Lake Stockton Healthcare Facility

In the surveyor’s words

From the most serious findings on record at Lake Stockton Healthcare Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Apr 29, 2022

  Based on interview and record review, the facility failed to have a registered nurse (RN) work for eight consecutive hours seven days per week and failed to ensure the Director of Nursing (DON) did not serve as charge nurse with a census of greater than 60. The facility census was 85. Record review showed the facility did not provide a policy regarding RN staffing. 1. Record review of the facility provided nurse schedules, dated 01/01/2022 through 01/31/2022, showed no RN coverage on any shift for the following dates: -1/4/2022; -1/8/2022; -1/9/2022; -1/10/2022; -1/13/2022; -1/14/2022; -1/18/2022; -1/19/2022; -1/22/2022; -1/26/2022. […]

• No harm, potential for more than minimal, widespreadF812Apr 29, 2022

  Based on observation, interview, and record review, the facility failed to keep food safe from potential contamination when staff stacked dishes while still wet and stored dented cans with other cans to be used by staff for food preparation. The facility census was 85. 1. Record review of the facility policies showed the facility did not provide a policy regarding air-drying dishes and/or utensils. Record review of the 2017 Food Code, issued by the Food and Drug Administration, showed the following information: -After cleaning and sanitizing, equipment and utensils shall be air-dried or used after adequate draining before contact with food; - Items must be allowed to drain and to air-dry before being stacked or stored. […]

• No harm, potential for more than minimal, patternF607Apr 2, 2026

  Based on interview and record review, the facility failed to fully implement their abuse and neglect prevention policies, when the facility failed to complete a criminal background check (CBC), an employee disqualification list (EDL - a list of individual prohibited from working in a long-term care facility in Missouri due to a finding of abuse or neglect) check, and a Nurse Aide (NA) Registry (list of individual with a Federal Indicator (a marker given to a potential employee who has committed abuse, neglect, or misappropriation of property against residents) prohibiting them from working in a certified facility) check for three sampled staff (Registered Medication Technician (RMT) G, Domestic Care Technician (DCT) M's, and Housekeeper (HK) N). […]

• No harm, potential for more than minimal, patternF919Apr 2, 2026

  Based on observation, interview, and record review, the facility failed to provide residents with an approved call light system when the facility failed to have a process in place to notify staff of call light notifications when they could not be heard on the halls, when the electronic scroll boards were not accurate on all boards, when call light boxes were not functioning for two residents (Resident #5 and #36), and when one resident (Resident #59) did not have an pull string on his/her bathroom emergency call light out of a sample of 18 residents. The facility census was 85. Review showed the facility did not provide a policy related to call lights. 1. […]

• No harm, potential for more than minimal, patternF561Apr 29, 2022

  Based on observation, interview, and record review, the facility failed to ensure the staff provided showers, baths, or grooming assistance as preferred for three residents (Resident #37, #47, and #74) who were unable to perform their own activities of daily living of showering/bathing or grooming. The facility had a census of 85. Record review showed the facility did not provide a policy for showers and grooming or a copy of a facility shower schedule for residents. 1. Interviews and observations during the Resident Council Meeting on 4/26/2022, at 10:49 A.M., showed the following: -Residents #25, #30, #42, #44, #47, #61, #67, #75, and #81 attended the meeting; -All nine residents in attendance agreed residents were not getting enough showers; -Resident #30 did not speak, but shook… […]