{
 "id": "265466",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Lake Stockton Healthcare Facility",
 "slug": "lake-stockton-healthcare-facility",
 "path": "/mo/cedar/stockton/lake-stockton-healthcare-facility",
 "address": {
  "street": "1523 3RD ROAD",
  "city": "Stockton",
  "county": "Cedar",
  "state": "MO",
  "state_name": "Missouri",
  "zip": "65785"
 },
 "phone": "4172765126",
 "coords": [
  37.682122,
  -93.804294
 ],
 "capacity": 90,
 "residents_per_day": 84,
 "status": "Medicare and Medicaid",
 "licensee": "Citizens Memorial Health Care Foundation",
 "administrator": null,
 "licensed_since": "1991-09-20",
 "last_visit": "2024-03-21",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "Non profit - Corporation",
  "chain": "CITIZENS MEMORIAL HEALTH CARE",
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 5,
   "health_inspection": 5,
   "staffing": 3,
   "quality": 2
  },
  "cycle1": {
   "date": "2024-03-21",
   "total": 2,
   "standard": 1,
   "complaint": 1
  },
  "fines": {
   "count": 0,
   "dollars": 0,
   "penalties": 0
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.37612,
   "turnover_pct": 44.2
  },
  "on_record": {
   "immediate_jeopardy": 0,
   "actual_harm": 0,
   "potential_harm": 15,
   "minimal": 2
  },
  "penalties_on_file": {
   "count": 0,
   "dollars": 0
  },
  "owners": [
   {
    "name": "CALHOUN, MICHAEL",
    "role": "Individual",
    "since": "since 01/01/2022",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "DERRICKSON, BEVERLY",
    "role": "Individual",
    "since": "since 01/01/2020",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "FINNELL, HEATHER",
    "role": "Individual",
    "since": "since 11/21/2021",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MCBRATNEY, CHRISTOPHER",
    "role": "Individual",
    "since": "since 09/08/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MEYER, RENEE",
    "role": "Individual",
    "since": "since 01/01/2020",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ASHWORTH, JAMES",
    "role": "Individual",
    "since": "since 06/20/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "BABB, DONALD",
    "role": "Individual",
    "since": "since 09/24/1986",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "CALHOUN, MICHAEL",
    "role": "Individual",
    "since": "since 01/01/2022",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "DERRICKSON, BEVERLY",
    "role": "Individual",
    "since": "since 11/21/2016",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HANCOCK, JANIECA",
    "role": "Individual",
    "since": "since 03/15/2018",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "KALLENBACH, JOHN",
    "role": "Individual",
    "since": "since 06/20/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MEENTS, DANA",
    "role": "Individual",
    "since": "since 10/14/2010",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2026-01-01",
   "tag": "0609",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-03-21",
   "tag": "0582",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2022-04-29",
   "tag": "0727",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2022-04-29",
   "tag": "0812",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2022-04-29",
   "tag": "0561",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2022-04-29",
   "tag": "0695",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2022-04-29",
   "tag": "0880",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2022-04-29",
   "tag": "0677",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2022-04-29",
   "tag": "0732",
   "sev": "C",
   "complaint": false
  },
  {
   "date": "2019-06-10",
   "tag": "0550",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2019-06-10",
   "tag": "0623",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2019-06-10",
   "tag": "0725",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2019-06-10",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2019-06-10",
   "tag": "0880",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2019-06-10",
   "tag": "0583",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2019-06-10",
   "tag": "0690",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2019-06-10",
   "tag": "0732",
   "sev": "C",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "265466"
 }
}