Johnson Memorial Hospital & Home

Certification

Medicare-certified.

Ratings

Inspection history (12)

Records from June 2023 to February 2025.

• February 20, 2025

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.

• February 20, 2025

  Tag F0851

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

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.

• February 20, 2025

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.

• February 20, 2025

  Tag F0755

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.

• February 20, 2025

  Tag F0838

  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.

• February 20, 2025

  Tag F0761

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.

• February 20, 2025

  Tag F0726

  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.

• February 20, 2025

  Tag F0882

  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 28, 2025.

• January 22, 2025

  Tag F0684

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

  Severity G: isolated, actual harm. Corrected January 16, 2025.

• April 10, 2024

  Tag F0644

  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 8, 2024.

• April 10, 2024

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 8, 2024.

• June 1, 2023

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 23, 2023.

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

4.64 nurse hours per resident per day in Q2 2026, up from 3.84 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Government - Hospital district

• Parent company: Johnson Memorial Health Services