PARADIGM SENIOR MANAGEMENT
8 certified nursing homes in 1 state · as recorded by CMS
Across the portfolio
0 of 8 facilities have more citations on file than the median facility in their own state. Each building is compared within its state, not nationally, because which state a facility is in explains about 30% of the variation in citation counts. 4 facilities have at least one tag cited at more than one survey — the recordkeeping pattern rather than a one-off finding. How this is calculated
Improving1 facility found fewer citations at the latest survey than at earlier surveys in the window.
New ownership in the portfolio
1 facility now carrying this operator name changed ownership in the last 24 months, per CMS’s change-of-ownership records.
- HUBBLE CREEK JACKSON, MO · Sep 1, 2025 · change of ownership · from N & R OF MONTICELLO INC
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Most-cited tags across the portfolio
Ranked by how many of this operator’s facilities have been cited on each.
| Tag | What the surveyor checks | Facilities cited | Times cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 7 | 8 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 5 | 6 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 4 | 7 |
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 3 | 4 |
| K-0923 | Have proper medical gas storage and administration areas. | 3 | 4 |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 3 | 3 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 3 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 2 | 2 |
Every facility
By state, then town. Citations are the rolling three-year total; the state median is the median certified facility in that state over the same window.
MO — 8 facilities
| Facility | Citations | State median | Repeat tags | Trend | Last survey | Survey window |
|---|---|---|---|---|---|---|
| WINCHESTER NURSING CENTER, INCBERNIE | 4 | 18 | 0 | Slipping | Jul 25, 2025 | Open now (to Apr 2027) |
| ROCK POINT NURSING CENTERBIRCH TREE | 3 | 18 | 0 | Holding steady | Mar 19, 2026 | Opens May 2027 |
| PRAIRIE VIEW SKILLED NURSINGBLOOMFIELD | 5 | 18 | 0 | Slipping | May 28, 2026 | Opens Jul 2027 |
| MEMORY LANE OF DEXTERDEXTER | 8 | 18 | 2 | Improving | Apr 17, 2026 | Opens Jun 2027 |
| GIDEON CARE CENTERGIDEON | 7 | 18 | 1 | Holding steady | Mar 19, 2026 | Opens May 2027 |
| HUBBLE CREEKJACKSON | 11 | 18 | 3 | Holding steady | Feb 12, 2026 | Opens Apr 2027 |
| ANNIE'S GARDEN SKILLED NURSINGSIKESTON | 0 | 18 | 0 | — | Oct 15, 2025 | Opens Dec 2026 |
| DAYBREAK NURSING CENTERSIKESTON | 10 | 18 | 1 | Slipping | Nov 17, 2025 | Opens Jan 2027 |
Operator as recorded by CMS at Medicare enrolment; a facility that has changed hands may still carry the previous operator until CMS updates the file. Every figure is arithmetic over public federal records.