Annie's Garden Skilled Nursing
302 Stallcup Drive, Sikeston, MO 63801 · New Madrid County · (573) 621-4910
75 certified beds, about 43 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2025
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265890 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 15, 2025, inspectors cited 0 health deficiencies (the Missouri average is 11.4, the national average 9.2).
CMS lists no health citations for this home in the inspections on file.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.11 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
CMS links it to Paradigm Senior Management, an affiliated group of 8 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 0 health citations on file.
October 15, 2025Standard inspection · 0 citations
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Missouri | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.11 | 3.43 | 3.86 |
| Registered nurses | 0.47 | 0.46 | 0.69 |
| All nursing staff on weekends | 3.46 | 3.01 | 3.42 |
| Nurse aides | 2.86 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | not reported | 56.0% | 45.8% |
| Registered nurse turnover | not reported | 47.8% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.66 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.37 on weekdays and 3.46 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.11 | 0.47 | 4.37 | 3.46 | 0.0% | 0 of 90 | 43 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Missouri, Jan to Mar 2026 | 3.34 | 0.40 | 3.50 | 2.93 | 3.9% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Missouri
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Missouri, all employers | |||
| CNAs (nursing assistants) | $18.11 | $17.02 to $20.00 | 34,050 |
| LPNs and LVNs | $29.58 | $27.06 to $33.77 | 14,700 |
| Registered nurses | $39.32 | $36.56 to $47.39 | 76,310 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Missouri | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.8 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.3 | 2.2 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.7 | 4.5 | 4.6 |
Owners and operators
Legal business name: ANNIES GARDEN SKILLED NURSING LLC. CMS links this home to Paradigm Senior Management, a group of 8 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Jones, Angela | Direct ownership interest | Individual | 09/01/2025 | |
| Sells, Benjamin | Direct ownership interest | Individual | 09/01/2025 | |
| Paradigm Senior Management LLC | Indirect ownership interest | Organization | 09/01/2025 | |
| Alliance Bank | 5% or greater mortgage interest | Organization | 09/01/2025 | |
| Forvis Mazars LLP | Operational/managerial control | Organization | 09/01/2025 | |
| Paradigm Rehab Services LLC | Operational/managerial control | Organization | 09/01/2025 | |
| Paradigm Senior Management LLC | Operational/managerial control | Organization | 09/01/2025 | |
| Dunning, Kimberly | Operational/managerial control | Individual | 09/01/2025 | |
| Hutchinson, Dalen | Operational/managerial control | Individual | 09/01/2025 | |
| Jones, Angela | Operational/managerial control | Individual | 09/01/2025 | |
| Rapert, Kathy | Operational/managerial control | Individual | 09/01/2025 | |
| Sahai, Madhu | Operational/managerial control | Individual | 09/01/2025 | |
| Sells, Benjamin | Operational/managerial control | Individual | 09/01/2025 | |
| Sells, Benjamin | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 09/22/2025 | |
| Alliance Bank | Adp of the SNF | Organization | 09/01/2025 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 09/01/2025 | |
| Paradigm Rehab Services LLC | Adp of the SNF | Organization | 09/01/2025 | |
| Paradigm Senior Management LLC | Adp of the SNF | Organization | 09/01/2025 | |
| Dunning, Kimberly | Adp of the SNF | Individual | 09/01/2025 | |
| Hutchinson, Dalen | Adp of the SNF | Individual | 09/01/2025 | |
| Sahai, Madhu | Adp of the SNF | Individual | 09/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Other nursing homes nearby
- Delta South Nursing & Rehabilitation Sikeston, 1.4 mi · 4 of 5 stars · 24 citations
- Hunter Acres Caring Center Sikeston, 1.7 mi · 3 of 5 stars · 24 citations
- Sikeston Convalescent Center Sikeston, 2 mi · 3 of 5 stars · 27 citations
- Clearview Nursing Center Sikeston, 2.1 mi · 4 of 5 stars · 25 citations
- Cotton Point Living Center Matthews, 6.9 mi · 3 of 5 stars · 29 citations
- Bertrand Nursing and Rehab Center Bertrand, 8 mi · 5 of 5 stars · 10 citations
- Daybreak Nursing Center Sikeston, 10.7 mi · 4 of 5 stars · 13 citations
- Aspire Senior Living East Prairie East Prairie, 12.2 mi · 3 of 5 stars · 27 citations
Missouri contacts for a concern about a nursing home
These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Missouri Long-Term Care Ombudsman Program, 800-309-3282. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Show Me Long Term Care in Missouri, where Missouri publishes its own records on licensed homes.
Common questions
- What is Annie's Garden Skilled Nursing's Medicare star rating?
- CMS does not give Annie's Garden Skilled Nursing an overall star rating in the data as of September 1, 2026.
- How many deficiencies did Annie's Garden Skilled Nursing get at its last inspection?
- 0 health deficiencies at the standard inspection on October 15, 2025. The Missouri average is 11.4.
- Has Annie's Garden Skilled Nursing been fined?
- CMS lists no fines in the last three years.
- Does Annie's Garden Skilled Nursing accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Annie's Garden Skilled Nursing?
- CMS lists 21 owners and managers, and links the home to Paradigm Senior Management. Legal business name: ANNIES GARDEN SKILLED NURSING LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.