Nursing homeActive

Villages Of Jackson Creek

3980 South Jackson Drive, Independence, MO 640578167951433120 certified beds · 107 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2022
Deficiencies
39
0381
Penalties · 3 yrs
$29,186
1 fine
Last survey
2026-01-22
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 2
Quality 4
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
2026-01-22Complaint010CMS-2567 (Care Compare)
2025-12-05Standard0120CMS-2567 (Care Compare)
2025-04-10Complaint040CMS-2567 (Care Compare)
2024-10-31Complaint011CMS-2567 (Care Compare)
2024-05-07Standard0130CMS-2567 (Care Compare)
2022-08-10Standard070CMS-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.

2026-01-22Complaint survey · 1 deficiencyOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 265820-20260122-F580
2025-12-05Standard survey · 12 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-12Record 265820-20251205-F550
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 2026-01-12Record 265820-20251205-F584
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-12Record 265820-20251205-F688
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 2026-01-12Record 265820-20251205-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-12Record 265820-20251205-F692
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-12Record 265820-20251205-F693
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 2026-01-12Record 265820-20251205-F756
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-12Record 265820-20251205-F804
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 2026-01-12Record 265820-20251205-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-12Record 265820-20251205-F849
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-12Record 265820-20251205-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-12Record 265820-20251205-F921
2025-04-10Complaint survey · 4 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-29Record 265820-20250410-F580
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 2025-05-29Record 265820-20250410-F684
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-29Record 265820-20250410-F698
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 2025-05-29Record 265820-20250410-F880
2024-10-31Complaint survey · 2 deficienciesOfficial report
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-03Record 265820-20241031-F698
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-03Record 265820-20241031-F580
2024-05-07Standard 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 EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F584
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F645
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F658
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F679
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 2024-06-15Record 265820-20240507-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F698
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F699
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F700
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F804
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 2024-06-15Record 265820-20240507-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F813
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F880
F909Regularly 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.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 265820-20240507-F909
2022-08-10Standard survey · 7 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-23Record 265820-20220810-F658
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 2022-09-23Record 265820-20220810-F689
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-23Record 265820-20220810-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-23Record 265820-20220810-F757
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 2022-09-23Record 265820-20220810-F758
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 2022-09-23Record 265820-20220810-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-14Record 265820-20220810-F880

Penalties & enforcement

DateActionAmountSource
2024-10-31Civil money penalty$29,186CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.21
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.36
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.97
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover55%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover33%
Facility
Missouri
National
Missouri 48% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMissouriNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.7%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.5%4.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
11.7%23.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.6%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
15.1%18.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.3%5.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
16.8%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
Bushman, Matthew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Enriquez, Sol
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Jergensen, Joshua
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lachance, Harris
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Martin, Dominique
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mitchell, John
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
3980 South Jackson Drive LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Bluebird Master Tenant LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Bushman, Matthew
Individual
ADP OF THE SNFNOT APPLICABLE
Enriquez, Sol
Individual
ADP OF THE SNFNOT APPLICABLE
Hancock, Mark
Individual
ADP OF THE SNFNOT APPLICABLE
Jergensen, Joshua
Individual
CORPORATE OFFICERNOT APPLICABLE
Martin, Dominique
Individual
ADP OF THE SNFNOT APPLICABLE
Mitchell, John
Individual
CORPORATE OFFICERNOT APPLICABLE
Murray, Jason
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Murray, Jason
Individual
CORPORATE DIRECTORNOT APPLICABLE
Murray, Jason
Individual
ADP OF THE SNFNOT APPLICABLE
Pacs Group, Inc.
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Pacs Group, Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Pacs Holdings, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Pacs Holdings, LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Providence Administrative Consulting Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Providence Group Inc
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Zenzoo LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Pacs Group274 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 Jackson.

Nearby nursing homes

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Sunterra Springs Independence
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0.8 mi2025-11-180180
Ignite Medical Resort Blue Springs
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Abode Health And Wellness Center
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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