Lakeside Manor Nursing and Rehabilitation Center

  About Lakeside Manor Nursing and Rehabilitation Center

  Lakeside Manor Nursing and Rehabilitation Center Owner & Operator Information

  Lakeside Manor Nursing and Rehabilitation Center Ratings and Inspection Scores

Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.

  Complaints by Residents

This table shows complaints filed by residents in Lakeside Manor Nursing and Rehabilitation Center:

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	02/07/2025
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.	09/30/2024
Ensure services provided by the nursing facility meet professional standards of quality.	09/30/2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	09/06/2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	09/06/2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.	09/06/2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	09/06/2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	08/08/2024
Reasonably accommodate the needs and preferences of each resident.	08/08/2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	08/08/2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	08/08/2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	08/08/2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	08/08/2024
Provide care and assistance to perform activities of daily living for any resident who is unable.	08/08/2024
Provide activities to meet all resident's needs.	08/08/2024
Ensure the activities program is directed by a qualified professional.	08/08/2024
Provide appropriate treatment and care according to orders, resident?s preferences and goals.	08/08/2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	08/08/2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	08/08/2024
Post nurse staffing information every day.	08/08/2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	08/08/2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	08/08/2024
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	08/08/2024
Provide and implement an infection prevention and control program.	08/08/2024
Keep all essential equipment working safely.	08/08/2024
Provide appropriate treatment and care according to orders, resident?s preferences and goals.	03/18/2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	03/18/2024
Allow residents to self-administer drugs if determined clinically appropriate.	10/25/2023
Provide care and assistance to perform activities of daily living for any resident who is unable.	10/25/2023
Allow residents to self-administer drugs if determined clinically appropriate.	07/12/2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	07/12/2023
Provide care and assistance to perform activities of daily living for any resident who is unable.	07/12/2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	07/12/2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	06/16/2023
Reasonably accommodate the needs and preferences of each resident.	04/27/2023
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	04/27/2023
Plan the resident's discharge to meet the resident's goals and needs.	04/27/2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	04/27/2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	11/08/2022
Provide care and assistance to perform activities of daily living for any resident who is unable.	11/08/2022
Allow resident to participate in the development and implementation of his or her person-centered plan of care.	08/31/2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	08/31/2022
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	08/31/2022
Provide care and assistance to perform activities of daily living for any resident who is unable.	08/31/2022
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	08/31/2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	08/31/2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	08/31/2022
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	08/31/2022
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	08/31/2022
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	08/31/2022
Provide and implement an infection prevention and control program.	08/31/2022
Make sure that a working call system is available in each resident's bathroom and bathing area.	08/31/2022

  Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Lakeside Manor Nursing and Rehabilitation Center spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.

Type	Facility	State / National Avg
Registered Nurse (RN)
Hours	0.16	0.76 / 0.67
Case Mix	0.66	0.63 / 0.67
Adjusted	0.16	NA / NA
Licensed Practical Nurse (LPN)
Hours	1.43	0.89 / 0.87
Case Mix	0.85	NA / NA
Adjusted	1.45	NA / NA
Certified Nursing Assistants (CNA)
Hours	1.96	2.34 / 2.32
Case Mix	2.28	NA / NA
Adjusted	1.99	NA / NA
Total Licensed Staff
Hours	1.58	1.65 / 1.54
Physical Therapist (PT)
Hours	0.06	0.07 / 0.07
Total Nursing Hours Spent per Resident on Average
Hours	3.55	4.00 / 3.86
Case Mix	3.79	3.66 / 3.84
Adjusted	3.60	NA / NA

  Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc.	Perc./ State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) This measure is considered when computing the 5-Star Overall Rating	29.3% / 25.5% Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522) This measure is considered when computing the 5-Star Overall Rating	4.8% / 12.3% Better
Number of hospitalizations per 1000 long-stay resident days (qm551) This measure is considered when computing the 5-Star Overall Rating	3.3% / 1.7% Worse
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) This measure is considered when computing the 5-Star Overall Rating	3.8% / 1.5% Worse
Percentage of long-stay residents whose need for help with daily activities has increased (qm401)	3.6% / 14.3% Better
Percentage of long-stay residents who lose too much weight (qm404)	1.3% / 6.0% Better
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406)	2.4% / 1.3% Worse
Percentage of long-stay residents with a urinary tract infection (qm407)	1.2% / 1.9% Better
Percentage of long-stay residents who have depressive symptoms (qm408)	3.1% / 3.3% Better
Percentage of long-stay residents who were physically restrained (qm409)	0.0% / 0.1% Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410)	0.0% / 3.1% Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415)	97.6% / 94.6% Better
Percentage of long-stay residents who received an antipsychotic medication (qm419)	15.1% / 15.4% Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430)	91.6% / 81.7% Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434)	0.0% / 1.4% Better
Percentage of long-stay residents whose ability to walk independently worsened (qm451)	Not Available
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452)	25.7% / 19.9% Worse
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454)	100.0% / 94.4% Better
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472)	77.1% / 78.5% Worse
Percentage of long-stay residents with pressure ulcers (qm479)	7.0% / NA
Percentage of long-stay residents with new or worsened bowel or bladder incontinence (qm480)	4.3% / NA

  Hospitals Near Lakeside Manor Nursing and Rehabilitation Center

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Lakeside Manor Nursing and Rehabilitation Center.

Lakeside Manor Nursing and Rehabilitation Center is near several hospitals, each with its own rating based on overall performance:

Hospital	5-Star Overall Rating
SINAI-GRACE HOSPITAL 6071 W OUTER DRIVE DETROIT, MI 48235	1
HARPER UNIVERSITY HOSPITAL 3990 JOHN R STREET DETROIT, MI 48201	1
MCLAREN OAKLAND 50 N PERRY ST PONTIAC, MI 48342	1
BEAUMONT HOSPITAL - DEARBORN 18101 OAKWOOD BLVD DEARBORN, MI 48124	1
BEAUMONT HOSPITAL - WAYNE 33155 ANNAPOLIS AVE WAYNE, MI 48184	1
DETROIT RECEIVING HOSPITAL 4201 ST ANTOINE ST - 2C DETROIT, MI 48201	1
ST JOE MERCY HOSPITAL SYSTEM LIVONIA 36475 FIVE MILE ROAD LIVONIA, MI 48154	2
ASCENSION MACOMB OAKLAND HOSP-WARREN CAMPUS 11800 EAST TWELVE MILE ROAD WARREN, MI 48093	2
MCLAREN MACOMB 1000 HARRINGTON ST MOUNT CLEMENS, MI 48043	2
TRINITY HEALTH OAKLAND HOSPITAL 44405 WOODWARD AVE PONTIAC, MI 48341	2
BEAUMONT HOSPITAL ROYAL OAK 3601 W THIRTEEN MILE RD ROYAL OAK, MI 48073	2
BEAUMONT HOSPITAL - FARMINGTON HILLS 28050 GRAND RIVER AVENUE FARMINGTON HILLS, MI 48336	2
HENRY FORD MACOMB HOSPITAL 15855 NINETEEN MILE RD CLINTON TOWNSHIP, MI 48038	2
ASCENSION ST JOHN HOSPITAL 22101 MOROSS RD DETROIT, MI 48236	2
HENRY FORD HEALTH HOSPITAL 2799 W GRAND BLVD DETROIT, MI 48202	3
GARDEN CITY HOSPITAL 6245 INKSTER RD GARDEN CITY, MI 48135	3
KARMANOS CANCER CENTER 4100 JOHN R DETROIT, MI 48201	3
BEAUMONT HOSPITAL, TROY 44201 DEQUINDRE ROAD TROY, MI 48085	3
ASCENSION PROVIDENCE ROCHESTER HOSPITAL 1101 W UNIVERSITY DRIVE ROCHESTER, MI 48307	3
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI 16001 W NINE MILE RD SOUTHFIELD, MI 48075	3

Ratings History for Lakeside Manor Nursing and Rehabilitation Center

  Medical Professionals Associated with Lakeside Manor Nursing and Rehabilitation Center

These are the doctors who are affiliated with Lakeside Manor Nursing and Rehabilitation Center. The data is from the most recent period. Historical data is not available.

• WAHED ISHAQSEI ( INTERNAL MEDICINE )
• GHANEM SHARABI ( INTERNAL MEDICINE - PIONEER MEDICAL ASSOCIATES PC )

  Local Nursing Homes

When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.

The data is based on the dataset as of April 01, 2025.

Name	Health Inspection Score / Overall Rating
Michigan Veterans Home of Chesterfield Township (CHESTERFIELD TOWNSHI, MI)	9.333 / 5:
Fraser Villa (FRASER, MI)	14.667 / 5:
Orchard Grove Health Campus (ROMEO, MI)	18 / 5:
Qualicare Nursing Home (DETROIT, MI)	22 / 5:
Wellbridge of Romeo, LLC (ROMEO, MI)	22.667 / 5:
St Joseph's, A Villa Center (HAMTRAMCK, MI)	23.333 / 4:
Bellbrook (ROCHESTER HILLS, MI)	24 / 5:
Sheffield Manor Nursing and Rehab Center (DETROIT, MI)	25.333 / 5:
Martha T Berry Mcf (MOUNT CLEMENS, MI)	28.667 / 2:
Shelby Crossing Health Campus (SHELBY TOWNSHIP, MI)	29.333 / 5:
Fairlane Senior Care and Rehab Center (DETROIT, MI)	32 / 4:
Hartford Nursing and Rehabilitation Center (DETROIT, MI)	32 / 4:
Oakpointe Senior Care and Rehab Center (DETROIT, MI)	32 / 4:
Medilodge of Richmond (RICHMOND, MI)	32.667 / 4:
Omni Continuing Care (DETROIT, MI)	34.667 / 4:
Oakland Manor Nursing and Rehab Center LLC (PONTIAC, MI)	35.333 / 4:
The Rivers Health and Rehab Center of Grosse Pointe (GROSSE POINTE WOODS, MI)	37.333 / 4:
West Oaks Senior Care and Rehab Center (DETROIT, MI)	38 / 4:
Oakland Nursing Center (SOUTHFIELD, MI)	39.333 / 5:
Novi Lakes Health Campus (NOVI, MI)	40.667 / 4:
Ch Rehab and Nurs Cnt - Commons Dearborn (DEARBORN, MI)	41.333 / 4:
Pine Creek Manor Skilled Nursing and Rehab Center (WAYNE, MI)	42 / 4:
Marywood Nursing Care Center (LIVONIA, MI)	42.667 / 5:
Lourdes Rehabilitation and Healthcare Center (WATERFORD, MI)	44 / 5:
The Orchards at Armada (ARMADA, MI)	44 / 4:
The Villa at Great Lakes Crossing (DETROIT, MI)	44.667 / 4:
Maple Manor Rehab Center (WAYNE, MI)	45.333 / 4:
Regency at Westland (WESTLAND, MI)	46.667 / 4:
Pomeroy Living Sterling Skilled Rehabilitation (STERLING HEIGHTS, MI)	46.667 / 4:
Medilodge of Plymouth (PLYMOUTH, MI)	48 / 5:
Fountain Bleu Health and Rehabilitation Center (LIVONIA, MI)	48 / 3:
Optalis Health and Rehabilitation of Grosse Pointe (GROSSE POINTE WOODS, MI)	48 / 5:
Fox Run Village (NOVI, MI)	48 / 4:
Cherry Hill For Nursing and Rehabilitation (WESTLAND, MI)	49.333 / 4:
Lake Orion Nursing Center (LAKE ORION, MI)	50 / 4:
St Anthony Healthcare Center (WARREN, MI)	51.333 / 4:
Wellbridge of Rochester Hills (ROCHESTER HILLS, MI)	54.667 / 3:
The Village of East Harbor (CHESTERFIELD TOWNSHI, MI)	56.333 / 2:
The Orchards at Samaritan (DETROIT, MI)	57.333 / 3:
Allegria Village (DEARBORN, MI)	58.667 / 3:
Riverview Health and Rehab Center (DETROIT, MI)	58.667 / 3:
Hamilton Nursing Home (DETROIT, MI)	60 / 4:
Imperial, A Villa Center (DEARBORN HEIGHTS, MI)	66 / 3:
Mission Point Nsg and Physical Rehab Ctr of Detroit (DETROIT, MI)	67.167 / 4:
Regency at St Clair Shores (SAINT CLAIR SHORES, MI)	67.333 / 3:
Regency at Livonia (LIVONIA, MI)	68.667 / 3:
Regency at Shelby Township (SHELBY TOWNSHIP, MI)	74.667 / 3:
Church of Christ Care Center (CLINTON TOWNSHIP, MI)	76 / 3:
Westwood Nursing Center (DETROIT, MI)	76.667 / 2:
Maple Manor Rehab Center of Novi Inc (NOVI, MI)	78 / 4:
Skld Livonia (LIVONIA, MI)	78.667 / 3:
Wellbridge of Clarkston (CLARKSTON, MI)	80 / 3:
Four Chaplains Nrsg Care Ctr (WESTLAND, MI)	80.5 / 3:
Ambassador, A Villa Center (DETROIT, MI)	80.667 / 3:
Optalis Health and Rehab of Sterling Heights (STERLING HEIGHTS, MI)	81.333 / 4:
Shorepointe Nursing Center (SAINT CLAIR SHORES, MI)	83.167 / 3:
Regency Heights-Detroit (DETROIT, MI)	83.333 / 3:
West Bloomfield Health and Rehabilitation Center (WEST BLOOMFIELD, MI)	84.333 / 3:
Father Murray, A Villa Center (CENTER LINE, MI)	85.333 / 2:
Boulevard Temple Care Center, LLC (DETROIT, MI)	85.5 / 3:
Mission Point Nsg and Phy Rehab Ctr of Clinton Twp (CLINTON TOWNSHIP, MI)	86 / 2:
Mission Point Nsg and Phy Rehab Ctr of Woodward (DETROIT, MI)	87 / 1:
Windemere Park Health and Rehab Center (WARREN, MI)	88 / 2:
Heritage Manor Nursing and Rehab Center (DETROIT, MI)	93.333 / 2:
Four Seasons Nursing Center of Westland (WESTLAND, MI)	96 / 2:
Optalis Health and Rehab of Dearborn Heights (DEARBORN HEIGHTS, MI)	96.167 / 1:
Autumn Woods Residential Hlth (WARREN, MI)	96.333 / 2:
Lakepointe Senior Care and Rehab Center, L L C (CLINTON TOWNSHIP, MI)	96.333 / 2:
Optalis Health and Rehabilitation of Canton (CANTON, MI)	97.333 / 3:
Ch Rehab and Nurs Cnt - Commons Farmington Hills (FARMINGTON HILLS, MI)	97.333 / 3:
The Orchards at Redford (REDFORD, MI)	98 / 2:
Pomeroy Living Rochester Skilled Rehabilitation (ROCHESTER HILLS, MI)	98.667 / 2:
The Orchards at Warren (WARREN, MI)	102.333 / 1:
Shelby Health and Rehabilitation Center (SHELBY TOWNSHIP, MI)	105.333 / 3:
The Villa at City Center (WARREN, MI)	107.333 / 3:
Westland, A Villa Center (WESTLAND, MI)	110 / 3:
The Orchards at Wayne (WAYNE, MI)	115.5 / 1:
Lahser Hills Care Centre (SOUTHFIELD, MI)	116 / 2:
Regency Manor Nursing and Rehabilitation Center (UTICA, MI)	116 / 2:
The Orchards at Northwest (DETROIT, MI)	120 / 1:
The Orchards at Harper Woods (HARPER WOODS, MI)	120.667 / 1:
Regency at Chene (DETROIT, MI)	120.833 / 2:
Mission Point Nsg and Phy Rehab Ctr of Elmwood (DETROIT, MI)	123.667 / 1:
Marvin and Betty Danto Health Care Center (WEST BLOOMFIELD, MI)	126.333 / 2:
The Villa at Silverbell Estates (ORION, MI)	132 / 1:
The Manor of Novi (NOVI, MI)	136 / 1:
The Villa at Green Lake Estates (ORCHARD LAKE, MI)	139.667 / 2:
Medilodge of Shoreline (STERLING HEIGHTS, MI)	140.5 / 3:
The Orchards at Roseville (ROSEVILLE, MI)	143.5 / 1:
Notting Hill of West Bloomfield (WEST BLOOMFIELD, MI)	146 / 1:
Skld Plymouth (PLYMOUTH, MI)	146.833 / 1:
Oakridge Manor Nursing and Rehab Center LLC (FERNDALE, MI)	149.667 / 1:
Woodward Hills Health and Rehabilitation Ctr (BLOOMFIELD HILLS, MI)	153.667 / 1:
Evergreen Health and Rehabilitation Center (SOUTHFIELD, MI)	161.333 / 2:
The Villa at The Park (HIGHLAND PARK, MI)	163 / 2:
Medilodge of Sterling Heights (STERLING HEIGHTS, MI)	170 / 1:
Beaconshire Nursing Centre (DETROIT, MI)	170.667 / 1:
Skld West Bloomfield (WEST BLOOMFIELD, MI)	180.5 / 2:
Optalis Health and Rehabilitation of Troy (TROY, MI)	181.5 / 2:
Skld Bloomfield Hills (BLOOMFIELD HILLS, MI)	191.333 / 1:
Majestic Care of Livonia (LIVONIA, MI)	191.5 / 2:
Regency at Waterford (WATERFORD, MI)	197.167 / 1:
The Orchards at Canterbury On The Lake (WATERFORD, MI)	199.667 / 1:
Mission Point Nsg and Phy Rehab Ctr of Warren (WARREN, MI)	211.667 / 2:
Mission Point Nsg and Phy Rehab Ctr of Clarkston (CLARKSTON, MI)	212.333 / 1:
The Lakeland Center (SOUTHFIELD, MI)	213.167 / 2:
The Manor of Farmington Hills (FARMINGTON HILLS, MI)	226.833 / 1:
Riverview Health and Rehab Center North (DETROIT, MI)	228.5 / 1:
The Springs at Rochester Hills Rehab and Nursing Ctr (ROCHESTER HILLS, MI)	237.333 / 1:
Greenfield Rehab and Nursing Center (ROYAL OAK, MI)	245.667 / 2:
Medilodge of Farmington (FARMINGTON, MI)	256.333 / 1:
Mission Point Nsg Phy Rehab Ctr of Madison Heights (MADISON HEIGHTS, MI)	347.333 / :
Medilodge of Southfield (SOUTHFIELD, MI)	374 / 1:
Mission Point Nsg and Phy Rehab Ctr of Clawson (CLAWSON, MI)	434.333 / 1:
Lakeside Manor Nursing and Rehabilitation Center (STERLING HEIGHTS, MI)	439.833 / 1:
Mission Point Nsg and Phy Rehab Ctr of Beverly Hills (BEVERLY HILLS, MI)	488 / 2:
Regency at Troy (TROY, MI)	/ :

  Our Analysis