John H Johnson Care Suites

What state inspectors found

1 inspection in the last two years · 1 with findings

John H Johnson Care Suites had one state inspection in the past two years, in May 2025, combining a routine licensing survey with four complaint investigations. The complaints covered serious ground - medication administration and controlled-drug counts, dignity and respect, wound care, response to a change in condition, falsified records, pests and rodents, and missing personal clothing. After touring the building, observing residents and staff, and reviewing health records, incident reports, grievances and police reports, inspectors issued no citation tied to the medication, dignity, records, change-of-condition or wound-care allegations. Families should read that carefully: the reports state what was observed and reviewed but never say the allegations were unsubstantiated, so 'no citation' is what the documents support, not a finding that nothing happened. The inspection was not clean. Surveyors cited a buildup of dark debris on the kitchen floor and around the legs of the stove, deep fryer and steam table, with the dietary manager saying staff had been working on it but nothing seemed to work - a finding that overlaps the pest-control complaint rather than clearing it. Surveyors also cited the center for not meeting the overnight care-staff ratio written into residents' own rental agreements: with 111 residents, three staff were scheduled for the 11 p.m. to 7 a.m. shift where the contract called for 4.44, and the DON said they never had more than three. Both the DON and the executive director said they did not know the ratio was in the lease. The center's first plan of correction was rejected by the state and had to be amended, and the staffing citation was resolved by striking the ratio out of the lease agreements and sending residents a memo saying assisted living has no required staffing ratio - not by adding overnight staff. The state cleared both deficiencies on July 3, 2025 through a paper review, without returning to the building.

• One complaint investigated in May 2025 raised four allegations - medication administration and controlled-drug counts, whether assessments were completed by qualified staff, whether residents were treated with respect and dignity and grievances addressed, and whether medical records were falsified. Inspectors toured the building, observed residents and staff, reviewed health records, incidents, grievances and police reports, and no deficiency was cited on the State Form relating to any of those four allegations. 05-13-2025
• A second complaint alleged the center did not assess, monitor and intervene in a timely manner for a change in condition, and that medications were not given according to physicians' orders. After observing residents and staff and reviewing records, no deficiency was cited on either point. 05-13-2025
• A complaint that residents with wounds were not receiving care and treatment was investigated, with residents observed for quality of care and health records reviewed, and no wound-care deficiency was cited. 05-13-2025
• Surveyors reviewed the center's health records, facility-reported incidents, grievance files, and police reports as part of these investigations. 05-13-2025

Summarized from Oklahoma State Department of Health survey documents. Inspections are a snapshot of specific days and sample a small number of residents.