Data / Nursing homes / Missouri / Villages of Jackson Creek
Villages of Jackson Creek, Independence, MO: 2 star rating, fined $29,186 across 1 fine
Villages of Jackson Creek in Independence, MO is owned by Bluebird Master Tenant LLC, is rated 2 of 5 stars by Medicare, and was fined $29,186 across 1 fine in the three years to October 1, 2026. CMS lists 32 health citations from inspections in that time, the latest survey on January 22, 2026, and 1 of them found actual harm or immediate jeopardy.
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- Address
- 3980 South Jackson Drive, Independence, MO 64057
- Overall rating
- 2 of 5 stars
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
- Certified beds
- 120
- Residents per day
- 106 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- Independence Community Healthcare LLC
- Chain
- Pacs Group, 277 facilities
- Fines
- $29,186 across 1 fine, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 32, of which 1 with actual harm or immediate jeopardy
- Latest survey
- January 22, 2026
- CMS Certification Number
- 265820
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| October 31, 2024 | Fine | $29,186 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| January 22, 2026 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Past noncompliance | data.cms.gov | |
| December 5, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F849 | 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: pattern, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F693 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F690 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F688 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F584 | 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: pattern, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| December 5, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 12, 2026 | data.cms.gov |
| April 10, 2025 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 29, 2025 | data.cms.gov |
| April 10, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 29, 2025 | data.cms.gov |
| April 10, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 29, 2025 | data.cms.gov |
| April 10, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 29, 2025 | data.cms.gov |
| October 31, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J: isolated, immediate jeopardy | Corrected | December 3, 2024 | data.cms.gov |
| October 31, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 3, 2024 | data.cms.gov |
| May 7, 2024 | F909 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F700 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F679 | Provide activities to meet all resident's needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
| May 7, 2024 | F584 | 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: pattern, no actual harm, potential for more than minimal harm | Corrected | June 15, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 15 individual or personal trusts (1 owners, 6 managers, 3 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Bluebird Master Tenant LLC | Direct owner | Not listed | August 2, 2023 | data.cms.gov |
| Pacs Group, Inc. | Indirect owner | Not listed | August 2, 2023 | data.cms.gov |
| Pacs Holdings, LLC | Indirect owner | Not listed | August 2, 2023 | data.cms.gov |
| Providence Group Inc | Indirect owner | Not listed | August 2, 2023 | data.cms.gov |
| 3980 South Jackson Drive LLC | Additional disclosable party | Not listed | March 1, 2024 | data.cms.gov |
| Pacs Group, Inc. | Additional disclosable party | Not listed | March 1, 2024 | data.cms.gov |
| Pacs Holdings, LLC | Additional disclosable party | Not listed | March 1, 2024 | data.cms.gov |
| Providence Administrative Consulting Services Inc | Additional disclosable party | Not listed | March 1, 2024 | data.cms.gov |
| Zenzoo LLC | Additional disclosable party | Not listed | March 1, 2024 | data.cms.gov |
Also on SpecStream
- All nursing homes in Missouri
- Every nursing home Pacs Group, Inc. owns or manages
- Every nursing home Pacs Holdings, LLC owns or manages
- Every nursing home Providence Group Inc owns or manages
- Every nursing home Providence Administrative Consulting Services Inc owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.