Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

INDEPENDENCE MANOR CARE CENTER

INDEPENDENCE, MO · 99 certified beds · Last Life Safety survey December 16, 2025

CMS Certification Number 265682 · first certified November 1997

Ownership

Operated by JUCKETTE FAMILY HOMES · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

31
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within MO

31 citations — more than 81% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 10.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was December 2025. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

6 of the 31 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 31 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility31MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility31
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
72022-05142023-12102025-12
Citations at each Life Safety survey
Survey dateCitations
May 17, 20227
December 11, 202314
December 16, 202510

Most-cited tags

Most-cited tags at this facility
K-09202K-03532K-09142K-07112K-03452E-00152E-00131E-00301
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.22025-12-16
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-12-16
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22025-12-16
K-0711Provide a written emergency evacuation plan.22025-12-16
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-12-16
E-0015Address subsistence needs for staff and patients.22025-12-16
E-0013Develop Emergency Preparedness policies and procedures.12023-12-11
E-0030List the names and contact information of those in the facility.12023-12-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Emergency Preparedness Deficiencies 6
  • Miscellaneous Deficiencies 5
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Gas, Vacuum, and Electrical Systems Deficiencies7
Emergency Preparedness Deficiencies6
Miscellaneous Deficiencies5
Services Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 16, 2025 — 10 citations

Citations issued on December 16, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (January 28, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (January 28, 2026)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (January 28, 2026)
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has date of correction (January 28, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 28, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 28, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (January 28, 2026)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (January 28, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (January 28, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 28, 2026)

December 11, 2023 — 14 citations

Citations issued on December 11, 2023
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (January 24, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (January 24, 2024)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (January 24, 2024)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (January 24, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 24, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 24, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (January 24, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 24, 2024)
K-0700Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.Deficient, Provider has date of correction (January 24, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (February 8, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 24, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (January 24, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 24, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 24, 2024)

May 17, 2022 — 7 citations

Citations issued on May 17, 2022
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (June 30, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 30, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 30, 2022)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (June 30, 2022)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (June 30, 2022)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (June 30, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 30, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.