Lake Stockton Healthcare Facility
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
immediately;-He/she filled out a report of concern (ROC) that would be sent to the Administrator and DON;-The DON or Administrator reported to DHSS immediately.During an interview on 01/01/26, at 12:44 P.M., Certified Medication Technician (CMT) C said the following:-If he/she witnessed a resident-to-resident altercation, he/she separated the residents and reported to the charge nurse immediately;-The DON or Administrator reported to DHSS within 24 hours;-The DON or Administrator should have reported the altercation between Resident #1 and Resident #2 to DHSS. During an interview on 01/01/26, at 1:01 P.M., CNA D said the following:-If he/she witnessed a resident-to-resident altercation, he/she separated the residents and reported to the charge nurse immediately;-The DON or Administrator reported to DHSS within 24 hours;-If Resident #1 and Resident #2 had an altercation, the DON or Administrator should have reported to DHSS.During an interview on 01/01/26, at 1:13 P.M., Licensed Practical Nurse (LPN) E said the following: -If he/she witnessed a resident-to-resident altercation, he/she separated the residents and reported to the DON immediately. He/she also sent the residents out for psychiatric consult, notified the resident physician and responsible party, assessed the residents for injuries, and completed an incident and ROC report;-The altercation was reported by the DON or Administrator to DHSS, but he/she did not know how long they had to report;-If Resident #1 and #2 had an altercation, the DON or Administrator should have reported the incident to DHSS. During an interview on 01/01/26, at 2:25 P.M., Registered Nurse (RN) F said the following:-If a CNA or CMT witnessed a resident-to-resident altercation, they should separate the residents and report to the charge nurse immediately;-The charge nurse assessed the residents and reported to the DON immediately;-The DON or Administrator reported to DHSS within two hours;-The DON or Administrator should have reported the altercation between Resident #1 and #2 to DHSS.During an interview on 01/01/26, at 2:43 P.M., the DON said the following:-If staff witnessed a resident-to-resident altercation, the CNA or CMT reported to the charge nurse immediately and the charge nurse reported to the DON or Administrator immediately after the residents were assessed;-The Administrator reported to DHSS within two hours;-The charge nurse notified the physician and residents responsible parties and placed the residents on increased monitoring if needed;-All allegations of abuse were reported to DHSS within two hours;-On 10/17/25, he/she received a call from the charge nurse that Resident #1 threw a spoon at Resident #2 and then Resident #1 went over to Resident #2 and the nurse was not sure if Resident #1 shoved Resident #2 or if Resident #1 tripped and fell on Resident #2. The nurse reported that both residents fell with Resident #2 still in the chair;-Staff separated the residents and the nurse assessed and neither had any injuries;-He/she asked the nurse to make an incident report;-The incident between the residents should have been reported to DHSS. He/she did not report to DHSS and did not know if anyone else did;-He/she was responsible for ensuring staff know when to report abuse.During
an interview on 01/01/26, at 1:46 P.M. and 3:04 P.M., the Administrator said the following:-If staff witnessed
a resident-to-resident altercation, the CNA or CMT separated the residents and reported to the charge nurse immediately. The charge nurse assessed the residents and reported to the on-call RN immediately and notified the residents' responsible parties and physicians. The on-call RN reported to the DON and Administrator immediately;-He reported to DHSS within two hours;-All allegations of abuse were reported to DHSS;-He called the DON and agreed to keep the residents separated;-He did not report the incident to DHSS because he thought if two confused residents were involved and there was no harm, he did not have to report to DHSS;-He should have been reported the incident to DHSS;-He was ultimately responsible for ensuring all staff know what to report and when to report it.#2705258
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LAKE STOCKTON HEALTHCARE FACILITY in STOCKTON, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in STOCKTON, MO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LAKE STOCKTON HEALTHCARE FACILITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.