The nursing home failed to protect residents from abuse and neglect by others. Cited January 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Guardian Healthcare and Rehabilitation Center
Registered name: LAKEWOOD REHABILITATION & HEALTHCARE CENTER
NANTICOKE, PA · Medicare-certified · 110 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
1 of 5 stars overall. Guardian Healthcare and Rehabilitation Center in Nanticoke, PA has a 1-star health inspection rating, 2-star staffing, and 4-star quality measures, with reported nurse staffing below the federal benchmark (3.45 vs. 4.1 hours per resident per day); it also has a recent federal penalty and $192,342 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.4501 hrs/resident/day
Quality measures
Last inspection: April 24, 2026Penalties, last 24 months: $192,342recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4501.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.13
- Weekend nursing
- 3.19
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 72%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20%25%Worsening
Residents with a fall causing major injury
1.2%1.2%No change
Residents with pressure ulcers (bedsores)
5.7%2.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.6%11.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.7%8%Worsening
Residents whose ability to walk got worse
2.3%5.7%Worsening
Long-stay residents on antianxiety or sleep medication
16.9%17.1%No change
Short-stay residents newly given an antipsychotic
1.4%2.7%Worsening
Residents with a long-term catheter
1.1%0%Improving
Residents with new or worsening incontinence
28.6%22.2%Improving
Residents with depressive symptoms
2.9%45.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—80.7%—
Long-stay residents given the pneumonia vaccine
88.8%87.1%Worsening
Short-stay residents given the seasonal flu vaccine
—40.7%—
Short-stay residents given the pneumonia vaccine
53.5%74.6%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $30,257 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $59,401 was recorded.
- PENALTY
A federal fine of $102,684 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $291,613 in total fines.
- $30,257
Federal fine
Jan 16, 2026
- $59,401
Federal fine
Dec 30, 2024
- $102,684
Federal fine
Jul 21, 2024
- $99,271
Federal fine
Feb 1, 2024
Operator & ownership
Recent ownership change · May 1, 2023
Now operated by Lakewood Rehabilitation & Healthcare Center, previously Guardian Healthcare and Rehabilitation Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CENTURY HEALTHCARE · 9 homes · 1.7 stars avg
- Occupancy
- 101.7 residents on an average day (92% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 54 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.