Missouri › Jackson County › Independence
Villages of Jackson Creek
3980 South Jackson Drive, Independence, MO 64057
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 120 beds, Villages of Jackson Creek serves Independence in Jackson County, Missouri and has taken Medicare and Medicaid residents since 2008.
CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (13, 19, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 32.5 per 100 beds, about the same as the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $29K.
Reported nurse staffing is 3.4 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 55.2%.
Compared with county, state and nation
| Measure | This facility | Jackson Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 39 | 46 | 31 | 28.7 |
| Citations per 100 beds | 32.5 | 43.9 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.3 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 55.2% | 57.7% | 56.1% | 45.8% |
| Fines listed | $29,186 | $0 | $0 | — |
County and state figures are medians across facilities (39 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: 5 Dec 2025, 7 May 2024.
Severity mix: J ×1 D ×23 E ×12 F ×3
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 |
|---|---|---|---|---|---|
| 22 Jan 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | Past Non-Compliance |
| 5 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Jan 2026 |
| 5 Dec 2025 | 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 | 12 Jan 2026 |
| 5 Dec 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard survey | 12 Jan 2026 |
| 5 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Jan 2026 |
| 5 Dec 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 12 Jan 2026 |
| 5 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 12 Jan 2026 |
| 5 Dec 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 12 Jan 2026 |
| 5 Dec 2025 | 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 | Standard survey | 12 Jan 2026 |
| 5 Dec 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 12 Jan 2026 |
| 5 Dec 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 12 Jan 2026 |
| 5 Dec 2025 | 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 | 12 Jan 2026 |
| 5 Dec 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 12 Jan 2026 |
| 10 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 May 2025 |
| 10 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 May 2025 |
| 10 Apr 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 29 May 2025 |
| 10 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 May 2025 |
| 31 Oct 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J | Complaint investigation | 3 Dec 2024 |
| 31 Oct 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 3 Dec 2024 |
| 7 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Jun 2024 |
| 7 May 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. | E | Standard survey | 15 Jun 2024 |
| 7 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 15 Jun 2024 |
| 7 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 15 Jun 2024 |
| 7 May 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 15 Jun 2024 |
| 7 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Jun 2024 |
| 7 May 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 15 Jun 2024 |
| 7 May 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 15 Jun 2024 |
| 7 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Jun 2024 |
| 7 May 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 15 Jun 2024 |
| 7 May 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 15 Jun 2024 |
| 7 May 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 15 Jun 2024 |
| 7 May 2024 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 15 Jun 2024 |
| 10 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 23 Sep 2022 |
| 10 Aug 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 23 Sep 2022 |
| 10 Aug 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 23 Sep 2022 |
| 10 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Sep 2022 |
| 10 Aug 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 23 Sep 2022 |
| 10 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Sep 2022 |
| 10 Aug 2022 | 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 | 23 Sep 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 31 Oct 2024 | Fine | $29,186 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 55.2%, RNs 33.3%; 2 administrators 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 | 15.1% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.5% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.7% | 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: Independence Community Healthcare Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bluebird Master Tenant LLC | Direct ownership interest | NOT APPLICABLE | 08/02/2023 |
| Pacs Group, Inc. | Indirect ownership interest | NOT APPLICABLE | 08/02/2023 |
| Pacs Holdings, LLC | Indirect ownership interest | NOT APPLICABLE | 08/02/2023 |
| Providence Group Inc | Indirect ownership interest | NOT APPLICABLE | 08/02/2023 |
| 3980 South Jackson Drive LLC | Adp of the snf | NOT APPLICABLE | 03/01/2024 |
| Pacs Group, Inc. | Adp of the snf | NOT APPLICABLE | 03/01/2024 |
| Pacs Holdings, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2024 |
| Providence Administrative Consulting Services Inc | Adp of the snf | NOT APPLICABLE | 03/01/2024 |
| Zenzoo LLC | Adp of the snf | NOT APPLICABLE | 03/01/2024 |
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 Jackson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hope Care Center | Kansas City | 16 | 5 | 4 | 4 | 27 | 168.8 | — | 9 Sep 2025 |
| Ignite Medical Resort Blue Springs | Blue Springs | 90 | 5 | 4 | 2 | 14 | 15.6 | — | 24 Apr 2025 |
| Jeanne Jugan Center | Kansas City | 52 | 5 | 5 | 5 | 4 | 7.7 | — | 6 Aug 2025 |
| Sunterra Springs Independence | Independence | 38 | 5 | 4 | 3 | 22 | 57.9 | — | 10 Feb 2025 |
| John Knox Village Care Center | Lees Summit | 324 | 4 | 4 | 4 | 20 | 6.2 | — | 30 Apr 2025 |
| Seasons Rehab and Healthcare Center | Kansas City | 78 | 4 | 4 | 2 | 23 | 29.5 | — | 11 Feb 2026 |
| University Health Lakewood Medical Center | Kansas City | 188 | 4 | 4 | 4 | 25 | 13.3 | $15K | 20 Mar 2026 |
| Bishop Spencer Place, Inc, The | Kansas City | 57 | 3 | 3 | 4 | 25 | 43.9 | $8K | 9 Jan 2026 |
All 39 facilities in Jackson County
Questions and answers
How many deficiencies has Villages of Jackson Creek been cited for?
39 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Villages of Jackson Creek been fined?
Yes. CMS lists fines totalling $29K in the period covered.
How does staffing at Villages of Jackson Creek compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Villages of Jackson Creek?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Bluebird Master Tenant LLC, Pacs Group, Inc. and Pacs Holdings, LLC. Individual owners and managers are not listed on this site.
When was Villages of Jackson Creek last inspected?
The most recent survey or investigation in the CMS record is dated 22 Jan 2026; the most recent standard health survey was 5 Dec 2025.
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.