01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-02 | 5 | 2026-04-02 | 0 |
| Cycle 2 | 2024-03-21 | 1 | 2024-03-21 | 3 |
| Cycle 3 | 2022-04-29 | 7 | 2022-04-29 | 1 |
CMS CCN 2654662026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lake Stockton Healthcare Facility
1523 3Rd Road · Stockton, MO 65785 · Cedar County
Certified beds90CMS provider file
Recent citation rows17current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
17 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-02 · HEALTHF0607Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2026-05-172026-04-02 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-05-172026-04-02 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-05-172026-04-02 · HEALTHF0919Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2026-05-172026-01-01 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-02-14 · complaint2024-03-21 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2024-03-272024-03-21 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-03-222024-03-21 · FIREK0341Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-05-092024-03-21 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-04-052022-04-29 · HEALTHF0561Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2022-06-132022-04-29 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2022-06-132022-04-29 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2022-06-132022-04-29 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2022-06-132022-04-29 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2022-06-132022-04-29 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2022-06-132022-04-29 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2022-06-132022-04-29 · FIREK0361Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Correction field: Deficient, Provider has date of correction · 2022-06-1303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CALHOUN, MICHAELIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2022
- DERRICKSON, BEVERLYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2020
- FINNELL, HEATHERIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/21/2021
- MCBRATNEY, CHRISTOPHERIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/08/2019
- MEYER, RENEEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2020
- ASHWORTH, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/20/2019
- BABB, DONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/24/1986
- CALHOUN, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- DERRICKSON, BEVERLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/21/2016
- HANCOCK, JANIECAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/15/2018
- KALLENBACH, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/20/2019
- MEENTS, DANAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/14/2010
- BANNER, KATRINAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/17/2022
- CALHOUN, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2022
- DAWSON, ERANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2022
- DERRICKSON, BEVERLYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- FULBRIGHT, GARYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/17/2022
- HANCOCK, JANIECAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/15/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.38per resident day
RN hours0.59per resident day
Weekend nurse hours3.10per resident day
Staff turnover44.2%CMS reported field
06 / LOCAL RECORDS
Open the Missouri ledger →Other published facilities nearby
No second facility in the same city met the directory rule.