ER Inspector SHANDS LAKE SHORE REGIONAL MEDICAL CENTERSHANDS LAKE SHORE REGIONAL MEDICAL CENTER

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Updated September 19, 2019

This database was last updated in September 2019. It should only be used as a historical snapshot.Researchers can find more recent data on timely and effective care in the Centers for Medicare and Medicaid Services’ hospitals datasets and guidance about hospital regulations.

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ER Inspector » Florida » SHANDS LAKE SHORE REGIONAL MEDICAL CENTER

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SHANDS LAKE SHORE REGIONAL MEDICAL CENTER

368 ne franklin st, lake city, Fla. 32055

(386) 292-8000

67% of Patients Would "Definitely Recommend" this Hospital
(Fla. Avg: 69%)

3 violations related to ER care since 2015

Hospital Type

Acute Care Hospitals

Hospital Owner

Voluntary non-profit - Private

ER Volume

Medium (20K - 40K patients a year)

See this hospital's CMS profile page or inspection reports.

Patient Pathways Through This ER

After a patient arrives at the emergency room, they are typically seen by a doctor or medical practitioner and then either sent home or admitted to the hospital and taken to a room. A small percentage of patients leave without being seen. The chart below shows on average how long each of these pathways take. Lower numbers are better, and all times refer to the average length of time people waited.

Arrives at ER
2% of patients leave without being seen
5hrs 22min Admitted to hospital
7hrs 28min Taken to room
1hr 46min Sent home

All wait times are average.

Detailed Quality Measures

Here is a more in depth look at each quality measure, compared to state and national averages for hospitals with medium ER volumes. Experts caution that very small differences between hospitals for a given measure are unlikely to correspond to noticeable differences in the real world.

Measure
Average for this Hospital
How this Hospital Compares

(to other hospitals with similar
ER volumes, when available)

Discharged Patients
Time Until Sent Home

Average time patients spent in the emergency room before being sent home (if not admitted).

1hr 46min
National Avg.
2hrs 23min
Fla. Avg.
2hrs 24min
This Hospital
1hr 46min
Impatient Patients
Left Without
Being Seen

Percentage of patients who left the emergency room without being seen by a doctor or medical practitioner.

2%
Avg. U.S. Hospital
2%
Avg. Fla. Hospital
1%
This Hospital
2%
Admitted Patients
Time Before Admission

Average time patients spent in the emergency room before being admitted to the hospital.

5hrs 22min

Data submitted were based on a sample of cases/patients.

National Avg.
4hrs 21min
Fla. Avg.
4hrs 18min
This Hospital
5hrs 22min
Admitted Patients
Transfer Time

Among patients admitted, additional time they spent waiting before being taken to their room (sometimes referred to as "boarding time.")

2hrs 6min

Data submitted were based on a sample of cases/patients.

National Avg.
1hr 33min
Fla. Avg.
1hr 34min
This Hospital
2hrs 6min
Special Patients
CT Scan

Percentage of patients who arrived with stroke symptoms and did not receive brain scan results within 45 mins.

No Data Available

The number of cases/patients is too few to report.

National Avg.
27%
Fla. Avg.
26%
This Hospital
No Data Available

Violations Related to ER Care

Problems found in emergency rooms at this hospital since 2015, as identified during the investigation of a complaint. About This Data →

Violation
Full Text
COMPLIANCE WITH 489.24

Jun 1, 2015

Based on staff interview and reviews of medical records and facility policies and procedures the facility failed for perform a medical screening examination on individuals presenting to the Emergency Department seeking emergency medical treatment when a request was made on her behalf for 1 (Patient #27) of 27 samples patients.

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Based on staff interview and reviews of medical records and facility policies and procedures the facility failed for perform a medical screening examination on individuals presenting to the Emergency Department seeking emergency medical treatment when a request was made on her behalf for 1 (Patient #27) of 27 samples patients. Refer to tag A-2406.

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EMERGENCY ROOM LOG

Jun 1, 2015

Based on staff interview and record review the facility failed to ensure that for 1 of 27 patients, (Patient #27), that present to the Emergency Department requesting services were entered into a Central Log. Findings Interview with the facility risk manager on 06/01/2015 at 9:15 AM revealed that an Officer with the Lake City Police Department entered the hospital thru the emergency room ambulance entrance on 04/15/2015 between 08:00 and 09:00 with a victim of alleged sexual assault.

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Based on staff interview and record review the facility failed to ensure that for 1 of 27 patients, (Patient #27), that present to the Emergency Department requesting services were entered into a Central Log. Findings Interview with the facility risk manager on 06/01/2015 at 9:15 AM revealed that an Officer with the Lake City Police Department entered the hospital thru the emergency room ambulance entrance on 04/15/2015 between 08:00 and 09:00 with a victim of alleged sexual assault. The Officer proceeded to the Nursing Station with the victim and spoke to the Emergency Department Physician. The Risk Manager stated that the physician was alone at the nursing station and when he was asked by the Officer to perform a rape kit he stated that the facility do not do rape kits and the Officer would need to take the victim to Gainesville. At that point the Officer left the facility without speaking to any other of the facility staff. Facility documentation failed to reveal that the victim, (Patient #27), was ever logged into the system, or was not any information was documented that identified patient #27. The facility failed to provide any documentation that Lake City Police Department had requested a rape kit be performed. by the ER physician or that the ER physician had informed any of the ER staff of the request for a Rape Kit evaluation made by law enforcement. Review of the facility policy and procedure titled Emergency Medical Treatment and Patient Transfer with a Revision Date of 09/01/2013 revealed "Central Log means a log the Hospital maintains of all individuals who present to the Hospital seeking emergency medical assistance an the disposition of such individuals, whether the person refused treatment, was transferred, was admitted and treated, was Stabilized and Transferred, or discharged . The purpose of the Central Log is to track the care provided to each individual who comes to the Hospital seeking care for an Emergency Medical Condition. The Central Log Must include patient logs from other areas of the hospital, including Labor and Delivery, where a patient might present for emergency services or receive a Medical Screening Examination instead of a Dedicated Emergency Department.".

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MEDICAL SCREENING EXAM

Jun 1, 2015

Based on staff interview and review of medical records and facility policies and procedures the facility failed for perform a medical screening examination on individuals presenting to the Emergency Department seeking emergency medical treatment when a request was made on her behalf for 1 (Patient #27) of 27 samples patients.

See More ↓

Based on staff interview and review of medical records and facility policies and procedures the facility failed for perform a medical screening examination on individuals presenting to the Emergency Department seeking emergency medical treatment when a request was made on her behalf for 1 (Patient #27) of 27 samples patients. Findings Interview with the facility risk manager on 06/01/2015 at 9:15 AM revealed that an Officer with the Lake City Police Department entered the hospital thru the emergency room ambulance entrance on 04/15/2015 between 08:00 and 09:00 with a victim of alleged sexual assault. The Officer proceeded to the Nursing Station with the victim and spoke to the Emergency Department Physician. The Risk Manager stated that the physician was alone at the nursing station and when he was asked by the Officer to perform a rape kit he stated that the facility do not do rape kits and the Officer would need to take the victim to Gainesville. At that point the Officer left the facility without speaking to any other of the facility staff. Interview with the Risk Manager on 06/01/2015 at 9:15 AM, revealed that it is the facility policy to perform a medical screening examination for all patients that enter the ER, without exception. Facility documentation failed to reveal that the victim, (Patient #27), was ever logged into the system, or was not any information was documented that identified patient #27. The facility failed to provide any documentation that Lake City Police Department had requested a rape kit be performed. by the ER physician or that the ER physician had informed any of the ER staff of the request for a Rape Kit evaluation made by law enforcement. Review of the Policy and Procedure titled EMTALA Medical Screening Stabilization Policy, revised 09/01/2013 revealed : "In general, when an individual comes, by himself or herself, with another person, or by EMS to the Dedicated Emergency Department of the Hospital and a request is made on the individual's behalf for a medical examination or treatment, the Hospital must provide an appropriate Medical Screening Examination within the capability of the Hospital (including ancillary services routinely available in the Dedicated Emergency Department an emergency services offered at outpatient departments of facility) to determine whether an Emergency Medical Condition exists, or with respect to a pregnant woman having contractions, whether the woman is in active labor; and if necessary, the Hospital must execute an Appropriate Transfer according to the guidelines of EMTALA and these polices. These same requirements apply if a prudent layperson would believe the individual is in need of an emergency examination or treatment.". The medical record for patient #27 from Hospital B was reviewed. Review of the Emergency patient Record indicated that patient #27 presented to Hospital B on April 15, 2015 at 8:08 a.m. The patient was triaged as a level 3 at 8:20 a.m. . . . . Further review revealed the patient's " Chief complaint was " Sexual Assault. " The Subjective Assessment indicated in part, " Went home and her mother contacted the Lake City Police and Pt. (patient) is accompanied by officer ...Pt is very distraught, tearful and anxious. " Patient #27 was seen in the Emergency Department by the provider at 0814 am. Review of the HPI (History of Present Illness) revealed in part, " Source of History ... patient. . Location-penetration: vaginal. Location of pain/injury: head (thinks she was punched) . . . Additional hpi notes ...some bleeding afterwards. Went home called police, here with (Lake City policeman) ...Physical Exam-Sexual Assault. . . Female GU (genitourinary) normal external ...no vaginal injury, chaperone present, bleeding ...MDM (medical decision making) . . . Sexual Assault Kit Completed: Physician ...Sexual Assault Management. . . STD (sexually transmitted disease) Prophylaxis given. " The facility failed to ensure that their policy and procedure was followed as evidenced by failing to provide an appropriate medical screening examination on Patient #27 on 4/15/2015, when a request was made on her behalf by the Lake City Police Officer for medical examination and treatment.

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Notes

“Average time” refers to the median wait time (the midpoint of all patients' wait times). References to “doctor or medical practitioner” indicate a doctor, nurse practitioner or physician's assistant. CMS reports the CT scan quality measure as the percentage of patients who received a scan within 45 minutes. We have reversed that measure so that all measures follow a “lower is better” pattern.

Additional design and development by Mike Tigas and Sisi Wei.

Sources

All data comes from the Centers for Medicare and Medicaid Services. Detailed quality measures at the hospital, state and national level were last updated September 2019. Most data was collected between October 2017 and October 2018. Data on ER-related violations is from January 2015 to June 2019.

Additional Info

How We've Updated ER Inspector | Download ProPublica's Emergency Room Planning Toolkit | About This Data

Don’t See Your ER?

In some cases we aren’t able to identify the exact location of a hospital, so it doesn’t appear on our mapped search results. However, it may still be in our database – try looking for it in the list of hospitals on each state's page.

In other cases, the hospital is missing from our database because it doesn't have an emergency department.

In other cases, the hospital is missing from the federal government’s Centers for Medicare and Medicaid Services (CMS) data. There are a couple of reasons why a hospital isn’t included in CMS data: it may not participate in Medicare, or it may share a certification number with another hospital (common across large hospital systems).

If you notice a hospital missing from our database, please first check if you can find it on CMS' website, and that it is listed as having an ER. If so, please email us with the hospital name and address.