Deficiency Index

Loch Haven

Macon, Missouri · CCN 265200

34 surveys since 2011. The first finding at harm level was recorded in 2016.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
108
Surveys
34
Harm or worse
5
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file28/34

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
100
Ownership
Government - County
Chain
Independent
County
Macon · rural
Medicare-certified since
1983

CMS ratings

Overall
2
Health inspection
2
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 140 facilities of 100–127 beds in Missouri.

Last survey on record

Aug 21, 2025

445 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.573.71
Registered-nurse hours per resident day0.39—
Annual nurse turnover29.8%50.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$77,841 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ13.1%K—L—
Actual harmG13.1%H—I—
No harm, potential for more than minimalD721.9%E1959.4%F39.4%
No harm, potential for minimalA—B—C13.1%
CMS’s current file: 32 of the 108 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

In the surveyor’s words

From the most serious findings on record at Loch Haven, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Mar 12, 2024

    Based on observation, interview, and record review, the facility failed to adequately monitor one resident's (Resident #1's) monitoring device (a small wristwatch-sized device (Tag) worn by a resident or attached to an asset (wheelchair, walker) that will trigger an alarm if in close proximity of an activation field; usually an exit door), per the manufacturer's instructions to ensure it functioned appropriately and would alert staff if the resident attempted to leave the facility without staff knowledge, in a review of 14 sampled residents. The resident was assessed as at risk for elopement and utilized a monitoring device as an intervention to address that risk. […]

  • Actual harm, isolatedF684Mar 7, 2025

    Based on interview and record review, the facility failed to ensure one resident (Resident #2), in a review of seven sampled residents, received the necessary care and services in accordance with professional standards of practice when the facility failed to assess and report Resident #2's complaint of right eye pain, redness, watering, and blurry and dim vision timely. The resident was involved in a physical altercation with Resident #1 on 02/10/25, where both resided on the facility's Special Care Unit (SCU - dementia care unit). Resident #2 reported to family and staff in the days following that his/her eye hurt. […]

  • No harm, potential for more than minimal, widespreadF812Aug 13, 2026

    Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards for food service safety. Staff failed to securely seal, label, date or store food items according to the facility policy. Staff failed to ensure surfaces and equipment were free from buildup of grease and debris and failed to ensure the dry storage room floor was clean, free of mouse droppings and debris. The facility failed to ensure the kitchen floors, walls and baseboards were clean and free of debris and failed to store dishes in a sanitary manner. The facility census was 69. […]

  • No harm, potential for more than minimal, widespreadF812Aug 11, 2025

    Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. Staff did not securely seal, label, date, or store food items per manufacturer's instructions. Staff did not practice proper hand and glove hygiene, hair restraint usage, and consumption of personal food items. Staff did not maintain surfaces and equipment to be free from a buildup of grease and debris and did not ensure surfaces were sanitized properly. Staff did not ensure dishes and utensils were stored and handled in a sanitary manner. The facility census was 73. 1. […]

  • No harm, potential for more than minimal, widespreadF812Nov 2, 2023

    Based on observations, interviews, and facility policy review, the facility failed to ensure that food was stored and served according to professional food safety standards. Specifically, the facility failed to date opened food items stored in the reach-in cooler and failed to ensure staff used appropriate hand hygiene and glove use when handling ready-to-eat foods. Findings included: 1. A review of a facility policy titled Food Storage (Dry, Refrigerated, and Frozen), dated 2020, revealed All food items will be labeled. The label must include the name of the food and the date by which it should be sold, consumed, or discarded. […]

Read 23 findings in full →The most serious and the most recent: 23 of 108 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 13, 2026Complaint1 finding
  • Aug 21, 2025Complaint1 finding
  • Aug 11, 2025Standard16 findings
  • Mar 7, 2025Complaint1 finding · 1 harm
  • Mar 12, 2024Complaint1 finding · 1 harm
  • Nov 2, 2023Standard6 findings
  • Jun 1, 2023Complaint1 finding
  • Feb 14, 2023Complaint1 finding
Show the 26 earlier surveys
  • Mar 17, 2022Complaint1 finding
  • Jun 17, 2021Complaint1 finding
  • Feb 4, 2021Complaint2 findings
  • Mar 6, 2020Complaint1 finding · 1 harm
  • Jan 16, 2020Standard7 findings
  • Sep 18, 2019Complaint1 finding
  • Jun 26, 2019Complaint2 findings
  • Mar 15, 2019Standard6 findings
  • Oct 29, 2018Complaint2 findings
  • Aug 29, 2018Complaint1 finding
  • May 11, 2018Complaint1 finding · 1 harm
  • Mar 8, 2018Complaint2 findings
  • Feb 1, 2018Standard6 findings
  • Nov 17, 2017Complaint1 finding
  • Apr 27, 2017Standard15 findings
  • Feb 10, 2017Complaint6 findings
  • Jul 5, 2016Complaint1 finding · 1 harm
  • Feb 3, 2016Standard3 findings
  • Apr 2, 2015Standard2 findings
  • May 8, 2014Standard2 findings
  • Jun 6, 2013—2 findings
  • Apr 12, 2012—1 finding
  • Aug 1, 2011—2 findings
  • Jun 9, 2011—7 findings
  • Apr 14, 2011—3 findings
  • Mar 10, 2011—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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