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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hubble Creek is a 32-bed skilled nursing facility at 1115 K Land Drive in Jackson, Cape Girardeau County, Missouri, operated by Hubble Creek LLC and administered by Brock Thornsbrough. The facility is certified for Medicare and Medicaid and provides skilled nursing care for both long-stay and short-stay residents.
Registered Nurse coverage at 8 minutes daily is drastically below the Missouri average of 28 minutes, representing a 71% reduction in RN hours. Licensed Practical Nurse staffing at 25 minutes per day falls 39% below the state benchmark of 41 minutes. Certified Nurse Aide hours total 2 hours 4 minutes per day, 11% below the state average. Weekend coverage deteriorates sharply: total nursing hours drop 30% below state average to 2 hours 9 minutes daily, and weekend RN coverage collapses to 5 minutes per day, a 75% reduction from the state average of 20 minutes.
Long-stay residents experience hospitalization rates of 2.89 per 1,000 days, 39% worse than the Missouri average of 2.08. Long-stay ED visits of 2.14 per 1,000 days run 9% better than the state average of 2.35. Short-stay outcomes show strength in some areas and weakness in others. Falls with major injury stand at 0.0%, substantially better than the state average of 0.8%.
Discharge functional ability of 69.6% at or above expected self-care capacity exceeds the state average of 53.7% by 30%. Successful return to home or community is 43.3%, 14% worse than the state average of 50.6%.
The walk score of 68 reflects moderate local walkability with reasonable access to hospitals, pharmacies, dining, shopping, and banking facilities. The facility’s location at Jackson’s city center provides convenient proximity to essential community services.
The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections and unannounced surveys; families should request Hubble Creek’s complete inspection record, deficiency history, and citation details directly from the facility or the state licensing authority.
The facility’s small 32-bed census and severely compromised staffing, particularly weekend RN coverage, warrant careful direct questioning about clinical protocols, medication management oversight, and weekend emergency response procedures.
Families should request justification for reduced RN coverage, recent inspection findings, quality measure performance context, and plans to address acute hospitalization rates before admission.
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.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | 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.
| 14m per day | ▼ 51% 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.
| 34m per day | ▼ 16% 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 16m per day | ■ Avg State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 41m per day | ▼ 12% 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.
| 0m per day | ▼ 100% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 12m per day | ▼ 38% State avg: 20m per day · National avg: 28m per day |
Hubble Creek is legally operated by Hubble Creek Llc, and administrated by Brock Thornsbrough.
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
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 3 | 35 | This facility has 91% fewer total deficiencies than a typical Missouri nursing home (3 vs. MO avg 35).↓ 91% better |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 0.4 | 4.4 | This facility has 91% fewer deficiencies per year than a typical Missouri nursing home (0.4 vs. MO avg 4.4).↓ 91% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.5 | 5 | This facility has 70% fewer deficiencies per inspection than a typical Missouri nursing home (1.5 vs. MO avg 5).↓ 70% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 2 | 7 | This facility has 71% fewer total inspections than a typical Missouri nursing home (2 vs. MO avg 7).↓ 71% better |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
2.89
39% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.14
9% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.6%
30% better than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.3%
14% worse than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Jackson's city center to Hubble Creek's address, calculated via Google Maps.
Add your location
Hubble Creek is located in JACKSON, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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MO AVG
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Hubble Creek is in the USA neighborhood of JACKSON.
Hubble Creek has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Hubble Creek's license number is 053062, 053061.
According to MO state health department records, Hubble Creek's license expires on August 8, 2027.
Hubble Creek's occupancy is 29.3%.
Brock Thornsbrough is the administrator of Hubble Creek.
Hubble Creek has 137 beds.
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