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Lakeview Manor

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About Lakeview Manor

General Information

Legal Business NameWitham Memorial Hospital
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 2, 1968 ()
Capacity184
Residents112
Percent Occupied61%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Lakeview Manor

Lakeview Manor
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Indiana Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 27, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

January 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
CManyPotential for Minimal HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
CManyPotential for Minimal HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

December 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionLet each resident or the resident's legal representative access or purchase copies of all the resident's records.

January 31, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

January 15, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionGive notice to the resident before a room or roommate change.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

August 19, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$4,000 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Lakeview Manor require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 60min
2hr 15min
ReportedExpected
CNA
1hr 15min
40min
ReportedExpected
LPN
35min
1hr 15min
ReportedExpected
RN
3hr 50min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

88.4%
87.9%
87.9%
94.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
94.7%
97.0%
93.3%
93.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
27.3%
35.6%
25.0%
48.7%
Q1 2015Q2 2015Q3 2015IN
Low Risk Residents Who Lose Control of Their Bowel or Bladder
24.2%
28.0%
21.1%
17.4%
Q1 2015Q2 2015Q3 2015IN
Received an Antipsychotic Medication
20.8%
11.8%
17.9%
16.6%
Q1 2015Q2 2015Q3 2015IN
Need for Help with ADLs has Increased
18.7%
30.3%
33.7%
7.1%
Q1 2015Q2 2015Q3 2015IN
Self Report Moderate to Severe Pain
5.5%
6.0%
4.9%
8.0%
Q1 2015Q2 2015Q3 2015IN
Lose Too Much Weight
3.2%
10.3%
3.0%
6.5%
Q1 2015Q2 2015Q3 2015IN
High Risk Residents With Pressure Ulcers
12.9%
12.9%
16.9%
6.5%
Q1 2015Q2 2015Q3 2015IN
Have Depressive Symptoms
9.9%
8.0%
6.8%
4.8%
Q1 2015Q2 2015Q3 2015IN
With a Urinary Tract Infection
5.3%
4.0%
4.8%
3.5%
Q1 2015Q2 2015Q3 2015IN
Experiencing One or More Falls with Major Injury
1.7%
1.9%
1.6%
2.9%
Q1 2015Q2 2015Q3 2015IN
With a Catheter Inserted and Left in Their Bladder
1.1%
1.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015IN
Were Physically Restrained

Quality Measures for Short Stay Residents

88.5%
77.1%
67.5%
81.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
86.7%
83.3%
83.3%
82.3%
Q1 2015Q2 2015Q3 2015IN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
46.8%
58.5%
56.8%
16.7%
Q1 2015Q2 2015Q3 2015IN
Self Report Moderate to Severe Pain
2.0%
2.3%
5.9%
2.4%
Q1 2015Q2 2015Q3 2015IN
Newly Received an Antipsychotic Medication
0.0%
3.9%
4.8%
1.6%
Q1 2015Q2 2015Q3 2015IN
With Pressure Ulcers That Are New or Worsened