Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lake Stockton Healthcare Facility during CMS and state inspections, most recent first.
Failure to complete required pre-employment background checks occurred when the facility did not fully carry out its abuse and neglect prevention policy for three staff members. Records showed delayed or incomplete CBC, EDL, FCSR, and NA Registry checks, while the BOM, DON, and Administrator all stated that these checks should be finished before orientation and before staff begin work.
A facility failed to maintain a working call light system in resident bathrooms and bathing areas. Two residents reported call lights that did not work properly, one resident’s bathroom emergency call light lacked a pull string, and surveyors observed inaccurate or mismatched scroll boards across halls and nursing stations. Staff stated the wireless system had no audible alert at resident rooms or the nursing station, pagers were no longer available, and the hall boards did not work together with the older system.
A resident with CHF, chronic respiratory failure, and bilateral edema did not receive consistent daily weight monitoring, and staff failed to document multiple weights and failed to notify the provider of two significant weight gains. The record showed the resident had a physician note indicating daily weights were needed, but the POS did not include that order, and repeated gaps in weight documentation occurred. Staff interviews confirmed that CHF residents should be weighed daily, unusual gains should be reweighed and reported, and provider notification should be documented.
Failure to Track and Communicate Significant Weight Loss: A resident with cognitive impairment had a steady decline in wt, decreased appetite, and decreased energy, with losses progressing from stable weights to a 10-lb loss in one month and further decline over the next several weeks. Staff documented the wt loss at meetings but did not document MD or RD notification, and the care plan was not updated to reflect the ongoing unplanned wt loss or the interventions in place. The RD initially assessed the resident as stable and later noted significant negative wt change and decreased oral intake.
A physical altercation occurred between two residents with severe cognitive impairment, resulting in both falling to the floor. Although staff separated the residents, assessed them for injuries, and notified their families and physicians, the required report to DHSS was not made within the mandated two-hour timeframe. Interviews revealed confusion among staff and leadership regarding reporting requirements, leading to a deficiency in timely reporting of suspected abuse.
The facility failed to issue a Skilled Nursing Facility Advanced Beneficiary (SNFABN) notice to a resident who remained in the facility for long-term care with Medicare A days available. The Social Services Director and Social Worker were unaware of the requirement and confirmed the absence of a policy for issuing SNFABNs.
Failure to Complete Required Pre-Employment Background Checks
Penalty
Summary
Develop and implement policies and procedures to prevent abuse, neglect, and theft was not fully implemented when the facility failed to complete required criminal background check, employee disqualification list, and Nurse Aide Registry checks for three sampled staff members. The facility policy stated that background checks would be performed for applicants being considered for employment, that the appropriate state agency disqualification list would be monitored for anyone performing direct resident care, and that new employees were not authorized to begin work until the criminal background check and other required checks were completed. Review of personnel records showed that a Registered Medication Technician had a hire date of 02/23/26, but the criminal background check was not requested until 03/31/26, and the Family Care Safety Registry and EDL were completed on 03/31/26. A Domestic Care Technician hired on 05/06/24 and a Housekeeper hired on 10/28/24 each had only a Nurse Aide Registry check completed on 03/31/26. During interviews, the Business Office Manager, DON, and Administrator all stated that background checks should be completed before orientation and before employees begin work, and that new hires should not start until the CBC, EDL, FCSR, and NA checks are complete.
Call Light System Not Working or Not Reliably Notifying Staff
Penalty
Summary
The facility failed to provide a working call system in resident bathrooms and bathing areas and failed to maintain an approved call light notification process. Surveyors observed that the facility did not have a process to notify staff when call light notifications could not be heard in the halls, the electronic scroll boards were not accurate on all boards, call light boxes were not functioning for two residents, and one resident did not have a pull string on the bathroom emergency call light. The facility also did not provide a policy related to call lights. Resident #36 was cognitively intact and used a walker and wheelchair. The resident required varying levels of assistance with oral hygiene, toileting hygiene, dressing, personal hygiene, sit-to-stand, transfers, and showering. During observation and interview, the resident stated the call light did not work and that he or she had to go tell staff when assistance was needed. When the resident pressed the call button, the outside light did not illuminate, and the scroll board at the nursing station did not show the room as requiring assistance. On a later observation, the resident again pressed the call light, but the outside light still did not illuminate and the resident said it often did not light up. Resident #5 was cognitively intact, used a wheelchair, and required partial to moderate assistance with oral hygiene, substantial to maximal assistance with dressing, and dependence on staff for toileting hygiene, showering, personal hygiene, and transfers. During interview, the resident said the call light had not been working properly, staff had come in and switched the cord, and the resident could not tell whether the outside light was illuminated. Resident #59 had Alzheimer’s disease, used a wheelchair, and required substantial to maximal assistance with toileting. Observation showed the bathroom emergency call light button without a pull string. The DON and Administrator stated the bathroom emergency call light should have a string that reaches to the floor and should have a pull string. Surveyors also observed that the scroll boards were inaccurate or mismatched across halls and nursing stations. At different times, hall boards showed call lights or incorrect times and days that did not match the nursing station boards, and some boards showed no call lights when others did. Staff interviews confirmed the system was wireless, had no audible sound at the resident rooms or nursing station, and that the newly added hall boards did not work together with the older system because of software incompatibility. Staff also stated pagers that previously alerted staff were no longer available, and that if the system did not work, staff should rely on walking rounds.
Failure to Follow Daily Weight Orders and Report Significant Weight Gain
Penalty
Summary
The facility failed to provide care according to orders and resident condition for a resident with CHF, chronic respiratory failure, and bilateral lower extremity edema. The resident’s record showed a physician note stating the resident needed daily weights, had chronic edema, remained on Lasix, and nursing staff were to notify the provider of any worsening condition. However, the current physician order sheet did not contain an order for daily weights, and staff did not document weights on multiple days throughout the review period. The resident’s documented weights showed significant fluctuations, including a weight of 235.8 pounds after a prior weight of 220 pounds, a gain of 15.8 pounds in 3 days, and another weight of 236 pounds the next day, a gain of 16 pounds. Staff did not document physician notification for either of those weight gains. Later weights also showed a gain of 14.2 pounds when the resident weighed 240 pounds, and staff again did not document notification of the physician. The record also showed repeated gaps in daily weight documentation across the month, despite the resident being identified by staff as a daily weight resident. Interviews with CNA, RN, LPN, NP, DON, and the Administrator confirmed that residents with CHF should have daily weights, that unusual weight gains should be reweighed and reported, and that physician notification and assessment should be documented. The NP stated the resident should be on daily weights and that staff should notify the physician or NP of significant weight gain. The resident’s chart, however, did not consistently reflect daily weights, and the two significant weight gains identified in the record were not documented as having been reported to the physician.
Failure to Track and Communicate Significant Weight Loss
Penalty
Summary
The facility failed to ensure acceptable nutritional status for a resident with a documented pattern of unplanned weight loss. The resident had diagnoses including other symptoms and signs involving cognitive functions and awareness, and weights recorded over time showed a decline from 160 pounds 3.2 ounces to 158 pounds, then 156 pounds 12.8 ounces, followed by 146 pounds 3.2 ounces and later 140 pounds 8 ounces. The resident also had decreased energy levels, decreased appetite, and required supervision or touching assistance with eating according to the quarterly MDS assessment. The resident's weight loss was not consistently documented or communicated. After the resident lost 10 pounds in one month, the MDS coordinator documented that the resident had lost 10 pounds and that the plan was to continue to monitor, but the record did not show physician or RD notification of the unplanned weight loss. The record also showed another 6-pound loss in 16 days, and again there was no documentation of physician or RD notification. The RD's quarterly assessment shortly before the major decline documented the resident as stable and recommended no nutrition intervention. The resident's care plan was not updated to reflect the ongoing unplanned weight loss or the interventions that were later in place. The record later showed the resident had lost 16 pounds over two months, with decreased appetite and decreased energy, and the psych provider changed medications, including stopping trazodone and starting Remeron for appetite, sleep, and depression concerns. The RD later documented a negative 9.6% weight change in three months and negative 14% in six months, along with soda pop with every meal, double dessert at lunch, and possible benefit from assisted table cueing, but the care plan reviewed afterward still did not reflect the unplanned weight loss or current interventions.
Failure to Timely Report Resident-to-Resident Physical Altercation
Penalty
Summary
The facility failed to report an allegation of possible physical abuse between two residents to the State Survey Agency (SSA) within the required two-hour timeframe. The incident involved one resident throwing a spoon at another during lunch, followed by a physical altercation in which one resident pushed the other, resulting in both residents falling to the floor. The event was witnessed by a family member and staff, and both residents were assessed for injuries, with none observed. However, there was no documentation that the incident was reported to the Department of Health and Senior Services (DHSS) as required by facility policy and state regulations. Both residents involved had severe cognitive impairment and diagnoses including Alzheimer's disease, with one resident also having sick sinus syndrome. Their care plans did not address any prior history of resident-to-resident altercations. Staff responded to the incident by separating the residents, assessing them for injuries, and notifying their families and physicians. Despite these actions, the required notification to DHSS was not completed or documented. Interviews with staff, including CNAs, a CMT, an LPN, the DON, and the Administrator, revealed inconsistent understanding of the reporting requirements. Some staff believed that reporting to DHSS was required within 24 hours, while others stated it should be done within two hours. The DON and Administrator both acknowledged that the incident should have been reported to DHSS, but neither completed the report, with the Administrator stating he believed it was not necessary if both residents were confused and there was no harm. This failure to report the incident constituted a deficiency in timely reporting of suspected abuse as required by policy and regulation.
Failure to Issue SNFABN Notice
Penalty
Summary
The facility failed to issue a Skilled Nursing Facility Advanced Beneficiary (SNFABN) Form CMS-10055 (2018) notice to a resident who remained in the facility for long-term care with Medicare A days available. The resident, who was admitted to the facility and later hospitalized for pneumonia, returned to the facility and received intravenous (IV) antibiotics. A Notice of Medicare Non-Coverage (NOMNC) was issued with the last covered day noted, but the staff did not document that the resident was issued a SNFABN, despite the resident still having Medicare A days available. During interviews, the Social Services Director (SSD) and the Social Worker (SW) both indicated a lack of awareness and policy regarding the issuance of SNFABNs. The SSD was unaware that the resident should have received a SNFABN, and the SW confirmed that there was no existing policy for NOMNCs and SNFABNs after consulting the company's intranet and other buildings owned by the same group.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 17 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Stockton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Big Spring Care Center For Rehab And Healthcare | 14.6 mi | ★★★★★ | 3 | 0 |
| Northwood Hills Care Center | 14.8 mi | ★★★★★ | 3 | 0 |
| Community Springs Healthcare Facility | 16.9 mi | ★★★★★ | 0 | 0 |
| Citizens Memorial Healthcare Facility | 21.3 mi | ★★★★★ | 11 | 0 |
| Parkview Health Care Facility | 21.7 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Lake Stockton Healthcare Facility.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.