Lake Forest Place

Total Number of Beds: 61	Percent of Occupied Beds: 82%
Total Number of Residents: 50	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 01/23/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.78

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.11

Number of CNA Hours per Nursing Home Resident per Day: 3.2

Number of Staff Hours per Nursing Home Resident per Day: 5.09

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 15%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 28%
Percent of Short-Stay Residents With Delirium: 9%
** Details Last Reported on: 1/23/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2003-01-23	2003-03-27	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Minimal harm or potential for actual harm
2003-01-23	2003-03-27	Pharmacy Service Deficiencies	Make sure that residents who have not taken antipsychotic drugs are not given these drugs, unless they are used to treat a problem that is diagnosed and noted in the medical record.	Pattern	Minimal harm or potential for actual harm
2003-01-23	2003-03-09	Administration Deficiencies	Train all employees on what to do in an emergency.	Widespread	Potential for minimal harm

*** All violations listed are based on federal government records.