Lake Forest Village By Purehealth

Inspection findings

1. Feb 11, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Mar 9, 2026 · CMS health inspection

2. Sep 11, 2025 Fire Safety · 12 findings
   • Not serious Scope/severity F

     E0006 Emergency Preparedness Deficiencies

     Conduct risk assessment and an All-Hazards approach.

     Corrected Oct 10, 2025 · CMS fire safety

   • Not serious Scope/severity E

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Oct 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Oct 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Oct 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Oct 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     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 Oct 10, 2025 · 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 Oct 10, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0851 Administration Deficiencies

     Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

     Corrected Oct 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 10, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

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

     Corrected Oct 10, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Oct 10, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0343 Smoke Deficiencies

     Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

     Corrected Oct 10, 2025 · CMS fire safety

3. Jul 8, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Aug 4, 2025 · CMS health inspection

4. Aug 8, 2024 Fire Safety · 4 findings
   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Sep 4, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Sep 4, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Sep 4, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Sep 4, 2024 · CMS fire safety

5. Sep 7, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Oct 2, 2023 · CMS health inspection

6. Jun 22, 2023 Health · 4 findings
   • Not serious Scope/severity E

     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 Jul 22, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jul 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 Jul 19, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Jul 19, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BELL, KEVIN — 5% or greater indirect ownership interest, since 11/01/2024
• CAMPION, ROBERT — 5% or greater indirect ownership interest, since 11/01/2024
• LEIDHOLM, THETA — operational/managerial control, NOT APPLICABLE, since 11/01/2024
• LEIDHOLM, THETA — adp of the snf, NOT APPLICABLE, since 11/01/2024
• MARTINEZ, FREDDIE — adp of the snf, NOT APPLICABLE, since 11/01/2024
• MARTINEZ, FREDDIE — operational/managerial control, NOT APPLICABLE, since 11/01/2024
• NARREDDY, NEELIMA — adp of the snf, NOT APPLICABLE, since 11/01/2024
• KCCJ1 HOLDINGS LLC — 5% or greater indirect ownership interest, since 11/01/2024
• LBEI HOLDINGS LLC — 5% or greater indirect ownership interest, since 11/01/2024
• LEGENDS III LLC — adp of the snf, NOT APPLICABLE, since 11/01/2024
• LFV OPS DENTON LLC — 5% or greater direct ownership interest, 100%, since 11/01/2024
• LFV OPS DENTON LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2024
• MANAGEMENT MCOA LLC — adp of the snf, NOT APPLICABLE, since 11/01/2024
• OVERHEAD OPS INVESTMENTS III LLC — 5% or greater indirect ownership interest, since 11/01/2024
• PPSG CONSULTING SERVICES LLC — adp of the snf, NOT APPLICABLE, since 11/01/2024