Home
 
 
Directory   ·   Current News   ·   Contact Us   ·   FAQ   ·   Calendar
Search:

Thursday - March 11, 2010 - 09:05 pm CST


  • Background Report
  • Introduction
  • Location & History
  • Natural Environment & Resources
  • Population Analysis
  • Economic Analysis
  • Housing Stock
  • County Facilities
  • Public Water & Sewer Systems
  • Solid Waste & Recycling
  • Public Safety
  • Education System
  • Public Library System
  • Health & Human Services
  • Recreational Opportunities
  • Transportation System
  • SECTION M.  HEALTH & HUMAN SERVICES

    INTRODUCTION

     

    With an aging population the available health and human services Lee County offers will become an important deciding factor for many residents to remain in the county or to move.  The county needs to know what services are currently offered to its residents and which ones are needed to provide the residents with the best quality of life possible.  This section will examine the current health and humans services offered to the residents of Lee County.

     

    HEALTH SERVICES

     

    Lee County Health Department

    The Lee County Health Department provides the following services: Home Care and Public Health Services; An Immunization Clinic; Lead Poisoning Services; a Senior Health Calendar of Events; HOPES; and Environmental Services, to residents of Lee County regardless of income, race, creed, age, religion, physical or mental disability, illness, national origin or sexual preference.  Below is a brief description of these services; please contact the Lee County Health Department for further information.

     

    Home Care and Public Health

    There are seven different types of services under this category:

    ¨       Skilled Nursing,

    ¨       Hospice

    ¨       Home Care Aides

    ¨       Companions

    ¨       Free Evaluations

    ¨       Senior Health

    ¨       Community Health

    ¨       Community Outreach

     

    Skilled Nursing is available seven days a week, 24-hours a day for the following health items:

    ¨       Dressing Changes

    ¨       Medication Management

    ¨       Ostomy/Catheter/IV Care

    ¨       Pain Control Therapy

    ¨       Drawing Blood for Lab Work

    ¨       Diabetic Teaching/Care

    ¨       Bowel Care

    ¨       Vital Signs

    ¨       Health Teaching

    ¨       Specialized Care for Terminally Ill

    ¨       Coordination of meals, supplies, and medical equipment

    ¨       Supportive Therapy

    ¨       Physical Therapy

    ¨       Occupational Therapy

    ¨       Speech Therapy

    ¨       Medical Social Worker

     

    Hospice provides in-home care and support for the terminally ill and their families.  Hospice enhances the ill person’s quality of life by alleviating pain and other symptoms and by providing physical, emotional, and spiritual support to the patients and family.  The Hospice team includes a registered nurse; social worker; home care aides; medical director; chaplain, volunteers; and bereavement support.

     

    Home Care Aides services make independent living possible.  The aides provide help with a variety of daily needs, including both personal care and homemaking assistance. 

     

    Companions provide custodial supervision, physical and emotional support and security to clients within their own homes.  The focus of the service is to prevent family disruptions and prevent or postpone the need for admission to the hospital or nursing home.

     

    Free Evaluations are provided to help gauge a person’s heath care needs. 

     

    Senior Health provides programs to assist with a healthy senior lifestyle through physical assessments; health education; health screening; and foot care.

     

    Community Health encompasses a wide range of services:

    ¨       Child Immunizations

    ¨       Adult Influenza

    ¨       Tetanus/Diphtheria

    ¨       Lead Screening

    ¨       HOPES/Healthy Families Iowa

    ¨       Communicable Diseases Follow-up

    ¨       HIV/Aids Testing

    ¨       TB Screening and Follow-up

    ¨       Health Education Programs

     

    Community Outreach is a constant goal of the department.  They strive to keep updated with the needs of Lee County residents and work in collaboration with other local and state organizations to maximize resources.

     

    Immunization Clinic

    The department provides a clinic for the immunization of children without charge to the parents.

     

    Lead Poisoning

    Provides important information for parents on how to detect and prevent lead poisoning in children and how to have them treated.

     

    Senior Health Calendar of Events

    The department informs the senior citizens of Lee County where and when they will provide monthly foot care, blood pressure and blood sugar screenings, and an educational program at adult health and wellness clinics.

     

    HOPES

    Healthy Opportunities for Parents to Experience Success (HOPES) is a voluntary and convenient way for parents to get assistance in caring for their baby by making scheduled in-home visits by a Family Support Worker. 

     

    Parents in the program will be given practical information on:

    ¨       Realizing your baby’s needs

    ¨       Caring for your baby’s needs and still managing to take care of yourself too

    ¨       What to expect as your baby grows

    ¨       Making your home ‘baby safe’

    ¨       Encouraging ‘on-target’ development in your baby

     

    Parents will also receive assistance in the following areas:

    ¨       Budgeting and Finance Skills

    ¨       Arranging Transportation

    ¨       Effective Discipline for your Child

    ¨       Ways to Continue your Education

    ¨       Employment Opportunities

    ¨       Using Community Services

     

    Environmental Services

    The Environmental Services staff consists of the Environmental Director, two sanitarians, one food inspector, and one part-time food inspector.  This staff provides the following services to promote, preserve and protect the health of all Lee County residents:

    ¨       Food inspections of restaurants, taverns, grocery stores, convenience stores, concession stands, warehouses, food processing plants, schools, correctional facilities, temporary food stands, mobile units, vending machines.

    ¨       Hotel inspections, including bed and breakfast inns.

    ¨       Beer and Liquor inspections.

    ¨       Food Service Certification Course offered to food establishment owners, operators, and employees.

    ¨       In-service training and education upon request to food establishments and swimming pools.

    ¨       Onsite sewer system inspections, recommendations and site surveys.

    ¨       Private water well permits and inspections.

    ¨       Testing of private water wells for bacteria and nitrates.

    ¨       Proper closure of abandoned wells.

    ¨       Pool and spa inspections.

    ¨       Lead Poisoning Prevention Program with Lee County Community Nursing  monitoring lead poisoned children.

    ¨       Radon awareness.

    ¨       Inspections of tanning beds, funeral homes, and tattoo parlors.

     

    Fort Madison Community Hospital

    Fort Madison Community Hospital (FMCH) is an accredited, fully equipped 50-bed “Primary Care” facility.  Built on a 20-acre site at the west end of Fort Madison, it is situated near the junction of Highways 2 and 61, providing easy access for all area residents.  It is managed by Quorum Health Resources, Inc. of Nashville, Tennessee, and governed by a local Board of Directors.  Chief Executive Officer is James Platt, who heads an administrative team that includes a Chief Financial Officer, Director of Nursing, Director of Employee Operations and Director of Health Information.  FMCH employs more than 300 people.

     

    A modern, one-story facility, the hospital was designed using the “medical mall” concept, with everything contained on one level.  Constructed in 1986, it was built to replace an 80-year old structure on Avenue H, the former Sacred Heart Hospital, which was operated by the Sisters of the Third Order of Saint Francis.

     

    When the current FMCH facility was built, it included more than 58,000 square feet.  Since then, several remodeling projects and additions have been completed to keep the hospital up-to-date with changing healthcare trends and patient needs.

     

    Today, the campus of the hospital complex includes the inpatient hospital facility, a three-track Emergency/Outpatient center, an adjoining Professional Office Building, plus a Family Practice Clinic.  The modern, brick exterior fits well into the surrounding landscape, which is accented by one of the area’s colorful, tree-lined bluffs.  The interior of FMCH is both comfortable and aesthetically pleasing.  Accented by soft-hued carpeting, the facility features three large skylights and a quiet, outdoor courtyard that lies nestled between the patient rooms and the surgical wing.

     

    The modern, high quality care available through FMCH covers all phases of a patient’s life.  This includes a full range of diagnostic laboratory and radiological services such as Mammography, Magnetic Resolution Imaging (MRI), CT Scanning, Bone Densitometry, and Nuclear Medicine.  There is also a high-tech SurgiCenter within the facility, equipped to accommodate both inpatients and ambulatory patients who return home shortly after surgery.  Likewise, care for patients needing respiratory, physical, occupational, or aquatic therapy is available on both an inpatient and outpatient basis.

     

    The combined Emergency Room and Annex Outpatient Center offers regular 24-hour emergency care, routine medical clinic services, and basic outpatient care that included Worker’s Compensation and Case Management for area businesses and industries.  A portion of this unit is also equipped to provide oncology care in a relaxed setting that features a scenic view of the nearby bluff.

     

    Family-centered maternity care at FMCH is offered through the Birthplace.  The homelike atmosphere of this attractively furnished unit enables patients to receive their labor, delivery, recovery and postpartum care all in the same room.  Entire families are welcome in this unit, including grandparents.

     

    The FMCH Family Practice Clinic, built in 1997, also caters specifically to family needs.  “Fort Madison Family Physicians” of FMCH boast 6 physicians including a gynecologist and internist available to meet all of your family’s healthcare needs.

     

    For other, more specialized healthcare needs, FMCH also has a Medical Clinic that is comprised of 2 general surgeons.

     

    FMCH also maintains a highly popular, three-phase Cardiopulmonary Rehabilitation programs for patients with either pulmonary or cardiac problems.  Our Physicians’ Specialty Clinic is popular as well.  This clinic brings a number of physician specialists into the area on a regular basis.  Among them are cardiologists, dermatologists, oncologists, urologists, neurologists, and EMTs.

     

    The Sleep Disorders Center is used to diagnose patients with chronic sleep problems.  Patients spend the night in a comfortable, queen-size bed where they are monitored while they sleep by a computer device used to record sleep patterns.  The data is then analyzed and scored by a trained sleep disorders physician who makes the patient’s diagnosis.

     

    The ever-growing Home Health Care program of FMCH enables patients to receive home visits from Registered Nurses, specialists in speech, occupational, physical or respiratory therapy, social workers, homemaker aides, and companions.  FMCH Home Health Care is Medicare certified and now available to Iowa residents living in Lee, Des Moines, Van Buren, and Henry County.

     

    Although, the hospital’s regular, full-time Medical Staff is comprised of over 60 physicians representing more than a dozen different specialties.  A skilled team of over 200 nurses, technologists, therapists, technicians, and nursing assistants backs their expertise.

     

    At FMCH, the staff is continually seeking new ways to best meet the healthcare needs of area residents.  Physician recruitment remains an ongoing effort to keep expanding the service and care options available in the area.  Continuous Quality Improvement (CQI) is an ongoing effort as well, with several teams constantly working within the hospital to improve both patient care and the way that care is provided to all those served by the hospital.  As a result of such efforts, FMCH garnered high marks during its most recent visit by a nationwide team from the Joint Commission on Accreditation of Healthcare Organizations.   And once again, FMCH achieved the Joint Commission’s accreditation status.

     

    Keokuk Area Hospital

    Keokuk Area Hospital (KAH) is located at 1600 Morgan Street in Keokuk, Iowa.  KAH is a full-service community hospital that operates as a charitable 501 (c) (3) not-for-profit organization under the direction of a volunteer Board of Trustees.   KAH is the result of a merger of Graham Hospital and St. Joseph’s Hospital in 1977.  The merged entity (KAH) came to the Graham campus, and built a new facility, which opened in 1981.  The hospital facility is composed of a 120,000 square feet, multi-story building complex with the following component of inpatient beds (total 125):  63 Acute Medical/Surgical Beds; 8 Critical Care Beds; 14 Psychiatric Beds; 20 Skilled Nursing Beds; 8 Obstetrical Beds; and 12 Nursery Bassinets.

     

    The hospital has had several major additions and renovations since opening, the latest being the Ambulatory Care addition in 1996.  The entire facility is in compliance with all applicable Life Safety Code requirements.  The facility is licensed by the State of Iowa and is fully accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) with the latest survey being conducted in 2001.  The College of American Pathologists (CAP), American College of Radiology (ACR) and numerous other regulatory and accrediting bodies also accredit the hospital.

     

    In addition to the full compliment of inpatient services, the hospital provides a complete array of outpatient services including ambulatory surgery, chemotherapies, rehabilitative services (PT, OT, Speech Pathology), industrial medicine, 24-hour emergency services, trauma center, Respiratory therapies sleep beds, home health care services, private duty-in-home assistance and all of the diagnostic services (labs, x-ray, nuclear medicine, CT, mammography, ultrasound, MRI, Lithotripsy, etc.) associated with a full service community hospital. 

     

    The hospital maintains educational affiliations with the University of Iowa School of Medicine, Washington University School of Medicine in St. Louis, Southeastern Community College (Nursing and Lab Techs), Indian Hills Community College in Ottumwa (Radiology Techs, Medical Records Administration) and other educational training programs for health professionals.  The hospital is an accredited provider of Category 1 Continuing Medical Education and maintains a full service medical library and resource center and many community health programs and services.

     

    The facility cares for approximately 4,000 inpatients and 45,000 outpatients each year with an average daily inpatients census of about 55 to 60 patients.  Approximately 3,000 surgical procedures are done each year with almost 70 percent of those being done on an outpatient basis.  The facility has about 40 physicians (M.D.’s & D.O.’s) on their active medical staff and another 30 to 40 on their consulting and courtesy staffs in a long list of primary care and specialty areas of practice.  About 20 percent of the hospital’s patients come from Missouri, and another 15 to 20 percent from Illinois.

     

    Total employment within KAH is about 475 at this time.  The workforce, like our patient base, comes from the entire tri-state region including northeast Missouri and east central Illinois.

     

    The Keokuk Area Hospital is a part of a larger organization known as Keokuk Health Systems.  The following are the other components of this mentioned health system.  All of these entities fall under the direct responsibility of the Keokuk Health System Board of Directors, who has the authority and management oversight roles of the entire system.

     

    Keokuk Area Medical Equipment and Supply, Inc. (KAME)

    KAME is a for-profit durable medical equipment business with a central office in Keokuk at 515 Main Street.  The business is a provider of durable medical equipment, supplies, and pharmaceuticals for sale and rental to patients, physician offices, nursing homes, and industrial clients.  Major business lines include:

    ¨       Medical Supplies and Equipment;

    ¨       Retail Pharmacy;

    ¨       Consulting Pharmacy;

    ¨       Wholesale Medical Supplies;

    ¨       Oxygen Therapies;

    ¨       Specialty Rehab Equipment;

    ¨       Uniforms;

    ¨       Nursing Homes; and

    ¨       Home Care IV Therapies.

     

    The business provides these services actively in a 75-mile radius of Keokuk and has service outlets in Fort Madison and central Illinois.  The business employs approximately 40 people and is planning a major building project on the hospital campus this year and moving all their operations to that site.

     

    Tri-State Medical Group, Inc. (TSMG)

    TSMG is a subsidiary of KHA involved in the employment and operations of physician clinics in the tri-state region.   It is a not-for-profit foundation model clinic with a separate volunteer Board of Directors.  The organization operates three clinics, one in Keokuk at 400 North 17th Street on the hospital campus (built in 1997), one in Hamilton, Illinois (built in 2000) and one in Warsaw, Illinois (built in the 1960s).  The organization employs 9 physicians, 1 nurse practitioner and 1 physician assistant.  In addition, the TSMG organization employs 35 related health professionals (nurses and techs) and support staff.  The organization provides a full array of physician and clinic services in Family Practice, General Surgery, Pediatrics, and Orthopedics as well as Industrial Medicine and outpatient testing for local employer groups.  TSMG providers are participants in Medicare and Medicaid programs as well as most third party insurance plans in the area.

     

    Keokuk Area Hospital Foundation (KAHF)

    This is a KHS subsidiary involved in seeking and managing endowments for the health system entities.  It has a separate Board of Directors and no formal employees.  It is administered through the health system administration and is a 501 (c)(3) charitable organization.

     

    Keokuk Area Hospital Organized Delivery System (KAH-ODS)

    This organization is an insurance company organized under the special section of Iowa Code, which allows community organizations to own and operate health insurance products in a defined geography.  The KAH-ODS is licensed in Lee and Van Buren Counties and has no formal employees.  It is staffed by KHS Administration and through an agreement with Cady Insurance Company in Burlington who acts as the third-party administrator and marketing wing for the plan.

     

    Southeastern Renal Dialysis, LLC (SRD)

    SRD is a joint venture between KAH, Ft. Madison Community Hospital, Great River Medical Center and Henry County Health Center, each being a 25 percent partner.  The organization operates three kidney dialysis centers in southeast Iowa, one in Mt. Pleasant (the original unit at the hospital there), one in Burlington (built in 1999), and one in Keokuk (built in 2000).  The centers provide life-saving renal dialysis services to over 100 patients in the region and have gross revenues of approximately 5 million each year and employ about 25 people in the three sites.

     

    Regional Private Health Services, Inc. and Regional Home Health Care, Inc. in Donnellson

    This service provides comprehensive quality client and client/family centered care in the client’s home.  They promote the client’s level of independence.  Their goal is to restore, maintain, and promote the client’s health in their own home.

     

    Private care is the economical alternative to hospitalization, nursing homes, or assisted living facilities.  These two entities provide the following services:

    ¨       Companions

    ¨       Therapist and Social Workers

    ¨       Home Health Aides

    ¨       Registered Nurses

    ¨       Licensed Practical Nurses

     

    Services offered are as follows:

    ¨       Bathing

    ¨       Personal Care

    ¨       Cooking

    ¨       Cleaning

    ¨       Assist Transportation

    ¨       Laundry

    ¨       Errand Running

    ¨       Shopping

    ¨       Companionship

    ¨       Assist with other activities of daily living

    ¨       Medication set-up and instruction

    ¨       Diabetic care (prefilling insulin syringes, instructing blood sugar machines, giving insulin injections, diet instruction, foot care)

    ¨       Venipuncture for lab work

    ¨       Medication injections.

     

    Medicare, Medicaid, and Private Insurance may cover some of the offered services.  Personalized care is available 24 hours a day, 7 days a week.  There is no minimum or maximum block of time required.  Servicing six counties in Iowa: Lee, Henry, Des Moines, Van Buren, Louisa, and Jefferson, and three counties in Missouri (Clark, Scotland, and Lewis).

     

    Donnellson Health Center

    The Donnellson Health Center opened in 1975 and is an Eden Alternative facility.  The facility has 73 beds, 20 of which are the Alzheimer’s Unit.  They offer skilled nursing, as well as ICF intermediary care.  The facility is licensed for Medicare and Medicaid.  Meals on Wheels are available on a limited basis.  Free blood pressure checks are also available at the center; however, they cannot handle patients on ventilators. 

     

    In 1990, Inhance Corporation took over the center.  EMS ambulance service began in 1995.  The main office is in Donnellson, with two-satellite offices throughout Lee County.  They provide basic and advanced life support.  The service employs full-time paramedics and they have 12 lead EKGS for the diagnosis of heart attacks and chest pain victims, which runs through the cell phone to the hospital.

     

    Montrose Health Center

    Opened in 1975, this 68-bed nursing home is a skilled unit.  It employs about 50 staff.

     

    West Point Care Center

    This care center is a state licensed 51-bed nursing facility.  It originally opened in March 1976 and it located at 607 North 6th Street in West Point.

     

    The licensed nursing home provides N.F. level of care to primarily an elderly population.  This facility is Medicaid certified, but does not provide Medicare services.

     

    The staff levels at the care center fluctuate between 50 and 55 employees consisting of registered nurses, licensed practical nurses, certified nurse aides, cooks, dietary aides, housekeepers, laundry workers, maintenance, activity professionals, social services workers and administrative staff.

     

    Keokuk Convalescent Center

    This 30-year-old facility is a skilled nursing home.   It is located at 500 Messenger Road in Keokuk.

     

    Services provided are Medicare, Medicaid, and private pay.  It has occupancy of 126 beds and has a staff of 100 to 105 persons.

     

    River Hills Village-Keokuk

    This facility is only 1 ½ years old and provides an individual living, assisted nursing home.  The facility has a capacity for 135 persons and is currently full.  It employs 110 persons.

     

    HUMAN SERVICES

     

    Lee County Department of Human Services

    The Lee County Department of Human Services provides two types of assistance to the residents of the county: economic assistance and child protective assistance.

     

    Economic Assistance

    The Department of Human Services of Lee County offers three kinds of economic assistance to its residents: The Family Investment Program, The Food Stamp Program, and Medicaid.  The following is a brief description of these programs; please contact the Lee County Department of Human Services for further information.

     

    The Family Investment Program (FIP) replaced Aid to Dependent Children (ADC) in Iowa.  This program’s goal is to help people leave poverty and become self-supporting.  FIP offers training or education, allows the person to keep and save more of the money they earn, and teaches them how to deal with the problems their family may face.

     

    FIP assistance is an equal opportunity program available to families, one-parent families, and to relatives caring for children whose parents are absent.

     

    The Food Stamp Program helps low-income people buy the food they need for good health.  A person qualities for food stamps if they:

    ·         Work for Low Wages

    ·         Are Unemployed or Work Part Time

    ·         Receive Welfare or Other Assistance Payments

    ·         Are Elderly or Disabled and Live on a Small Income

    ·         Are Homeless

     

    Medicaid is an assistance program, which pays for covered medical and health care costs of persons who qualify.  The Medicaid program is funded by the federal and state governments and is managed by the Iowa Department of Human Services.

     

    “Medically Needy” is a program designed to provide medical coverage for a person if they have either limited income or high medical expenses that use up most of their income.  If a person has too much income or resources to be eligible for case assistance, but not enough to pay for medical expenses, you may qualify under the Medically Needy Program.

     

    Child Protective Assistance/Services to Families and Children

    The Lee County Department of Human Services provides nine services for families and children: Adoption Services; Family-Centered Services; Family Foster Care; Family Preservation; Group Care; Protective Services; Shelter Care; Supervised Community Treatment; and Wrap-Around Services/Supports.  The following is a brief description of these programs; please contact the Lee County Department of Human Services for further information.

     

    Adoption Services are designed to provide a secure permanent adoptive home for children under the guardianship of Department of Human Services (DHS) when the parental rights of their birth parents have been terminated.  Services include recruitment of families for special needs children, purchasing adoption services from licensed private child placing agencies and registering special needs children in the Iowa Adoption Exchange, the National Exchange, the Iowa Foster and Adoptive Parent Association newsletter and the Iowa’s Photo listing Book in an effort to recruit adoptive homes.

     

    Family-Centered Services are interventions designed to prevent or treat child abuse, neglect, and delinquency, to prevent or reduce out-of-home placements and maintain family reunification.  In the family-centered program, the rehabilitative treatment service components are: therapy and counseling, restorative living, family and social skill development and psychosocial evaluation services.  Also two supportive service, supervision and MR/DD respite services are available in this program.

     

    Family Foster Care services provide 24-hour temporary care for children unable to remain in their own homes, while also offering services to families of children in order to implement plans for permanent placement.  The rehabilitative treatment service components in this program are: therapy and counseling, social skill development, restorative living skills, family skills development and behavioral management services.  This program also provides supportive services such as supervision services; foster family home studies and maintenance.

     

    Family Preservation is a highly intensive and time-limited in-home service intervention that was developed to prevent out-of-home placement of children.  Services are tailored to meet the individual needs of families in crisis and consist of one or more of the following components: therapy and counseling, skill development and psychosocial evaluation.  Supervision, transportation and community resource building services are also available to families.

     

    Group Care services are highly structured 24-hour treatment services and supervision in a licensed group care facility.  Children placed in-group care cannot be served in less intensive levels of care due to the intensity or severity of their emotional or behavioral problems.  The rehabilitative treatment service components in this program include: therapy and counseling, social skill development, restorative living skills, and family skills development.  Supportive services include supervision services and maintenance.  These facilities offer a variety of treatment modalities, but all offer counseling and skill development services. 

     

    Protective Services typically begin with a prompt assessment of a report of child abuse.  If necessary, rehabilitative services may be provided so that the family can remain intact without immediate danger to the child or, when necessary, a child may be removed from the home.  Adult evaluations are conducted when an adult abuse report is made.

     

    Shelter Care services are usually of an emergency short-term nature until they can be returned home or to the other permanent arrangement.  Shelter care services are designed to provide crisis intervention and daily supervision, protecting the child and meeting immediate needs, rather than providing long-term treatment of problems.

     

    Supervised Community Treatment provides comprehensive multi-disciplinary treatment services in a structured setting.  Services are closely coordinated and integrated with the school system.  Youth participate in the program for four to six hours a day for five to six days a week for an average of ten months.  Services are targeted for youths ages 9 through 17 who are experiencing significant behavioral or emotional problems, who are adjudicated delinquent or who are at risk of delinquency.

     

    Wrap-Around Services/Supports are individualized services or supports, necessary in order for a child’s group care placement to be prevented or reduced in length, that are unavailable through other avenues of funding.  Wrap-around services/supports are designed to be individualized, community-based and focused on the basic needs of the children and their families.

     

     


    Lee County Iowa | 933 Avenue H | Fort Madison, Iowa 52627 | 319-376-2341 | Information
    Lee County has attempted to insure accurate information is posted to this site. However, Lee County does not warrant nor guarantee the accuracy, reliability or timeliness of information on this site or information referenced or linked by this site.