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Paradigm Senior Management nursing homes
8 nursing homes with 601 beds in Missouri (8).
CMS affiliated entity 623 · data as of September 1, 2026
The group's record in brief
CMS links 8 certified nursing homes in 1 state to Paradigm Senior Management: 8 for profit, 0 nonprofit. 8 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 127 health citations; 1 citation was rated actual harm or immediate jeopardy, 1 of them immediate jeopardy. At their latest standard inspections the homes averaged 4.6 health deficiencies (national average 9.2).
CMS lists no fines against the group's homes in the last three years. Average nursing staff turnover across its homes was 55.6% (national 45.8%).
Staffing across the group
Daily payroll records from 8 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 17% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.37 | 3.75 |
| Registered nurses | 0.38 | 0.62 |
| Weekdays | 3.54 | 3.92 |
| Weekends | 2.95 | 3.33 |
| Share of nursing hours by contract staff | 0.0% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
7 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 3.6 overall, 4.6 health inspections, 1.1 staffing, 2.3 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 1 | |
| 4 of 5 | 3 | |
| 3 of 5 | 2 | |
| 2 of 5 | 1 | |
| 1 of 5 | 0 |
Across the group: 1 citation rated actual harm or immediate jeopardy, and an average of 3.41 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Winchester Nursing Center, Inc | Bernie | MO | 5 | 7 | |
| Rock Point Nursing Center | Birch Tree | MO | 3 | 21 | |
| Prairie View Skilled Nursing | Bloomfield | MO | 2 | 16 | |
| Memory Lane of Dexter | Dexter | MO | 4 | 12 | |
| Gideon Care Center | Gideon | MO | 4 | 19 | |
| Hubble Creek | Jackson | MO | 3 | 39 | |
| Daybreak Nursing Center | Sikeston | MO | 4 | 13 | |
| Annie's Garden Skilled Nursing | Sikeston | MO | n/a | 0 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.