Jackson, MO

Jackson Manor

4-star overall rating with 5-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

710 Broadridge, Jackson, MO

(573) 243-3101

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

68

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Mgm Healthcare

Operator or chain grouping

Approved since

1990-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

30 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 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

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.70

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.65

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.75

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.10

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.15

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.32

CMS adjusted RN staffing hours

Adjusted total hours

3.04

CMS adjusted total nurse staffing hours

Case-mix index

1.69

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

80%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,120

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.38

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.07

Baseline 19.74% · Performance 19.08% · Measure score 5.07 · Achievement 5.07 · Improvement 1.92

Healthcare-associated infections

3.49

Baseline 5.98% · Performance 6.79% · Measure score 3.49 · Achievement 3.49 · Improvement 0

Total nurse turnover

0

Baseline 52.83% · Performance 76.47% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.26 hours · Performance 2.61 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.32%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 94 · Observed rate 14.89% · Lower 95% interval 8.66%
Discharge to community	52.51%	50.57% 1.9 pts better	No Different than the National Rate · Eligible stays 61 · Observed rate 47.54% · Lower 95% interval 41.44%
Medicare spending per beneficiary	0.96	1.02 0.1 pts better
Drug regimen review with follow-up	71.67%	95.27% 23.6 pts worse	Numerator 43 · Denominator 60
Falls with major injury	1.67%	0.77% 0.9 pts worse	Numerator 1 · Denominator 60
Discharge self-care score	45%	53.69% 8.7 pts worse	Numerator 18 · Denominator 40
Discharge mobility score	55%	50.94% 4.1 pts better	Numerator 22 · Denominator 40
Pressure ulcers or injuries, new or worsened	6.67%	2.29% 4.4 pts worse	Numerator 4 · Denominator 60 · Adjusted rate 4.73%
Healthcare-associated infections requiring hospitalization	6.79%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 48 · Observed rate 6.25% · Lower 95% interval 3.91%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 73
Staff flu vaccination coverage	3.75%	42% 38.2 pts worse	Numerator 6 · Denominator 160
Discharge function score	52.5%	56.45% 4 pts worse	Numerator 21 · Denominator 40
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	26.47%	25.2% 1.3 pts better	Numerator 9 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	2.1 About the same	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.3 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.0	2.3 0.7 pts worse	1.8 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.3 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	74.1%	84.8% 10.7 pts worse	93.4% 19.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 83.1% · Q2 74.1% · Q3 71.7% · Q4 67.2% · 4Q avg 74.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	80.3%	90.9% 10.6 pts worse	95.5% 15.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 80.3%
Percentage of long-stay residents experiencing one or more falls with major injury	3.5%	4.1% 0.6 pts better	3.3% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 5.7% · Q4 5.2% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	39.4%	14.7% 24.7 pts worse	11.4% 28 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.4% · Q2 22.6% · Q3 50.0% · Q4 44.6% · 4Q avg 39.4%
Percentage of long-stay residents who lose too much weight	6.0%	5.5% 0.5 pts worse	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 8.0% · Q3 10.4% · Q4 3.9% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.9%	25.3% 4.4 pts better	19.6% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 22.2% · Q3 20.4% · Q4 20.8% · 4Q avg 20.9%
Percentage of long-stay residents who received an antipsychotic medication	22.7%	25.0% 2.3 pts better	16.7% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 23.3% · Q3 27.3% · Q4 24.4% · 4Q avg 22.7% · 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	8.6%	20.3% 11.7 pts better	16.3% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 10.7% · Q3 8.9% · Q4 8.4% · 4Q avg 8.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.9%	19.8% 10.9 pts better	14.9% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 14.0% · Q3 6.7% · Q4 10.4% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.4% 1.4 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	2.6% 1.7 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.1%	18.1% 2 pts better	19.8% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 20.2% · Q3 9.5% · Q4 22.3% · 4Q avg 16.1%
Percentage of long-stay residents with pressure ulcers	12.8%	5.0% 7.8 pts worse	5.1% 7.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 15.9% · Q3 10.3% · Q4 10.8% · 4Q avg 12.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	35.5%	66.4% 30.9 pts worse	81.7% 46.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 33.9% · Q2 30.5% · Q3 36.5% · Q4 40.3% · 4Q avg 35.5%
Percentage of short-stay residents who had an outpatient emergency department visit	20.2%	13.4% 6.8 pts worse	12.0% 8.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 23.1% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.7%	2.2% 0.5 pts worse	1.6% 1.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 6.5% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	31.1%	63.5% 32.4 pts worse	79.7% 48.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 31.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.5%	25.3% 4.8 pts better	23.9% 3.4 pts better	Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 23.1% · Expected 26.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-22 · Fire 2025-08-22

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-07-11 · Fire 2024-07-11

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2023-04-07 · Fire 2023-04-07

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-24

F · Potential for more than minimal harm 2025-08-22

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-24

F · Potential for more than minimal harm 2025-08-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-09-24

F · Potential for more than minimal harm 2025-08-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-09-24

F · Potential for more than minimal harm 2024-07-11

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-11

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-14

E · Potential for more than minimal harm 2024-07-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-14

E · Potential for more than minimal harm 2024-07-11

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-08-14

E · Potential for more than minimal harm 2024-07-11

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2024-08-14

F · Potential for more than minimal harm 2023-04-07

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-04-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-22

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-24

D · Potential for more than minimal harm 2025-08-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-09-24

D · Potential for more than minimal harm 2025-08-22

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-09-24

D · Potential for more than minimal harm 2025-08-22

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-09-24

D · Potential for more than minimal harm 2025-08-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-24

D · Potential for more than minimal harm 2024-09-19

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-07-11

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-07-11

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-07-11

F625 · Resident Rights Deficiencies

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 2024-08-14

D · Potential for more than minimal harm 2024-07-11

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-07-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-14

C · Minimal harm 2024-07-11

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-08-14

C · Minimal harm 2024-07-11

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-08-14

D · Potential for more than minimal harm 2023-04-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-24

D · Potential for more than minimal harm 2023-04-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-24

D · Potential for more than minimal harm 2023-03-17

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-02-27

Penalties and ownership

What sits behind the stars

Ownership

1026 Enterprises Ii, LLC

5% Or Greater Direct Ownership Interest · Organization

50% 6 facilities 2023-02-01

Jackson Manor Investments, LLC

5% Or Greater Direct Ownership Interest · Organization

50% 1 facilities 2023-02-01

10-26 Nationwide Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 30 facilities 2023-02-01

Bienstock, Judah