Lake Forest Senior Living at Mountain Home

In the surveyor’s words

From the most serious findings on record at Lake Forest Senior Living at Mountain Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 8, 2024

  42016 46723 Based on observation, interview, and record review the facility failed to ensure the kitchen and kitchen equipment were maintained in clean condition; and failed to ensure food items were sealed, labeled, and dated; The failed to ensure expired food and supplements were removed to prevent the potential for food borne illness; and the facility failed to ensure staff performed hand hygiene during meal service for 5 (Resident #3, 20, 24, 25 and 29) of 5 residents observed during the 11:30 AM meal service for infection prevention and control. This failed practice had the potential to affect all 32 residents that receive their meals from the facilities kitchen. […]

• No harm, potential for more than minimal, widespreadF812Apr 14, 2023

  Based on observation, interview, and record review, the facility failed to ensure food items stored in the refrigerator, freezer, and dry storage areas were dated when received or opened and stored in sealed containers or packaging to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; spices were removed/discarded prior to losing their potency/flavor and stored in clean containers; and staff distributed and served meals and beverages in a food safe manner to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, widespreadF812Feb 24, 2022

  Based on observation, record review and interview, the facility failed to ensure foods stored in the kitchen area, freezer, refrigerator were covered, sealed, and dated expired dairy products and food item was promptly removed / discarded on or before the expiration or use by date to prevent the growth of bacteria; and dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential for cross contamination and food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 30 residents who received meals from the kitchen (total census: 31), as documented on a list provided by Dietary Supervisor on [DATE]. The findings are: 1. […]

• No harm, potential for more than minimal, patternF607Jun 27, 2025

  Based on record review, interview, and facility policy review, the facility failed to ensure an abuse policy was implemented and monitored that included a training program regarding abuse prevention required to be provided to staff, potentially affecting all residents that resided in the facility. The findings include: A review of the [City and State name] Success Center Transcript Report, received via email from previous management on 06/27/2025 at 11:13 AM, revealed the facility had 26 current staff members who either did not have documented abuse training or had not had documented abuse/neglect training since 08/02/2024, when the current management was put into place. […]

• No harm, potential for more than minimal, patternF947Jun 27, 2025

  Based on facility record review, interviews, and policy review, the facility failed to ensure direct care staff were trained annually for Abuse/Neglect prevention and required in-service training for nurse aides, which potentially affected all residents that resided in the facility. The findings include: A review of the [City and State name] Success Center Transcript Report, received via email from the previous management, on 06/27/2025 at 11:13 AM, revealed the facility had six current Certified Nursing Assistants (CNAs) who had not had documented abuse neglect training since the new management started 08/02/2025. […]