SNF
JACKSON CREEK POST ACUTE
CCN: 265820 · INDEPENDENCE, MO 64057 · Jackson County
Overview
- Address
- 3980 SOUTH JACKSON DRIVE, INDEPENDENCE, MO 64057
- Phone
- 8167951433
- Certified beds
- 120
- Avg daily residents
- 101 (84% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2008-02-22
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.65 | 3.44 | 4.10 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.29 | 0.60 | 0.33 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.96 | 0.76 | 1.07 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.40 | 2.07 | 2.70 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.25 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.18 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.23
hrs / resident / day
RN (weekend)
0.20
hrs / resident / day
Total nurse (adjusted, weekend)
3.63
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
55.6%
annual
RN turnover
54.5%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.22
higher acuity than avg
Case-Mix Index Ratio
0.88
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-05-07 | 18 | 13 | 7 | 104 | 1 | 104 |
| Cycle 2/3 (prior) | 2022-08-10 | 10 | 7 | 3 | 151 | 1 | 151 |
Total weighted health score
115.8
lower is better
Infection-control citations
0
last cycle
Deficiencies (34)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
32 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-01-22 | — |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-04-10 | 2025-05-29 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-10 | 2025-05-29 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-04-10 | 2025-05-29 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-04-10 | 2025-05-29 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-31 | 2024-12-03 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J | 2024-10-31 | 2024-12-03 |
| 0584 | 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 | 2024-05-07 | 2024-06-15 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-05-07 | 2024-06-15 |
| 0679 | Provide activities to meet all resident's needs. | D | 2024-05-07 | 2024-06-15 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-05-07 | 2024-06-15 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-05-07 | 2024-06-15 |
| 0700 | 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 | 2024-05-07 | 2024-06-15 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-05-07 | 2024-06-15 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-07 | 2024-06-15 |
| 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | 2024-05-07 | 2024-06-15 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-05-07 | 2024-06-15 |
| 0909 | 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 | 2024-05-07 | 2024-06-15 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-05-07 | 2024-06-15 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-07 | 2024-06-15 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-06-14 | 2023-06-06 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2022-08-10 | 2022-09-23 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-08-10 | 2022-09-23 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2022-08-10 | 2022-09-23 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2022-08-10 | 2022-09-23 |
| 0758 | 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 | 2022-08-10 | 2022-09-23 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-08-10 | 2022-09-23 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-08-10 | 2022-09-14 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2019-11-05 | 2019-12-17 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2019-11-05 | 2019-12-17 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2019-11-05 | 2019-12-17 |
| 0758 | 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 | 2019-11-05 | 2019-12-17 |
| 0761 | Ensure 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. | E | 2019-11-05 | 2019-12-17 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2019-11-05 | 2019-12-17 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$29,186
| Date | Type | Fine amount |
|---|---|---|
| 2024-10-31 | Fine | $29,186 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 5.9% Medicaid 36.7% Other 57.4%
Operating performance
Operating Margin
-15.5%
Total Margin
-15.0%
Occupancy Rate
72.7%
Cost per Resident Day
$30
Revenue & costs
Net Patient Revenue
$13.1M
Total Costs
$1.5M
Net Income
-$2.0M
Balance sheet
Total Assets
-$23.1M
Total Liabilities
$1.9M
Fund Balance
-$25.0M
Current Ratio
1.23
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NATIONAL HEALTHCARE CORPORATION
- Chain ID
364- Facilities in chain
- 65
- Legal business name
- INDEPENDENCE COMMUNITY HEALTHCARE LLC
Chain-average star ratings (for peer context)
Overall
3.9
Health
3.4
Staffing
3.3
QM
4.5
Owner / manager individuals (12)
| Name | Role | Association |
|---|---|---|
| APT, FREDERICK | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2024 |
| BUSHMAN, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | since 01/25/2025 |
| ENRIQUEZ, SOL | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| JERGENSEN, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2024 |
| LACHANCE, HARRIS | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2024 |
| MARTIN, DOMINIQUE | OPERATIONAL/MANAGERIAL CONTROL | since 05/27/2024 |
| MITCHELL, JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2024 |
| HANCOCK, MARK | CORPORATE DIRECTOR | since 01/01/2024 |
| MURRAY, JASON | CORPORATE DIRECTOR | since 01/01/2024 |
| APT, FREDERICK | CORPORATE OFFICER | since 01/01/2024 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | since 01/01/2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | since 01/01/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $30 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.23 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 36.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 5.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,977,921 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $13,131,943 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 72.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -15.5% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $-23,083,452 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,451,962 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-24,991,614 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,908,162 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -15.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.07413 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.70001 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.32822 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.10236 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.63196 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 101.2 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.76298 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.07361 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.60140 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.43799 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.03022 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.4 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.5 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 364 | Chain ID |
| Provider Information | Chain Name | NATIONAL HEALTHCARE CORPORATION | Chain Name |
| Provider Information | City/Town | INDEPENDENCE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 265820 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Jackson | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2008-02-22 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 39.0453 | Latitude |
| Provider Information | Legal Business Name | INDEPENDENCE COMMUNITY HEALTHCARE LLC | Legal Business Name |
| Provider Information | Location | 3980 SOUTH JACKSON DRIVE,INDEPENDENCE,MO,64057 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -94.352 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 120 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 65 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.21792 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.88406 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 3980 SOUTH JACKSON DRIVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | JACKSON CREEK POST ACUTE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 470 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 104 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 7 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 13 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-05-07 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 104 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 18 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-08-10 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 151 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 151 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 10 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.20177 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 54.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.24873 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.95646 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.40424 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.17732 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.29227 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.65297 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MO | State |
| Provider Information | Telephone Number | 8167951433 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 29186.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.23410 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 55.6 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 115.750 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 64057 | ZIP Code |