ST JOHNS ON FOUNTAIN LAKE
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-08-06 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-07-26 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-10 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.87
state median 3.48
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.38
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
29%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $16,448 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-07-26 | Fine | $16,448 |
Ownership
Ownership type: Non profit - Church related.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-12-03 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-03 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-03 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-03 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-03 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-03 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-03 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-03 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-03 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-08-06 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-06 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-08-06 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-11-06 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-11-06 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-06 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-06 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-11-06 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-09-24 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-07-26 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-04-17 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-17 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-01-10 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-10 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2024-01-10 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-01-10 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-10 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-10 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2023-09-20 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-20 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-09-07 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |