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Open data · chain profile
PARADIGM SENIOR MANAGEMENT
As identified by CMS (chain id 623). 8 nursing homes in 1 state carry this chain id in release v2026.08; the CMS chain file lists 8. Ownership below is what each facility disclosed to CMS on Form CMS-855A.
- 8 facilities · 601 certified beds
- Avg overall rating 3.6 (national 3.0)
- CMS August 2026 vintage · release v2026.08
At a glance
Averages from the CMS chain file for this chain and for all certified nursing homes (the file's national row). Descriptive only: they do not control for case mix, size or region.
- Overall rating, average3.6national 3.0
- Health inspection rating4.6national 2.8
- Staffing rating1.1national 2.9
- Nurse hours per resident day3.40national 3.90
- RN hours per resident day0.40national 0.70
- Nurse turnover55.6%national 45.8%
- Fines per facility, average$0national $31,081
- Facilities with any penalty0.0%0 of 8 in the release
- Special Focus Facilities0 + 0 candidatesnational 84 + 441
- Abuse icons0 (0.0%)national 9.7%
- For-profit share87.5%national 73.9%
- Meets all rescinded staffing floors0.0%reported hours vs the repealed 2024 minimums
Overall ratings of the 8 facilities
Care Compare overall star ratings of the facilities carrying this chain id in the release; 7 are rated.
Ownership as disclosed to CMS
From the PECOS SNF All Owners file for each facility's current enrollment: 8 of the 8 facilities matched a PECOS enrollment. An owner holds an ownership or control role (direct or indirect ownership interest, partnership interest, or operational/managerial control); a party is any other disclosable party, most often the landlord or a lender. A facility that discloses neither has not reported one; that is not a finding that it has none.
- Disclose a private-equity owner00.0% of facilities
- Private equity among other parties only00 in any role
- Disclose a REIT owner00.0% of facilities
- REIT among other parties only00 in any role
No facility in this chain discloses a private-equity company or a REIT in any role in the PECOS file.
Changes of ownership
2 of the 8 facilities have a PECOS change of ownership in the 36 months before the vintage, and Care Compare flags 1 as changed in the last 12 months. The table counts the PECOS Change of Ownership records of these facilities by effective year; 2025 is partial.
| Effective year | Changes of ownership |
|---|---|
| 2021 | 1 |
| 2022 | 1 |
| 2023 | 1 |
| 2024 | 1 |
| 2025 | 1 |
By state
| State | Facilities | Avg overall rating | SFF + candidates | Abuse icons | Fines, total | Disclose PE owner | Disclose REIT any role | Changed hands 36 mo |
|---|---|---|---|---|---|---|---|---|
| MO | 8 | 3.6 | 0 | 0 | $0 | 0 | 0 | 2 |
Facilities
Every facility in release v2026.08 carrying chain id 623, with its Care Compare ratings and flags, the penalties CMS lists over the three-year lookback, and its PECOS disclosures. Names link to the facility's page on this site where one exists.
| Facility | City | State | Beds | Overall | Staffing | Flags | Fines | Denials | Disclosed to CMS | Changed hands |
|---|---|---|---|---|---|---|---|---|---|---|
| WINCHESTER NURSING CENTER, INC CCN 265874 · For profit | BERNIE | MO | 60 | 5 | 2 | — | — | None | — | |
| ROCK POINT NURSING CENTER CCN 265368 · For profit | BIRCH TREE | MO | 86 | 3 | 1 | — | — | None | last 1 January 2021 | |
| PRAIRIE VIEW SKILLED NURSING CCN 265451 · For profit | BLOOMFIELD | MO | 60 | 2 | 1 | — | — | None | 1 in 36 mo | |
| MEMORY LANE OF DEXTER CCN 265382 · For profit | DEXTER | MO | 73 | 4 | 1 | — | — | None | last 3 April 2023 | |
| GIDEON CARE CENTER CCN 265409 · For profit | GIDEON | MO | 72 | 4 | 1 | — | — | None | — | |
| HUBBLE CREEK CCN 265716 · For profit | JACKSON | MO | 105 | 3 | 1 | — | — | None | 1 in 36 mo | |
| ANNIE'S GARDEN SKILLED NURSING CCN 265890 · For profit | SIKESTON | MO | 75 | — | — | — | — | None | — | |
| DAYBREAK NURSING CENTER CCN 265548 · For profit | SIKESTON | MO | 70 | 4 | 1 | — | — | None | last 1 December 2022 |
Sources and method
Chain identity, facility count and the averages under At a glance come from the CMS Nursing Home Chain Performance Measures file. Every facility-level value is a column of release v2026.08 (CMS August 2026 vintage), which records the exact CMS files and their checksums, archived at Zenodo. Section 11 of the methodology describes how the disclosure flags, the owner-versus-party split and the change-of-ownership counts are built; the tables behind this page are committed in the public repository.
Cite as: The Care Ratings Open Nursing Home Data, release v2026.08, chain profile "PARADIGM SENIOR MANAGEMENT" (CMS chain id 623), https://thecareratings.com/data/chains/623-paradigm-senior-management/. Prepared by the Care Ratings Team under the editorial standards; corrections go to the contact page.
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