JACKSON MANOR
710 BROADRIDGE
JACKSON, MO, 63755
5732433101
CCN: 265438
4
Overall5
Health1
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (4)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
AMERICAN HEALTHCARE MANAGEMENT
1128b7
Excluded 2005-10-19
CLAYWEST HOUSE HEALTHCARE, LLC
1128a2
Excluded 2004-06-17
CLAYWEST HOUSE HEALTHCARE, LLC
1128b7
Excluded 2005-10-19
LUTHERAN HEALTHCARE, LLC
1128b7
Excluded 2005-10-19
Ownership
| Name | Role | % |
|---|---|---|
| 1026 ENTERPRISES II, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| JACKSON MANOR INVESTMENTS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| 10-26 NATIONWIDE TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| NDF HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| BIENSTOCK, JUDAH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| FRIEDMAN, NAFTALI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| JEREMIAS, BARUCH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| WINTER, CHAIM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| WINTER, MENACHEM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| BIENSTOCK, JUDAH | CORPORATE OFFICER | NOT APPLICABLE |
| HANNERS, CHERYL | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (16)
2025-08-22 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2024-09-19 · Health
D
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
2024-07-11 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
C
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F625 · Resident Rights Deficiencies
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.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
F584 · Resident Rights Deficiencies
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.
2023-04-07 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2023-03-17 · Health
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.75
RN Hrs/Resident/Day0.54
0.40
LPN Hrs/Resident/Day0.81
0.70
CNA Hrs/Resident/Day2.33
2.65
PT Hrs/Resident/Day0.12
0.02
Data as of 2026-03-01