–
2024$41.0 million$5.3 million12.9%99%82%
2025$48.0 million$9.6 million20.0%100%80%

↑ Back to contents

Federal fines and penalties: Lakewood Healthcare Center

CMS lists Lakewood Healthcare Center as a candidate for its Special Focus Facility program. CMS created the program for nursing homes with a history of serious quality problems; candidates are facilities whose inspection record qualifies them, and states choose which ones enter the program for closer oversight.

CMS lists 3 federal fines totaling $128,597 and 2 Medicare payment denials for Lakewood Healthcare Center in the roughly three years its penalty file covers.

DatePenaltyAmount or length
December 18, 2025Fine$87,071
December 18, 2025Payment denial35 days
June 13, 2025Fine$14,901
June 13, 2025Payment denial13 days
August 2, 2024Fine$26,625

↑ Back to contents

Lakewood Healthcare Center lawsuits and criminal cases

We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for Lakewood Healthcare Center and its licensee and found no public criminal case or civil lawsuit we could tie to this facility as of October 30, 2026. Many civil cases settle quietly or are not covered by the press, so this is not a complete court search.

↑ Back to contents

What this record means for your family

California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.

Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.

Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.

↑ Back to contents

What to do now

Free nursing home case review

We read the inspection record and the chart with you and tell you plainly whether there is a case. You pay no fees and no costs unless we win.

No fees or costs unless we win

↑ Back to contents

Questions families ask

Has Lakewood Healthcare Center been cited by the State of California?

Cal Health Find lists 16 state citations for Lakewood Healthcare Center since 2023, including 0 Class AA and 2 Class A. Each one is listed in the timeline above with a link to the CDPH record.

How many complaints have been filed against Lakewood Healthcare Center?

From 2023 through October 30, 2026, Cal Health Find lists 346 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 147 of them.

Does Medicare flag Lakewood Healthcare Center for abuse?

Yes. As of our data date, Medicare Care Compare shows its abuse icon for Lakewood Healthcare Center. CMS uses the icon for facilities cited for abuse that harmed a resident in the past year, or cited for abuse with potential harm in each of the past two years.

Have there been sexual abuse reports at Lakewood Healthcare Center?

Cal Health Find lists 16 complaint or facility-reported incident intakes at Lakewood Healthcare Center since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 1. The section above breaks them down by year.

Where can I read reviews and complaints about Lakewood Healthcare Center?

Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.

How many beds does Lakewood Healthcare Center have?

Lakewood Healthcare Center is licensed by CDPH for 290 beds and has a CMS overall rating of 1 out of 5 stars.

Who owns or operates Lakewood Healthcare Center?

CDPH lists the licensee as THE HEALTHCARE CENTER OF DOWNEY, LLC. CMS lists the facility under the chain or affiliated entity Pacific Healthcare Holdings. According to the CMS ownership file, Rechnitz Lakewood Gp holds 89% as a direct owner. The full list of owners and operators CMS reports is in the ownership section of this page.

How many nursing hours does Lakewood Healthcare Center provide per resident?

Payroll data the facility filed with CMS for April through June 2026 show 4.38 total nursing hours per resident per day, including 0.32 RN hours. The California average is 4.54.

My parent was hurt at Lakewood Healthcare Center. What should I do?

Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.

Ask a question

Not ready to call? Write your question and someone on our team will answer. No cost, no commitment.

BEVERLY LAW · NURSING HOME ABUSE ATTORNEYS

Hurt at Lakewood Healthcare Center? — Beverly Law

If your loved one was hurt at Lakewood Healthcare Center, talk to a California elder abuse attorney. Free, confidential, English or Spanish. You pay no fees and no costs unless we win.

✓Free consultation✓No fees or costs unless we win✓English y Español✓Available 24/7

↑ Back to contents

Other nursing homes near Lakewood Healthcare Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Downey Community Health CenterDowney0.8 mi3/500
Downey Post AcuteDowney1.6 mi4/511
SouthlandNorwalk1.8 mi2/513
Paramount Convalescent HospitalParamount1.9 mi3/512
Intercommunity Healthcare & Rehabilitation CenterNorwalk1.9 mi1/512
The Springs Post-AcuteNorwalk2.0 mi2/534

↑ Back to contents

Methodology and sources

We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.

Sources

  1. Cal Health Find – Lakewood Healthcare Center
  2. Medicare Care Compare – Lakewood Healthcare Center
  3. CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
  4. CMS – Nursing home Provider Information (staffing, turnover)
  5. CMS – Nursing home Ownership
  6. CMS – Nursing home Penalties
  7. HCAI – Long-Term Care Facility Financial Data
  8. CDPH – State Enforcement Actions (open data)
  9. CMS Provider Data Catalog – Nursing homes

Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.

↑ Back to contents

☰ Contents
×

Free nursing home case review

We read the inspection record and the chart with you and tell you plainly whether there is a case. You pay no fees and no costs unless we win.

No fees or costs unless we win
© 2026 Beverly Law. All rights reserved. Attorney advertising. Prior results do not guarantee a similar outcome.
Free consultation
No fees or costs unless we win
Call Now · 24/7
4.8 out of 5 · 604 Google reviews
Skip to content