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

VILLAGES OF JACKSON CREEK

INDEPENDENCE, MO · 120 certified beds · Last Life Safety survey December 5, 2025

CMS Certification Number 265820 · first certified February 2008

Ownership

Operated by PACS GROUP · For profit - Limited Liability company

  • Ownership changed March 1, 2024 (change of ownership)to JACKSON CREEK POST ACUTE from VILLAGES OF JACKSON CREEK LLC
28
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within MO

28 citations — more than 74% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 10. 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 4 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

1 inspection-and-testing tag has 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

8 of the 28 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)

10 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 28 Life Safety citations above. The Physical Environment Index

  • F-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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-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.

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 facility28MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility28
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
82022-08122024-0582025-12
Citations at each Life Safety survey
Survey dateCitations
August 10, 20228
May 7, 202412
December 5, 20258

Most-cited tags

Most-cited tags at this facility
E-00153K-02712K-03542K-09232K-03531E-00301K-03451K-09191
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0015Address subsistence needs for staff and patients.32025-12-05
K-0271Have exits that are accessible at all times.22025-12-05
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.22024-05-07
K-0923Have proper medical gas storage and administration areas.22025-12-05
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-05-07
E-0030List the names and contact information of those in the facility.12024-05-07
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-05-07
K-0919Meet requirements for the use of electrical equipment.12025-12-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Emergency Preparedness Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Egress Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Emergency Preparedness Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies5
Egress Deficiencies3
Miscellaneous Deficiencies2

Every citation on file

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

December 5, 2025 — 8 citations

Citations issued on December 5, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 12, 2026)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (January 12, 2026)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (January 12, 2026)
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.Deficient, Provider has date of correction (January 12, 2026)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (January 12, 2026)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (January 12, 2026)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (January 12, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 12, 2026)

May 7, 2024 — 12 citations

Citations issued on May 7, 2024
TagWhat the surveyor checksStatus
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (June 15, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (June 15, 2024)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (June 15, 2024)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (June 15, 2024)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (June 15, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (June 15, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 15, 2024)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (June 15, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 15, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 15, 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 (June 15, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 15, 2024)

August 10, 2022 — 8 citations

Citations issued on August 10, 2022
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (September 23, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 26, 2022)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Waiver has been granted (December 31, 2022)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (September 23, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 10, 2022)
K-0900Meet Health Care Facilities Code mechanical requirements.Deficient, Provider has date of correction (September 23, 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 (September 23, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 23, 2022)

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