All citations for St Johns on Fountain Lake

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to St Johns on Fountain Lake

Last standard health inspection on record

December 3, 2025

Showing 1 to 16 of 16 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 3, 2024).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2024).

  3. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2024).

  4. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  5. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  6. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  7. No harm, with potential for more than minimal harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2024).

  8. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  9. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  10. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2024).

  12. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2024).

  13. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2024).

  14. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of September 20, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 13, 2023).

  15. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 20, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 13, 2023).

  16. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.