Lake Regional Health Systems

Total Number of Beds: 16	Percent of Occupied Beds: 81%
Total Number of Residents: 13	Located Within a Hospital: Yes
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 10/02/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 2.99

Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.9

Number of CNA Hours per Nursing Home Resident per Day: 3.74

Number of Staff Hours per Nursing Home Resident per Day: 9.63

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 26%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 41%
Percent of Short-Stay Residents With Delirium: 16%
** Details Last Reported on: 10/2/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-11-08	0000-00-00	Resident Rights Deficiencies	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Widespread	Potential for minimal harm
2002-11-08	0000-00-00	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Widespread	Potential for minimal harm
2002-11-08	0000-00-00	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2002-11-08	0000-00-00	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
2002-11-08	0000-00-00	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Widespread	Potential for minimal harm
2002-11-08	0000-00-00	Nutrition and Dietary Deficiencies	Make sure that the attending doctor orders special diets.	Isolated	Minimal harm or potential for actual harm
2002-11-08	0000-00-00	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Widespread	Potential for minimal harm

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