LAKELAND REHABILITATION AND HEALTHCARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Lakeland Rehabilitation and Healthcare Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

LAKELAND REHABILITATION AND HEALTHCARE CENTER
505 WEST 4TH ST
MILFORD, IN 46542
(574) 658-9455

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

70%

Number of Residents and Certified Beds

  • Residents: 42
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Syracuse | Nappanee | Goshen

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Lakeland Rehabilitation and Healthcare Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-164.5%
ADL Index Range: 6-102.0%
ADL Index Range: 0-522.6%
Total Percent:29.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1617.7%
ADL Index Range: 6-1016.4%
ADL Index Range: 0-512.0%
Total Percent:46.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.7%
ADL Index Range: 6-101.2%
ADL Index Range: 0-57.7%
Total Percent:10.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-168.4%
ADL Index Range: 6-101.2%
ADL Index Range: 0-51.7%
Total Percent:11.4%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.6%
Total Percent:0.6%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- Signs of depression
0.2%
Total Percent:0.2%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.6%
ADL Index Range: 2-5
- Less restorative nursing
1.0%
ADL Index Range: 0-1
- Less restorative nursing
0.4%
Total Percent:2.0%
 

Rating Details For Lakeland Rehabilitation and Healthcare Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours51 Minutes1 Hour and 15 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours53 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 7 Minutes2 Hours and 19 Minutes
Total Licensed Nurse Hours1 Hour and 44 Minutes1 Hour and 60 Minutes
Total Nurse Hours3 Hours and 51 Minutes4 Hours and 19 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Indiana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIndiana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious20%16%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Lose Too Much Weight4%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased4%20%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder50%50%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain10%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination59%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores2%10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain45%18%
Percent of Short-Stay Residents Who Have Delirium1%2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/27/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/27/2010
  • Correction Date: 11/26/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 10/27/2010
  • Correction Date: 11/26/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 10/27/2010
  • Correction Date: 11/26/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 10/22/2009
  • Correction Date: 11/13/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/22/2009
  • Correction Date: 11/13/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/27/2010
  • Correction Date: 11/26/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 10/22/2009
  • Correction Date: 11/13/2009

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/13/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/22/2009
  • Correction Date: 11/13/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Lakeland Rehabilitation and Healthcare Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 08/26/2008
  • Correction Date: 10/02/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/26/2008
  • Correction Date: 10/02/2008

Resident Assessment

Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
  • Complaint Filed: 08/26/2008
  • Correction Date: 10/02/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Lakeland Rehabilitation and Healthcare Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 11/09/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/07/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/07/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/03/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/16/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/09/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/09/2008
  • Correction Date: 10/10/2008
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/16/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 10/09/2008
  • Correction Date: 10/14/2008
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/16/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/16/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/09/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/09/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/09/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 10/09/2008
  • Correction Date: 10/10/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/07/2008
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/03/2008

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/07/2008

Interior Finish

Fire-Resistant Interior Walls.
  • Inspection Date: 10/09/2008
  • Correction Date: 10/10/2008
Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 10/09/2008
  • Correction Date: 10/10/2008

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/07/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 10/09/2008
  • Correction Date: 10/21/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/09/2008
  • Correction Date: 10/21/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/09/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 11/09/2010
  • Correction Date: 12/09/2010
Source: Medicare Nursing Home Compare; Department of Health of Indiana - Long Term Care Division - Retrieved 2011