Inspection Reports for
American House Johnson City

The complaint survey conducted on November 18, 2024, substantiated deficiencies including Immediate Jeopardy level issues related to infection control and COVID-19 management.

The facility failed to properly identify residents requiring Enhanced Barrier Precautions, did not provide accurate COVID-19 infection lists, failed to ensure staff wore appropriate PPE, and did not follow CDC guidelines for COVID-19 testing and quarantine. The administration also failed to maintain an effective Quality Assurance/Performance Improvement program and did not ensure treatment and care met physician orders and professional standards.

The complaint investigation was substantiated, finding that the facility allowed Resident #1 to smoke unsupervised with cigarettes and lighter in their possession, stored cigarette cartons improperly, and failed to assess residents' safety regarding smoking. The facility also lacked physician orders for medication storage and failed to provide a safe environment, resulting in severe burns to Resident #1.

The facility failed to follow its tobacco and medication administration policies, resulting in an unsafe environment and harm to Resident #1 who suffered severe burns from a fire caused by smoking materials. The facility also violated policies regarding medication storage and failed to address fire hazards and revise the resident's plan of care accordingly.