Nursing homeActive

Hubble Creek

1115 K Land Drive, Jackson, MO 637555732438989105 certified beds · 62 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
42
0402
Penalties · 3 yrs
none on file
Last survey
2026-02-12
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-12Standard060CMS-2567 (Care Compare)
2024-11-08Standard0130CMS-2567 (Care Compare)
2024-02-21Complaint010CMS-2567 (Care Compare)
2023-08-29Complaint021CMS-2567 (Care Compare)
2023-08-04Standard0181CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-12Standard survey · 6 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-28Record 265716-20260212-F552
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-28Record 265716-20260212-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-28Record 265716-20260212-F755
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-28Record 265716-20260212-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-28Record 265716-20260212-F880
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-28Record 265716-20260212-F943
2024-11-08Standard survey · 13 deficienciesOfficial report
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F584
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F625
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F695
F728Ensure 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.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F728
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F730
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F756
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F812
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F868
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 265716-20241108-F947
2024-02-21Complaint survey · 1 deficiencyOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 265716-20240221-F677
2023-08-29Complaint survey · 3 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-01Record 265716-20230829-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 265716-20230829-F600
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 265716-20230829-F677
2023-08-04Standard survey · 19 deficienciesOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity KHarm
Infection control
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-12-15Record 265716-20230804-F880
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F578
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F584
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F604
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F656
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F660
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F661
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-01Record 265716-20230804-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-01Record 265716-20230804-F690
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F730
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F755
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F814
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F868
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 265716-20230804-F883

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.36
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.28
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.83
Facility
Missouri
National
Missouri 3.02 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMissouriNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.9%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
7.2%4.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
25.0%23.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.8%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
31.6%18.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
14.9%5.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
25.0%25.6%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Clay, Mindy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Eichhorn, Jenny
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Forvis Mazars LLP
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hutchinson, Dalen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Jones, Angela
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Paradigm Rehab Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Paradigm Senior Management LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sells, Benjamin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vanek, Layne
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Clay, Mindy
Individual
ADP OF THE SNFNOT APPLICABLE
Eichhorn, Jenny
Individual
ADP OF THE SNFNOT APPLICABLE
Forvis Mazars LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Hutchinson, Dalen
Individual
ADP OF THE SNFNOT APPLICABLE
Jackson Care Center LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Jones, Angela
Individual
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Mrv Banks
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Mrv Banks
Organization
ADP OF THE SNFNOT APPLICABLE
Paradigm Rehab Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Paradigm Senior Management LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Sells, Benjamin
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Sells, Benjamin
Individual
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Part of a chain
Paradigm Senior Management8 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.

No county cost figures on file for Cape Girardeau.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Jackson Manor
Jackson
3.0 mi2025-08-222110
Fountainbleau Lodge
Cape Girardeau
4.2 mi2025-09-040101
Heartland Care And Rehabilitation Center
Cape Girardeau
4.3 mi2025-11-17160
Chateau Girardeau
Cape Girardeau
5.9 mi2026-04-100200
Lutheran Home, The
Cape Girardeau
6.9 mi2025-03-28050
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01