Missouri › Stoddard County › Bernie
Winchester Nursing Center, Inc
400 Winchester Dr, Bernie, MO 63822
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.
Winchester Nursing Center, Inc, in Bernie, Missouri, is certified for 60 beds under for-profit, corporation ownership and belongs to the Paradigm Senior Management chain.
CMS gives it 5 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 5, staffing 2 and quality measures 3.
Inspectors recorded 7 health deficiencies across the three most recent survey cycles (1, 6, 0 by cycle, most recent first), none at the actual-harm level. That is 11.7 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 3.4 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 55.6%.
Compared with county, state and nation
| Measure | This facility | Stoddard Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 7 | 16 | 31 | 28.7 |
| Citations per 100 beds | 11.7 | 20.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 55.6% | 51.6% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (7 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: 25 Jul 2025, 9 May 2024.
Severity mix: D ×7
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 |
|---|---|---|---|---|---|
| 25 Jul 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 12 Sep 2025 |
| 9 May 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 | 26 Jun 2024 |
| 9 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Jun 2024 |
| 9 May 2024 | 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. | D | Standard survey | 26 Jun 2024 |
| 9 May 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 26 Jun 2024 |
| 9 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 26 Jun 2024 |
| 9 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Jun 2024 |
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 55.6%, RNs 50.0%; — 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 | 13.9% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.3% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 15.4% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.6% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.9% | 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. Chain: Paradigm Senior Management (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| First Midwest Bank of Dexter | 5% or greater mortgage interest | NOT APPLICABLE | 02/05/2021 |
| 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 | 03/22/2019 |
| First Midwest Bank of Dexter | Adp of the snf | NOT APPLICABLE | 04/02/2025 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 04/02/2025 |
| Paradigm Rehab Services LLC | Adp of the snf | NOT APPLICABLE | 04/02/2025 |
| Paradigm Senior Management LLC | Adp of the snf | NOT APPLICABLE | 04/02/2025 |
| Winchester Place Retirement Community, LLC | Adp of the snf | NOT APPLICABLE | 04/02/2025 |
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 Stoddard County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aspire Senior Living Advance | Advance | 55 | 4 | 4 | 2 | 32 | 58.2 | — | 6 Mar 2026 |
| Crowley Ridge Care Center | Dexter | 90 | 4 | 5 | 1 | 11 | 12.2 | — | 10 Jun 2025 |
| Cypress Point-Skilled Nursing By Americare | Dexter | 79 | 4 | 4 | 4 | 16 | 20.3 | $74K | 18 Sep 2025 |
| Memory Lane of Dexter | Dexter | 73 | 4 | 5 | 1 | 12 | 16.4 | — | 17 Apr 2026 |
| Puxico Nursing and Rehabilitation Center | Puxico | 60 | 4 | 4 | 2 | 16 | 26.7 | — | 17 Nov 2025 |
| Prairie View Skilled Nursing | Bloomfield | 60 | 2 | 4 | 1 | 16 | 26.7 | — | 28 May 2026 |
All 7 facilities in Stoddard County
Questions and answers
How many deficiencies has Winchester Nursing Center, Inc been cited for?
7 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 Winchester Nursing Center, Inc been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Winchester Nursing Center, Inc compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Winchester Nursing Center, Inc?
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 Winchester Nursing Center, Inc last inspected?
The most recent survey or investigation in the CMS record is dated 25 Jul 2025; the most recent standard health survey was 25 Jul 2025.
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.