Missouri › New Madrid County › Gideon
Gideon Care Center
300 Lunbeck, Gideon, MO 63848
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Gideon Care Center is a For-profit, corporation nursing home in Gideon, Missouri, certified for 72 beds and caring for about 59 residents a day.
CMS gives it 4 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 5, staffing 1 and quality measures 3.
Inspectors recorded 19 health deficiencies across the three most recent survey cycles (5, 8, 6 by cycle, most recent first), none at the actual-harm level. That is 26.4 per 100 beds, about the same as the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.3 RN), close to the Missouri median of 3.4.
Compared with county, state and nation
| Measure | This facility | New Madrid Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 19 | 24 | 31 | 28.7 |
| Citations per 100 beds | 26.4 | 29.6 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.6 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 61.5% | 56.1% | 45.8% |
| Fines listed | $0 | $8,824 | $0 | — |
County and state figures are medians across facilities (6 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2026, 18 Dec 2024.
Severity mix: D ×18 E ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 2 May 2026 |
| 19 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 2 May 2026 |
| 19 Mar 2026 | F0732 | Post nurse staffing information every day. | D | Standard survey | 2 May 2026 |
| 19 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 2 May 2026 |
| 19 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 May 2026 |
| 18 Dec 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | 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. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 31 Jan 2025 |
| 9 Nov 2023 | 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. | E | Standard survey | 28 Dec 2023 |
| 9 Nov 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Standard survey | 28 Dec 2023 |
| 9 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 28 Dec 2023 |
| 9 Nov 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 28 Dec 2023 |
| 9 Nov 2023 | 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. | D | Standard survey | 28 Dec 2023 |
| 9 Nov 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 28 Dec 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.5% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.3% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 40.1% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Gideon Care Center, Inc. Chain: Paradigm Senior Management (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Forvis Mazars LLP | Operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| Paradigm Rehab Services LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| Paradigm Senior Management LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2022 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 02/27/2025 |
| Gideon Health Care Center, Inc. | Adp of the snf | NOT APPLICABLE | 03/14/2025 |
| Paradigm Rehab Services LLC | Adp of the snf | NOT APPLICABLE | 02/27/2025 |
| Paradigm Senior Management LLC | Adp of the snf | NOT APPLICABLE | 02/25/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in New Madrid County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| New Madrid Living Center | New Madrid | 112 | 5 | 5 | 3 | 11 | 9.8 | $9K | 18 Sep 2025 |
| Delta South Nursing & Rehabilitation | Sikeston | 60 | 4 | 4 | 3 | 24 | 40.0 | — | 9 Jan 2026 |
| Cotton Point Living Center | Matthews | 98 | 3 | 4 | 2 | 29 | 29.6 | $14K | 14 May 2026 |
| Portageville Health Care Center | Portageville | 60 | 3 | 4 | 1 | 25 | 41.7 | $241K | 1 May 2025 |
| Annie'S Garden Skilled Nursing | Sikeston | 75 | — | — | — | 0 | 0.0 | — | — |
All 6 facilities in New Madrid County
Questions and answers
How many deficiencies has Gideon Care Center been cited for?
19 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Gideon Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Gideon Care Center compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Gideon Care Center?
It is part of the Paradigm Senior Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Forvis Mazars LLP, Paradigm Rehab Services LLC and Paradigm Senior Management LLC. Individual owners and managers are not listed on this site.
When was Gideon Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 19 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.