Paradigm Senior Management: nursing homes, inspection results and fines
Paradigm Senior Management has 8 nursing homes in this data. In their last three inspection cycles, 1 was cited at level G or higher (actual harm or immediate jeopardy), 7 had at least one health citation, and the 8 homes together had 127 health citations.
Medicare lists no fines for these homes in the last three years.
Source: Medicare (CMS) Provider Data Catalog, Health Deficiencies and Penalties, data updated October 1, 2026, retrieved November 13, 2026.
Every nursing home with inspection data
Sorted by the most serious level of citation (J to L, then G to I, then A to F), then by the number of citations at level G or higher, then by total fines. Click a column heading to sort another way.
| Hubble Creek | Jackson, MO | 3 | 39 | K | 1 | — | 3.57 |
|---|---|---|---|---|---|---|---|
| Rock Point Nursing Center | Birch Tree, MO | 3 | 21 | F | 0 | — | 2.99 |
| Prairie View Skilled Nursing | Bloomfield, MO | 2 | 16 | F | 0 | — | 3.57 |
| Memory Lane of Dexter | Dexter, MO | 4 | 12 | F | 0 | — | 3.44 |
| Gideon Care Center | Gideon, MO | 4 | 19 | E | 0 | — | 3.20 |
| Daybreak Nursing Center | Sikeston, MO | 4 | 13 | D | 0 | — | 2.94 |
| Winchester Nursing Center, Inc | Bernie, MO | 5 | 7 | D | 0 | — | 3.42 |
| Annie's Garden Skilled Nursing | Sikeston, MO | — | 0 | none | 0 | — | 3.90 |
Columns: overall Medicare star rating (1 to 5); health citations from the last three inspection cycles; most serious scope-and-severity letter (A to L; G or higher means actual harm or immediate jeopardy); how many citations were at level G or higher; total fines in Medicare’s Penalties file (about the last three years); reported nurse staffing in hours per resident per day. A dash means Medicare reports no value.
How these numbers are made
All values come from the Medicare (CMS) Provider Data Catalog files Health Deficiencies, Penalties, Provider Information and State US Averages (data updated October 1, 2026; penalties file updated October 1, 2026). A citation (deficiency) is counted once per tag and inspection. “Last three inspection cycles” are the cycles Medicare publishes; they cover about three years. Fines are the sum of the fine amounts in the Penalties file. Nothing is rated or ranked by us: the order is only the stated sort. A citation shows what inspectors found on the dates given; read each home’s page and the inspection reports on Medicare Care Compare before you decide.