Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

THE WATERS OF JOHNSON CITY, LLC

JOHNSON CITY, TN · 84 certified beds · Last Life Safety survey February 25, 2025

CMS Certification Number 445487 · first certified November 2007

Ownership

Operated by INFINITY HEALTHCARE CONSULTING · For profit - Limited Liability company

  • Ownership changed August 1, 2016 (change of ownership)from CHRISTIAN CARE CENTER OF JOHNSON CITY, INC.
9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within TN

9 citations — more than 54% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3. 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: May 2026 to November 2028. This facility’s last Life Safety survey was February 2025. 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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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 9 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

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 9 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.

This facility9TN median8National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in TN8
Median facility nationally11

Survey history

Citations at each Life Safety survey
22019-0642022-0132025-02
Citations at each Life Safety survey
Survey dateCitations
June 19, 20192
January 20, 20224
February 25, 20253

Most-cited tags

Most-cited tags at this facility
K-09182K-09212E-00061K-03451K-02001E-00041K-07811
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-02-25
K-0921Ensure that testing and maintenance of electrical equipment is performed.22022-01-20
E-0006Conduct risk assessment and an All-Hazards approach.12022-01-20
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-02-25
K-0200Meet other general requirements.12022-01-20
E-0004Develop and maintain an Emergency Preparedness Program (EP).12022-01-20
K-0781Have restrictions on the use of portable space heaters.12025-02-25

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Emergency Preparedness Deficiencies 2
  • Smoke Deficiencies 1
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Emergency Preparedness Deficiencies2
Smoke Deficiencies1
Miscellaneous Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 25, 2025 — 3 citations

Citations issued on February 25, 2025
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 7, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (April 7, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 7, 2025)

January 20, 2022 — 4 citations

Citations issued on January 20, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 7, 2022)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (March 7, 2022)
K-0200Meet other general requirements.Deficient, Provider has date of correction (March 7, 2022)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (March 7, 2022)

June 19, 2019 — 2 citations

Citations issued on June 19, 2019
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 2, 2019)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 2, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.