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PARADIGM SENIOR MANAGEMENT

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

8

States

1

Beds

601

Avg score

64.4

Avg turnover

56%

Federal fines

$0

All 8 homes

C

69.5/100

Gideon Care Center

Gideon, MO · New Madrid County

CMS 4/572 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
n/a
Serious cites
0

Gideon Care Center runs lean on nurse staffing, 3.33 hours per resident day against a national average of 3.86, roughly 14% below, and weekends dip about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is genuinely strong: a perfect health inspection rating, last survey in March 2026, zero deficiencies at the harm or jeopardy level, and no abuse citations among the 19 on file. Quality measures land mid-range. The tension is straightforward: good survey results and thin daily staffing can both be true, and staffing is what residents live with every shift, not once a year. Corporate-owned, 72 beds.

C

67.5/100

Winchester Nursing Center, Inc

Bernie, MO · Stoddard County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
56%
Serious cites
0

Winchester Nursing Center runs about 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86, and the gap widens on weekends, about 16% thinner than its own weekday coverage. Staff turnover sits at 55.6% against a national 45.8%, so nearly six in ten caregivers leave within a year, which matters for whether aides and nurses know your mother's routine. The good news is the inspection record: a 5/5 health inspection rating, last surveyed July 2025, with seven deficiencies on file but none at the harm level and none abuse-related. The corporation that owns it keeps the building clean on paper; the question is whether the floor stays covered.

C

65.5/100

Memory Lane Of Dexter

Dexter, MO · Stoddard County

CMS 4/573 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
n/a
Serious cites
0

Memory Lane of Dexter runs 73 certified beds under for-profit LLC ownership, and its strongest card is inspections: a recent January 2025 survey, no harm-level deficiencies, and nothing abuse-related across 18 total citations. The trouble sits on the other side of the ledger. Nurse staffing averages 3.29 hours per resident day, roughly 15% under the national figure, and weekends drop about 12% below the home's own weekday coverage, which matters in a memory care setting where needs don't pause on Saturday. Quality measure scores land near the bottom of CMS's five-point scale. A clean inspection record buys some confidence, but thin and thinning weekend staffing is the number a family should press on before choosing this home.

C

65.5/100

Hubble Creek

Jackson, MO · Cape Girardeau County

CMS 3/5105 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
n/a
Serious cites
0

Hubble Creek runs about 3.28 nurse hours per resident day, roughly 15% under the national average, and weekends drop another 14% below its own weekday levels, that staffing shortfall is what a 1-out-of-5 staffing rating reflects. The inspection record shows 42 deficiencies, including two at the harm level and three tied to abuse, plus $26,628 in fines across two penalties. Ownership changed hands within the past year, which can unsettle routines. A recent inspection in February 2026 and a 4-star health inspection rating suggest the home can pass muster when surveyors arrive, but quality measures sit at 2 stars. Ask directly how weekend coverage is handled and who is on the floor overnight.

C

62.5/100

Prairie View Skilled Nursing

Bloomfield, MO · Stoddard County

CMS 2/560 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
n/a
Serious cites
0

Prairie View runs 3.59 nurse hours per resident day, roughly 7% under the national average, and weekends drop about 11% below its own weekday staffing. The government's staffing and quality measure ratings both land at 1 out of 5 stars, which tracks with that thin coverage. Inspections are a different story, a 4-star health inspection rating, no harm-level or abuse-related deficiencies, and a survey as recent as April 2025. The 18 total deficiencies are mostly paperwork-level. Owner is a for-profit LLC. If your family member needs skilled nursing care, the clinical side looks okay; the daily direct-care hours are the thing to watch.

C

62/100

Daybreak Nursing Center

Sikeston, MO · Scott County

CMS 4/570 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
56%
Serious cites
0

Daybreak Nursing Center holds a five-star inspection record, with 13 deficiencies on file and none rising to harm or jeopardy, a genuinely clean survey history, and the last visit was recent, in November 2025. The problem sits on the staffing side. At 3.28 nurse hours per resident day, this for-profit home runs roughly 15% under the national average, and weekends dip about 8% below its own weekday numbers. Annual turnover of 55.7% sits nearly ten points above the national rate, meaning more than half the nursing staff leaves each year. Inspections say the care processes are sound; the daily coverage underneath them is thin and constantly rebuilding.

C

58/100

Rock Point Nursing Center

Birch Tree, MO · Shannon County

CMS 3/586 bedsFor-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
56%
Serious cites
0

Rock Point Nursing Center runs on 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekend coverage drops about 12% below its own weekday level. Staff turnover sits at 55.6% against a national 45.8%, so aides and nurses are cycling out faster than average. The inspection record looks steadier: a 4-out-of-5 health inspection rating, 21 deficiencies with none at harm or jeopardy level, though one is abuse-related, and the last survey was March 2026. Quality measures score 2 out of 5, staffing 1 out of 5. The corporation that owns it keeps the building compliant on paper while running thin on the floor.

-

Not graded

Annie's Garden Skilled Nursing

Sikeston, MO · New Madrid County

75 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
n/a
Serious cites
0

Annie's Garden runs 4.11 nurse hours per resident day, roughly 7% above the national average of 3.86, and its record is clean: no deficiencies at any level, none related to abuse, with an inspection completed in October 2025. The one pattern worth watching is weekends, when staffing drops about 16% below what the home runs during the week. That's not unusual in this industry, but it matters for a resident who needs more hands-on help on a Saturday than a Tuesday. The home is for-profit, owned by a limited liability company, licensed for 75 beds. A clean inspection record plus above-average staffing is a decent starting point, ask how they cover weekend shifts before you decide.