Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
LAKEBRIDGE, A WATERS COMMUNITY, LLC
JOHNSON CITY, TN · 109 certified beds · Last Life Safety survey July 25, 2023
CMS Certification Number 445358 · first certified September 1995
Ownership
Operated by INFINITY HEALTHCARE CONSULTING · For profit - Individual
- Ownership changed August 1, 2016 (change of ownership)from LAKEBRIDGE MEDICAL INVESTORS, LLC
Position within TN
6 citations — more than 35% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 1 citation; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: October 2024 to April 2027. This facility’s last Life Safety survey was July 2023. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 6 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| November 7, 2018 | 4 |
| November 5, 2019 | 1 |
| July 25, 2023 | 1 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 1 | 2018-11-07 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2018-11-07 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2018-11-07 |
| K-0781 | Have restrictions on the use of portable space heaters. | 1 | 2019-11-05 |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 1 | 2018-11-07 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2023-07-25 |
What the citations cover
- Miscellaneous Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Smoke Deficiencies 1
- Egress Deficiencies 1
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Smoke Deficiencies | 1 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 25, 2023 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (July 24, 2023) |
November 5, 2019 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0781 | Have restrictions on the use of portable space heaters. | Deficient, Provider has date of correction (November 22, 2019) |
November 7, 2018 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (November 30, 2018) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (November 30, 2018) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (November 30, 2018) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (November 30, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.