Paradigm Senior Management
CMS Care Compare chain (Chain ID 623). Figures below are CMS-published chain averages and facility designations, not ElderCareCosts scores or opinions.
CMS chain averages
- Facilities in chain (CMS): 8
- Average overall rating: 3.6
- Average health inspection rating: 4.6
- Average staffing rating: 1.1
- Average quality measure rating: 2.3
Source: CMS Nursing Home Provider Information (Chain / Affiliated Entity columns). Missing values mean CMS did not publish that average for this chain.
The enforcement and staffing record
- No stored CMS fine totals for the linked facilities in the current snapshot. That is a statement about the loaded records, not a verdict on care.
- Median reported nurse staffing: 3.33 hours per resident day across 8 reporting facilities (CMS Payroll-Based Journal, 2026Q1).
These are counts of public records, not a safety score. Each facility's own page shows its inspection history with the official source linked.
Linked nursing homes
- Annie's Garden Skilled Nursing
Sikeston, MO · 4.11 hrs/resident-day
- Winchester Nursing Center, INC
Bernie, MO · Overall 5 out of 5 stars · 3.41 hrs/resident-day
- Daybreak Nursing Center
Sikeston, MO · Overall 4 out of 5 stars · 3.28 hrs/resident-day
- Gideon Care Center
Gideon, MO · Overall 4 out of 5 stars · 3.33 hrs/resident-day
- Memory Lane of Dexter
Dexter, MO · Overall 4 out of 5 stars · 3.29 hrs/resident-day
- Hubble Creek
Jackson, MO · Overall 3 out of 5 stars · 3.28 hrs/resident-day
- Rock Point Nursing Center
Birch Tree, MO · Overall 3 out of 5 stars · 3.02 hrs/resident-day
- Prairie View Skilled Nursing
Bloomfield, MO · Overall 2 out of 5 stars · 3.59 hrs/resident-day