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Jackson Creek Memory Care

Intermediate Care (ICF) — Independence, Jackson County, MO. 70 licensed beds. Licensed by Missouri DHSS.

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What is Jackson Creek Memory Care's Missouri license record?

Jackson Creek Memory Care is an Intermediate Care Facility (ICF) in Independence (Jackson County, MO), DHSS license 053397, licensed for 70 beds with an Alzheimer's special care unit.

FacilityJackson Creek Memory Care
Address19400 East 40TH St. Court South, Independence, MO 64057
Phone (DHSS record)(816) 379-7260
Licensing agencyMissouri Department of Health and Senior Services, Section for Long-Term Care Regulation
License number053397
DHSS facility number25894
Level of careIntermediate Care Facility (ICF)
Licensed capacity70 beds
Alzheimer's special care unitYes (disclosed to DHSS)
StatusActive — current license term July 3, 2025 to July 2, 2027
First licensedNot published in the DHSS directory; inspection records on Show Me LTC go back to February 25, 2019
Licensee (operator)Independence MC LLC (limited liability company)
Administrator of recordDouglas Fredrickson
Medicare / Medicaid bedsNo / No
Enforcement / disciplinary actionNone reported. The DHSS directory lists the license as active; Show Me LTC posts inspection findings but not civil penalties or license actions

What inspections has Missouri DHSS done at Jackson Creek Memory Care?

Show Me LTC lists 8 inspections and complaint investigations for Jackson Creek Memory Care, the latest ending June 16, 2025.

DateInspection typePlan of correction filed
June 16, 2025Complaint investigation + State licensure inspectionYes
February 11, 2025Complaint investigationYes
May 9, 2024State licensure inspectionYes
August 11, 2022State licensure inspectionYes
April 29, 2021Complaint investigationYes
March 5, 2020Complaint investigation + State licensure inspection—
November 8, 2019Complaint investigation + State licensure inspectionYes
February 25, 2019State licensure inspection—
  1. Open Show Me Long Term Care (Missouri DHSS).
  2. Choose JACKSON in the County box and click ShowMeResults!
  3. Select JACKSON CREEK MEMORY CARE at level INTERMEDIATE CARE FACILITY.
  4. Click any inspection date to read the requirements DHSS cited and when they were corrected.

The portal has no per-facility link. The license number to match is 053397 in the DHSS LTC Directory.

What does a Intermediate Care (ICF) license mean at Jackson Creek Memory Care?

Missouri DHSS licenses Jackson Creek Memory Care as an Intermediate Care Facility (ICF): a facility that provides 24-hour board, personal care and basic health and nursing care under the daily supervision of a licensed nurse.

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Related questions

Data source + refresh cadence

Missouri side (Jackson, Clay, Platte, Cass counties): licenses, levels of care, capacity and Alzheimer's special care unit flags come from the Missouri Department of Health and Senior Services (DHSS) LTC Directory (file updated October 5, 2026); inspections and complaint investigations from DHSS Show Me Long Term Care.

Kansas side (Johnson, Wyandotte counties): state ID, license categories, beds per category, owner and operator, and posted Statements of Deficiencies come from the Kansas Department for Aging and Disability Services (KDADS) Adult Care Home Directory.

Listings are active licenses only. We re-pull both states quarterly. Last updated: October 24, 2026 · Last verified: October 2026.

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