Villages of Jackson Creek

Nursing Home · Independence, MO

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number265820

Contact & location

3980 South Jackson Drive
Independence, MO 64057
Jackson County
Phone
(816) 795-1433
ZIP code
64057 – all care providers

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Facility details

Certified beds
120
Residents per day
106.6 (89% occupied)
Ownership
For profit - Limited Liability company
Legal name
Independence Community Healthcare LLC
Chain
Pacs Group (274 facilities, avg 2.9★)
Medicare certified since
February 22, 2008
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.5
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 2.2
Quality measures★★★★★ 4/5
State avg 2.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.36 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.21 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.95 (state 0.68 · U.S. 0.86)
Nurse aides
2.20 (state 2.29 · U.S. 2.32)
Weekend total
2.97 (state 3.02 · U.S. 3.42)
Nursing staff turnover
55.2 (state 56.0 · U.S. 45.8)%
RN turnover
33.3 (state 47.8 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
December 5, 2025
Health deficiencies (last cycle)
13.0 (state 11.5 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
39 health · 28 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-01-22 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Past Non-Compliance
2025-12-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 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.
F0849 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 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.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-05 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-04-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-29
2025-04-10 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-29
2025-04-10 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-29
2025-04-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-29
2024-10-31 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-12-03
2024-10-31 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-03
2024-05-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 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.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2024-05-07 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.
F0909 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-15
2022-08-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-09-23
2022-08-10 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-09-23
2022-08-10 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-09-23
2022-08-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-09-14
2022-08-10 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-23
2022-08-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-23
2022-08-10 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-23

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $29,186 in fines.

DateTypeAmount
2024-10-31Fine$29,186

Ownership & management

NameRoleSince
3980 South Jackson Drive LLC (organization)Administrator · NOT APPLICABLE
Bushman, Matthew (individual)Administrator · NOT APPLICABLE
Enriquez, Sol (individual)Administrator · NOT APPLICABLE
Hancock, Mark (individual)Administrator · NOT APPLICABLE
Martin, Dominique (individual)Administrator · NOT APPLICABLE
Murray, Jason (individual)Administrator · NOT APPLICABLE
Pacs Group, INC. (organization)Administrator · NOT APPLICABLE
Pacs Holdings, LLC (organization)Administrator · NOT APPLICABLE
Providence Administrative Consulting Services INC (organization)Administrator · NOT APPLICABLE
Zenzoo LLC (organization)Administrator · NOT APPLICABLE
Murray, Jason (individual)Corporate Director · NOT APPLICABLE
Jergensen, Joshua (individual)Corporate Officer · NOT APPLICABLE
Mitchell, John (individual)Corporate Officer · NOT APPLICABLE
Bluebird Master Tenant LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Murray, Jason (individual)Indirect Ownership Interest · NOT APPLICABLE
Pacs Group, INC. (organization)Indirect Ownership Interest · NOT APPLICABLE
Pacs Holdings, LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Providence Group INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Bushman, Matthew (individual)Operational/managerial Control · NOT APPLICABLE
Enriquez, Sol (individual)Operational/managerial Control · NOT APPLICABLE
Jergensen, Joshua (individual)Operational/managerial Control · NOT APPLICABLE
Lachance, Harris (individual)Operational/managerial Control · NOT APPLICABLE
Martin, Dominique (individual)Operational/managerial Control · NOT APPLICABLE
Mitchell, John (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Villages of Jackson Creek?

Villages of Jackson Creek has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Villages of Jackson Creek have?

It has 120 certified beds and cares for about 107 residents per day.

Has Villages of Jackson Creek been fined?

Yes. CMS lists 1 penalty totaling $29,186 in the last three years.

Who owns Villages of Jackson Creek?

It is part of Pacs Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Villages of Jackson Creek?

(816) 795-1433. The facility is located at 3980 South Jackson Drive, Independence, MO 64057.

Other nursing homes in Independence

Compare all nursing homes in Independence, MO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.