I don't think many ltc facilities use computerization at all and it is a shame because there is so much opportunity for human error. Also, I would much prefer doing patient care than digging through reams of papers to find the appropriate box to initial. At a former facility, we used ChartMeds; super easy to use, I caught on in 15 minutes and it handles all documentation automatically and makes sure all regs are complied with and nothing is forgotten.