Lake Forest Place

Inspection findings

1. Jun 3, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 25, 2026 · CMS health inspection

2. Apr 23, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected May 21, 2026 · CMS health inspection

3. Jan 28, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Feb 12, 2026 · CMS health inspection

4. Aug 13, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Aug 28, 2025 · CMS health inspection

5. Feb 27, 2025 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Mar 7, 2025 · CMS health inspection

6. Dec 12, 2024 Health · 9 findings
   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Dec 23, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Dec 23, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 23, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected Dec 30, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     Corrected Mar 5, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Feb 11, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 11, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jan 17, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Feb 14, 2025 · CMS fire safety

7. Aug 14, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Aug 27, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0584 Resident Rights Deficiencies

     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.

     Corrected Aug 27, 2024 · CMS health inspection

8. May 8, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0811 Nutrition and Dietary Deficiencies

     Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

     Corrected May 17, 2024 · CMS health inspection

9. Jan 11, 2024 Fire Safety · 8 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Feb 12, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Feb 14, 2024 · CMS fire safety

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Jan 25, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0161 Construction Deficiencies

     Use approved construction type or materials.

     Corrected Feb 14, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 14, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Feb 14, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Feb 15, 2024 · CMS fire safety

10. Mar 8, 2023 Fire Safety · 16 findings
    • Not serious Scope/severity F

      E0015 Emergency Preparedness Deficiencies

      Address subsistence needs for staff and patients.

      Corrected May 3, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0022 Emergency Preparedness Deficiencies

      Establish policies and procedures for sheltering.

      Corrected May 3, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0032 Emergency Preparedness Deficiencies

      Provide primary/alternate means for communication.

      Corrected May 3, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0035 Emergency Preparedness Deficiencies

      Provide family notifications of emergency plan.

      Corrected May 10, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0041 Emergency Preparedness Deficiencies

      Implement emergency and standby power systems.

      Corrected May 3, 2023 · CMS fire safety

    • Not serious Scope/severity D

      F0661 Resident Assessment and Care Planning Deficiencies

      Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

      Corrected Mar 22, 2023 · CMS health inspection

    • Serious Scope/severity G

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Mar 22, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0761 Pharmacy Service Deficiencies

      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.

      Corrected Mar 22, 2023 · CMS health inspection

    • Not serious Scope/severity F

      K0311 Smoke Deficiencies

      Have an enclosure around a vertical opening shaft.

      CMS fire safety

    • Not serious Scope/severity E

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected May 19, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected May 19, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Apr 8, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected May 3, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0711 Miscellaneous Deficiencies

      Provide a written emergency evacuation plan.

      Corrected Apr 8, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0914 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      Corrected May 3, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected May 3, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ABI-ANTOUN, NADIM — corporate officer, NOT APPLICABLE, since 01/01/2023
• BAILEY, BARBARA — operational/managerial control, NOT APPLICABLE, since 09/27/2016
• BAILEY, BARBARA — adp of the snf, NOT APPLICABLE, since 09/27/2016
• BAILEY, BARBARA — managing control - governing body, NOT APPLICABLE, since 09/27/2016
• BRAULT, JAMES — corporate director, NOT APPLICABLE, since 05/24/2022
• DEARBORN, ROBERT — corporate director, NOT APPLICABLE, since 04/01/2023
• DENISON, CHARLES — corporate director, NOT APPLICABLE, since 12/01/2015
• FAMILARA, CEAZAR — operational/managerial control, NOT APPLICABLE, since 01/10/2022
• HAVRILKA, MARK — corporate officer, NOT APPLICABLE, since 12/01/2015
• HAVRILKA, MARK — operational/managerial control, NOT APPLICABLE, since 12/01/2015
• HITE, ELINOR — corporate director, NOT APPLICABLE, since 08/01/2017
• ICHINOSE, KELLY — managing control - governing body, NOT APPLICABLE, since 07/03/2023
• ICHINOSE, KELLY — operational/managerial control, NOT APPLICABLE, since 07/03/2023
• JACOBSON, LYDIA — managing control - governing body, NOT APPLICABLE, since 11/18/2024
• JACOBSON, LYDIA — operational/managerial control, NOT APPLICABLE, since 11/18/2024
• JACOBSON, LYDIA — adp of the snf, NOT APPLICABLE, since 11/18/2024
• KELLY, VINCENT — corporate director, NOT APPLICABLE, since 03/01/2017
• LIGGETT, ANNA — operational/managerial control, NOT APPLICABLE, since 07/01/2025
• LIGGETT, ANNA — adp of the snf, NOT APPLICABLE, since 07/09/2025
• LIGGETT, ANNA — managing control - governing body, NOT APPLICABLE, since 07/01/2005
• LINCOLN, MICHAEL — corporate director, NOT APPLICABLE, since 04/01/2021
• MADAL, ANTHONY — managing control - governing body, NOT APPLICABLE, since 10/23/2023
• MADAL, ANTHONY — operational/managerial control, NOT APPLICABLE, since 10/23/2023
• MARX, DENNIE — corporate director, NOT APPLICABLE, since 12/01/2015
• MCAFEE, THOMAS — corporate director, NOT APPLICABLE, since 04/01/2019
• MILLER, CHERYL — operational/managerial control, NOT APPLICABLE, since 05/04/2015
• MOLLMAN, ERIC — corporate director, NOT APPLICABLE, since 05/24/2022
• OBERREIDER, MARSHA — corporate director, NOT APPLICABLE, since 08/22/2024
• PATEL, ALPANA — operational/managerial control, NOT APPLICABLE, since 10/10/2018
• PATEL, ALPANA — managing control - governing body, NOT APPLICABLE, since 10/10/2018
• PRATT, PATRICIA — operational/managerial control, NOT APPLICABLE, since 07/24/2023
• REYNOLDS, SAM — corporate director, NOT APPLICABLE, since 04/01/2024
• SEYMOUR, JULIE — corporate director, NOT APPLICABLE, since 04/01/2021
• STRAUSBAUGH, JESSICA — corporate director, NOT APPLICABLE, since 04/01/2023
• VANBERKEL, CAROL — operational/managerial control, NOT APPLICABLE, since 01/03/2022
• VANBERKEL, CAROL — managing control - governing body, NOT APPLICABLE, since 01/03/2022
• VANBERKEL, CAROL — adp of the snf, NOT APPLICABLE, since 04/02/2025
• WETZEL, MARK — corporate director, NOT APPLICABLE, since 04/01/2021
• PRESBYTERIAN HOMES — 5% or greater direct ownership interest, 100%, since 12/01/2015
• PRESBYTERIAN HOMES MANAGER LLC — operational/managerial control, NOT APPLICABLE, since 12/01/2015
• PRESBYTERIAN HOMES MANAGER LLC — adp of the snf, NOT APPLICABLE, since 12/17/2025