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Paradigm Senior Management
Nursing home chain, as named in the CMS provider file.
Paradigm Senior Management operates 8 Medicare-certified nursing homes in 1 state, with 601 certified beds; the largest presence is in Missouri.
13% of its facilities are rated 1 or 2 stars overall (national: 41%). Citations run at 21.6 per 100 beds against 26.8 nationally, and fines in the period covered total $0.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026. Chain membership is as recorded by CMS and can lag ownership changes.
| Measure | Paradigm Senior Management | US |
|---|---|---|
| Median overall rating | 4 | 3 |
| Median citations per facility | 16 | 23 |
| Median nurse hours per resident day | 3.3 | 3.7 |
| Median nursing turnover | 55.6% | 44.9% |
| Facilities with the abuse icon | 0 | 1426 |
Rating distribution
States
| State | Facilities |
|---|---|
| Missouri | 8 |
Most-cited tags
| Tag | Requirement | Citations |
|---|---|---|
| F0584 | 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. | 10 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 10 |
| F0880 | Provide and implement an infection prevention and control program. | 10 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 8 |
| F0759 | Ensure medication error rates are not 5 percent or greater. | 8 |
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | 5 |
| F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 5 |
| F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | 5 |
Penalties by year
Facilities
| Facility | City | State | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|---|
| Annie'S Garden Skilled Nursing | Sikeston | MO | 75 | — | — | — | 0 | 0.0 | — | — |
| Daybreak Nursing Center | Sikeston | MO | 70 | 4 | 5 | 1 | 13 | 18.6 | — | 17 Nov 2025 |
| Gideon Care Center | Gideon | MO | 72 | 4 | 5 | 1 | 19 | 26.4 | — | 19 Mar 2026 |
| Hubble Creek | Jackson | MO | 105 | 3 | 4 | 1 | 42 | 40.0 | — | 12 Feb 2026 |
| Memory Lane of Dexter | Dexter | MO | 73 | 4 | 5 | 1 | 12 | 16.4 | — | 17 Apr 2026 |
| Prairie View Skilled Nursing | Bloomfield | MO | 60 | 2 | 4 | 1 | 16 | 26.7 | — | 28 May 2026 |
| Rock Point Nursing Center | Birch Tree | MO | 86 | 3 | 4 | 1 | 21 | 24.4 | — | 19 Mar 2026 |
| Winchester Nursing Center, Inc | Bernie | MO | 60 | 5 | 5 | 2 | 7 | 11.7 | — | 25 Jul 2025 |
Questions and answers
How many nursing homes does Paradigm Senior Management operate?
8 Medicare-certified facilities in 1 state, with 601 certified beds, according to the chain name in the CMS provider file.
How are Paradigm Senior Management facilities rated?
13% are rated 1–2 stars overall and 1 hold 5 stars; the median overall rating is 4. Nationally 41% are rated 1–2 stars.
Has Paradigm Senior Management been fined?
CMS lists 0 fines totalling $0 and 0 payment denials across its facilities in the period the penalties file covers.