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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 86th out of 239 homes in Missouri.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 16m per day | ▼ 43% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 44m per day | ▲ 7% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 25m per day | ▲ 4% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 59m per day | ■ Avg State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 9m per day | ▼ 55% State avg: 20m per day · National avg: 29m per day |
Most residents stay for extended periods and receive ongoing daily care.
22% of new residents, usually for short-term rehab.
15% of new residents, often for short stays.
63% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #101 / 245Payroll — state benchmarkedThis home is ranked 101st out of 245 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Missouri average: 66.6%Independence Manor Care Center is legally operated by Independence Manor, Inc, and administrated by Ms Della Kayanna Shebiel.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 25 | 35 | This facility has 29% fewer total deficiencies than a typical Missouri nursing home (25 vs. MO avg 35).↓ 29% better |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 3.6 | 5 | This facility has 28% fewer deficiencies per year than a typical Missouri nursing home (3.6 vs. MO avg 5).↓ 28% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 8.3 | 5 | This facility has 66% more deficiencies per inspection than a typical Missouri nursing home (8.3 vs. MO avg 5).↑ 66% worse |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 3 | 7 | This facility has 57% fewer total inspections than a typical Missouri nursing home (3 vs. MO avg 7).↓ 57% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 11, 2023, identified deficiencies in medication order clarity, activities programming, hospice documentation, respiratory care, RN staffing, medication storage, food service sanitation, and infection prevention and control. Earlier inspections also noted multiple deficiencies related to medication management, infection control, hospice documentation, food sanitation, and staffing issues, showing recurring themes in these areas. Complaint investigations were not listed in the available reports. No fines, immediate jeopardy findings, or enforcement actions were mentioned in any of the reports. The pattern of deficiencies suggests ongoing challenges with clinical care processes and infection control, with no clear improvement trend over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMissouri average 6.6
Last Health inspection on Dec 2023
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 28 citations resulted from standard inspections.
100% better than Missouri averageMissouri average: 0.7
0
100% better than Missouri averageMissouri average: 1
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 11, 2023
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Dec 11, 2023
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 11, 2023
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 11, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Independence Manor Care Center is located in INDEPENDENCE, Missouri.
Here are the financial assistance programs available to residents in Missouri.
0.0 miles from city center
Estimated distance in miles from Independence's city center to Independence Manor Care Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Missouri averageMissouri average ratio: 1.71:1
0% compared with Missouri averageMissouri average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Total hours from contractors
790 contractor hours this quarter
| Certified Nursing Assistant | 57 | 0 | 57 | 9,650 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 7 | 0 | 7 | 3,408 | 91 | 100% | 8.6 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,827 | 90 | 99% | 8.9 |
| Dietitian | 2 | 0 | 2 | 913 | 88 | 97% | 7.1 |
| Administrator | 7 | 0 | 7 | 558 | 62 | 68% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 553 | 64 | 70% | 8.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 544 | 66 | 73% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 499 | 62 | 68% | 8.1 |
| Speech Language Pathologist | 0 | 1 | 1 | 434 | 65 | 71% | 6.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 208 | 65 | 71% | 3.2 |
| Registered Nurse | 3 | 0 | 3 | 172 | 20 | 22% | 8.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 37 | 18 | 20% | 2 |
| Qualified Social Worker | 0 | 1 | 1 | 36 | 39 | 43% | 0.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 32 | 21 | 23% | 1.5 |
| Medical Director | 0 | 1 | 1 | 18 | 9 | 10% | 2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 14 | 3 | 3% | 4.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 2 | 2% | 5.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.2
7% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.7
11% worse than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
23.6%
20% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
17.4%
16% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.1%
33% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
17% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
3.0%
40% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
5.0%
83% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
3.6%
35% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
7.7%
40% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
14.9%
32% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
3.89
87% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.17
8% better than Missouri averageMissouri average: 2.35
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
44% better than Missouri averageMissouri average: 66.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
50.2%
98% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
11% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Jackson Creek Post Acute |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Independence | 120 | 72.7% | +9% | 4.05 | -58% | +8% | 1 | 34 | 4.9 | 2 | 101 | 81 | Independence Community Healthcare, LLC | $15.6M | $6.1M | 39.4% | 265820 | ||||
| Independence Manor Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Independence | 99 | 67.2% | +1% | 4.02 | -58% | +7% | 0 | 28 | 9.3 | - | 52 | 81 | Independence Manor Inc | $6.7M | $3.1M | 45.5% | 265682 | ||||
| Maywood Terrace Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
N Nursing | Independence (Maywood) | 89 | 51.5% | -23% | 3.14 | +44% | -16% | 1 | 55 | 9.2 | 1 | 42 | 46 | Rhonda Moore | $4.6M | $1.5M | 33.8% | 265404 | ||||
| Baptist Homes of Independence |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Independence | 118 | 44.5% | -33% | 5.11 | -18% | +37% | 47 | 74 | 10.6 | 1 | 56 | 39 | The Baptist Home | $5.0M | $2.2M | 44.6% | 265456 |
Historical financial and operational data for Independence Manor Care Center based on CMS SNF Cost Reports.
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The legal owner and operator of Independence Manor Care Center is Independence Manor, Inc.
Independence Manor Care Center has a walk score of 81. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Independence Manor Care Center's occupancy is 55%.
Ms DELLA KAYANNA SHEBIEL is the administrator of Independence Manor Care Center.
Independence Manor Care Center has 99 beds.
Yes — there are 7 photos of Independence Manor Care Center in the photo gallery on this page.
Independence Manor Care Center is located at 1600 SOUTH KINGS HIGHWAY.
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