Elder Care Record

Missouri › Shannon County › Birch Tree

Rock Point Nursing Center

8477 North Street, Birch Tree, MO 65438

CCN 265368 · For-profit, corporation · 86 certified beds · chain Paradigm Senior Management

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Rock Point Nursing Center, in Birch Tree, Missouri, is certified for 86 beds under for-profit, corporation ownership and belongs to the Paradigm Senior Management chain.

CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 1 and quality measures 2.

Inspectors recorded 21 health deficiencies across the three most recent survey cycles (10, 4, 7 by cycle, most recent first), none at the actual-harm level. That is 24.4 per 100 beds, fewer than the state median of 32.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.0 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 55.6%.

21health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.0nurse hours per resident per daystate median 3.4
84%occupancy (residents ÷ beds)73 residents a day

Compared with county, state and nation

MeasureThis facilityShannon Co. medianMissouri medianUS average
Overall star rating3323.0
Health citations, 3 cycles21213128.7
Citations per 100 beds24.424.432.126.8
Total nurse hours per resident day3.03.03.43.9
RN hours per resident day0.20.20.40.7
Nursing staff turnover55.6%55.6%56.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)10
Cycle 24
Cycle 37

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, 9 Jan 2025.

Severity mix: D ×19 E ×1 F ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
19 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey2 May 2026
19 Mar 2026F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard survey2 May 2026
19 Mar 2026F0584Honor 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.DStandard survey2 May 2026
19 Mar 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey2 May 2026
19 Mar 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey2 May 2026
19 Mar 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey2 May 2026
19 Mar 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey2 May 2026
19 Mar 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey2 May 2026
19 Mar 2026F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey2 May 2026
19 Mar 2026F0880Provide and implement an infection prevention and control program.DStandard survey2 May 2026
9 Jan 2025F0584Honor 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.DStandard survey28 Feb 2025
9 Jan 2025F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey22 Feb 2025
9 Jan 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey22 Feb 2025
9 Jan 2025F0880Provide and implement an infection prevention and control program.DStandard survey22 Feb 2025
29 Sep 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey12 Nov 2023
29 Sep 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey12 Nov 2023
29 Sep 2023F0584Honor 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.DStandard survey12 Nov 2023
29 Sep 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey12 Nov 2023
29 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey12 Nov 2023
29 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey12 Nov 2023
29 Sep 2023F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard survey12 Nov 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.02 h
Nurse aides2.09 h
LPN0.73 h
RN0.2 h
Weekend total2.67 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 55.6%, RNs 20.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.3%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.5%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.6%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.6%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.5%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.7%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay50.0%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: Rock Point Nursing Center Llc. Chain: Paradigm Senior Management (8 facilities).

OrganisationRole in the CMS recordInterestSince
Forvis Mazars LLPOperational/managerial controlNOT APPLICABLE01/01/2025
Paradigm Rehab Services LLCOperational/managerial controlNOT APPLICABLE09/01/2024
Paradigm Senior Management LLCOperational/managerial controlNOT APPLICABLE01/01/2021
Forvis Mazars LLPAdp of the snfNOT APPLICABLE04/01/2025
Paradigm Rehab Services LLCAdp of the snfNOT APPLICABLE04/01/2025
Paradigm Senior Management LLCAdp of the snfNOT APPLICABLE04/01/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Rock Point Nursing Center been cited for?

21 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 Rock Point Nursing Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Rock Point Nursing Center compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Rock Point Nursing 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 Rock Point Nursing 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.