VILLAGES OF JACKSON CREEK

CCN 265820 · INDEPENDENCE COMMUNITY HEALTHCARE LLC · For profit - Limited Liability company · PACS GROUP chain · 120 certified beds · Jackson · MO


VILLAGES OF JACKSON CREEK is a 120-bed nursing home in INDEPENDENCE, Missouri. CMS has certified it for Medicare and Medicaid since 2008-02-22. It averages 106.6 residents a day.

What harm was found in the violations cited at VILLAGES OF JACKSON CREEK?

CMS lists 39 health-inspection deficiencies for VILLAGES OF JACKSON CREEK since 2022-08-10, 32 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-22.

Survey dateTagDeficiencySeverity
2026-01-22F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-12-05F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-12-05F0584, F0849, F0880, F0921Honor 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. / 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. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-12-05F0550, F0688, F0690, F0692, F0693, F0756, F0804Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2025-04-10F0580, F0684, F0698, F0880Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide and implement an infection prevention and control program.D
2024-10-31F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.J
2024-10-31F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2024-05-07F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-05-07F0584, F0658, F0804, F0813, F0880Honor 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program.E
2024-05-07F0645, F0679, F0689, F0698, F0699, F0700, F0909PASARR screening for Mental disorders or Intellectual Disabilities / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / 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. / 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
2022-08-10F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2022-08-10F0756, F0757, F0880Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program.E
2022-08-10F0658, F0689, F0758Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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

Why was VILLAGES OF JACKSON CREEK fined?

DateTypeAmount
2024-10-31Fine$29,186

How is VILLAGES OF JACKSON CREEK staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day3.357363.43324
Total nursing staff turnover (%)55.256.0
Average number of residents per day106.673.0

Who owns VILLAGES OF JACKSON CREEK, and what chain is it in?

VILLAGES OF JACKSON CREEK is registered with CMS as For profit - Limited Liability company, operates under the legal business name INDEPENDENCE COMMUNITY HEALTHCARE LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTBLUEBIRD MASTER TENANT LLCsince 08/02/2023
INDIRECT OWNERSHIP INTERESTPACS GROUP, INC., PACS HOLDINGS, LLC, PROVIDENCE GROUP INC, MURRAY, JASONsince 08/02/2023
CORPORATE DIRECTORMURRAY, JASONsince 01/01/2024
CORPORATE OFFICERJERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024
OPERATIONAL/MANAGERIAL CONTROLBUSHMAN, MATTHEW, ENRIQUEZ, SOL, JERGENSEN, JOSHUA, LACHANCE, HARRIS, MARTIN, DOMINIQUE, MITCHELL, JOHNsince 01/25/2025
ADP OF THE SNF3980 SOUTH JACKSON DRIVE LLC, PACS GROUP, INC., PACS HOLDINGS, LLC, PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC, ZENZOO LLC, BUSHMAN, MATTHEW, ENRIQUEZ, SOL, HANCOCK, MARK, MARTIN, DOMINIQUE, MURRAY, JASONsince 01/25/2025

Were you or a family member harmed at VILLAGES OF JACKSON CREEK?