9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
14 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Independence, MO
2-star overall rating with 3-star inspections with 9 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
1600 South Kingshighway, Independence, MO
(816) 833-4777
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
49
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Juckette Family Homes
Operator or chain grouping
Approved since
1997-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 2 overall / 2 health / 2 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.27
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.42
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.43
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.00
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.44
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
4.02
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
35%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
4,700
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.91
Composite VBP score used to determine payment impact.
Payment multiplier
0.9919
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
5.44
Baseline 57.38% · Performance 41.46% · Measure score 5.44 · Achievement 5.44 · Improvement 4.39
Adjusted total nurse staffing
2.35
Baseline 3.85 hours · Performance 3.75 hours · Measure score 2.35 · Achievement 2.35 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.81% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 54 · Observed rate 14.81% · Lower 95% interval 7.73% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 21 · Denominator 21 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 21 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 9.52% |
2.29%
7.2 pts worse
|
Numerator 2 · Denominator 21 · Adjusted rate 9.7% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 5.97% |
8.2%
2.2 pts worse
|
Numerator 4 · Denominator 67 |
| Staff flu vaccination coverage | 5.05% |
42%
37 pts worse
|
Numerator 5 · Denominator 99 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.9 |
2.1
1.8 pts worse
|
1.9
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 3.6 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.3
0.1 pts better
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
84.8%
15.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.9%
9.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
4.1%
0.3 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.8% · Q3 5.9% · Q4 6.2% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.6% |
14.7%
11.1 pts better
|
11.4%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 0.0% · Q3 2.7% · Q4 0.0% · 4Q avg 3.6% |
| Percentage of long-stay residents who lose too much weight | 2.3% |
5.5%
3.2 pts better
|
5.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 2.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.8% |
25.3%
2.5 pts better
|
19.6%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 22.9% · Q3 21.2% · Q4 25.8% · 4Q avg 22.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.3% |
25.0%
5.7 pts better
|
16.7%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 22.6% · Q3 18.5% · Q4 10.7% · 4Q avg 19.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.0% |
20.3%
4.3 pts better
|
16.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.3% |
19.8%
3.5 pts worse
|
14.9%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 32.3% · Q3 21.4% · Q4 14.3% · 4Q avg 23.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.4%
0.8 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.6% |
2.6%
1 pts worse
|
1.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 6.0% · Q3 2.0% · Q4 2.3% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% |
18.1%
4.4 pts worse
|
19.8%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 22.4% · Q3 25.7% · Q4 11.7% · 4Q avg 22.5% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
5.0%
2 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.1% · Q3 4.2% · Q4 3.2% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.2% |
66.4%
26.8 pts better
|
81.7%
11.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q4 85.0% · 4Q avg 93.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.9% |
13.4%
1.5 pts worse
|
12.0%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 16.0% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 50.2% |
25.3%
24.9 pts worse
|
23.9%
26.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 50.2% · Observed 56.0% · Expected 26.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
14 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-01-24
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-01-24
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-01-24
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-01-24
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-01-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-24
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-01-24
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-02-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-01-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-01-24
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-01-24
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2024-01-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-30
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-06-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-06-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-06-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-30
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-06-30
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2019-08-24
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2019-08-24
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-08-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-08-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-08-24
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2019-08-24
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2019-08-24
Inspection history
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-01-24
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-01-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-24
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-08
Health
Provide activities to meet all resident's needs.
Corrected 2024-01-24
Health
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.
Corrected 2024-01-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-06-30
Health
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.
Corrected 2022-06-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-30
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-06-30
Health
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.
Corrected 2022-06-30
Health
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.
Corrected 2022-06-30
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-08-24
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-24
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2019-08-24
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2019-08-24
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-08-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-08-24
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2019-08-24
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2019-08-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-08-24
Health
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.
Corrected 2019-08-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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Independence, MO
1-star overall rating with 2-star inspections with 19 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Independence, MO
1-star overall rating with 1-star inspections with $20,787 in total fines with 30 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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