Missouri › Cape Girardeau County › Jackson
Hubble Creek
1115 K Land Drive, Jackson, MO 63755
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 105 beds, Hubble Creek serves Jackson in Cape Girardeau County, Missouri and has taken Medicare and Medicaid residents since 2001.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 1 and quality measures 2.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (6, 13, 23 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 40.0 per 100 beds, about the same as the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Missouri median of 3.4.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Cape Girardeau Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 42 | 20 | 31 | 28.7 |
| Citations per 100 beds | 40.0 | 37.5 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | — | 65.7% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (8 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Feb 2026, 8 Nov 2024.
Severity mix: K ×1 G ×1 D ×35 E ×3 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Feb 2026 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard survey | 28 Mar 2026 |
| 12 Feb 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 28 Mar 2026 |
| 12 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Mar 2026 |
| 12 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 28 Mar 2026 |
| 12 Feb 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 28 Mar 2026 |
| 12 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Mar 2026 |
| 8 Nov 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Dec 2024 |
| 8 Nov 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 20 Dec 2024 |
| 21 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Apr 2024 |
| 29 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 1 Nov 2023 |
| 29 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Sep 2023 |
| 29 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 21 Sep 2023 |
| 4 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | K | Standard survey | 15 Dec 2023 |
| 4 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Nov 2023 |
| 4 Aug 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 1 Nov 2023 |
| 4 Aug 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 18 Sep 2023 |
| 4 Aug 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 18 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.9% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.2% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.5% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.0% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Hubble Creek Llc. Chain: Paradigm Senior Management (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Forvis Mazars LLP | Operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| Paradigm Rehab Services LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| Paradigm Senior Management LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Jackson Care Center LLC | Adp of the snf | NOT APPLICABLE | 04/27/2016 |
| Paradigm Rehab Services LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Paradigm Senior Management LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cape Girardeau County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Fountainbleau Lodge | Cape Girardeau | 33 | 5 | 4 | 5 | 20 | 60.6 | $9K | 4 Sep 2025 |
| Lutheran Home, The | Cape Girardeau | 274 | 5 | 5 | 5 | 8 | 2.9 | — | 28 Mar 2025 |
| Heartland Care and Rehabilitation Center | Cape Girardeau | 102 | 4 | 5 | 1 | 11 | 10.8 | — | 17 Nov 2025 |
| Jackson Manor | Jackson | 90 | 4 | 5 | 1 | 15 | 16.7 | — | 22 Aug 2025 |
| Chateau Girardeau | Cape Girardeau | 75 | 3 | 4 | 3 | 20 | 26.7 | — | 10 Apr 2026 |
| Ratliff Care Center | Cape Girardeau | 46 | 3 | 4 | 1 | 20 | 43.5 | — | 30 May 2025 |
| Life Care Center of Cape Girardeau | Cape Girardeau | 120 | 1 | 2 | 1 | 45 | 37.5 | $150K | 16 Dec 2025 |
All 8 facilities in Cape Girardeau County
Questions and answers
How many deficiencies has Hubble Creek been cited for?
42 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Hubble Creek been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Hubble Creek compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Hubble Creek?
It is part of the Paradigm Senior Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Forvis Mazars LLP, Paradigm Rehab Services LLC and Paradigm Senior Management LLC. Individual owners and managers are not listed on this site.
When was Hubble Creek last inspected?
The most recent survey or investigation in the CMS record is dated 12 Feb 2026; the most recent standard health survey was 12 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.