Cycle 1
Health 2024-12-18 · Fire 2024-12-18
8 health deficiencies
Top issue: Infection Control (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Gideon, MO
Gideon Care Center
3-star overall rating with 4-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
300 Lunbeck, Gideon, MO
(573) 448-3505
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
63
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Paradigm Senior Management
Operator or chain grouping
Approved since
1990-01-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 3 overall / 5 health / 1 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.20
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.15
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.92
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.85
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.20
CMS adjusted RN staffing hours
Adjusted total hours
3.01
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
9,768
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9829
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
3.37
Performance 6.83% · Measure score 3.37 · Achievement 3.37 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
2.91
Baseline 53.33% · Performance 51.79% · Measure score 2.91 · Achievement 2.91 · Improvement 0.04
Adjusted total nurse staffing
0.51
Baseline 3.66 hours · Performance 3.22 hours · Measure score 0.51 · Achievement 0.51 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.89% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 17.95% · Lower 95% interval 7.5% |
| Discharge to community | 62.92% |
50.57%
12.4 pts better
|
No Different than the National Rate · Eligible stays 26 · Observed rate 61.54% · Lower 95% interval 43.87% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 28 · Denominator 28 |
| Falls with major injury | 3.57% |
0.77%
2.8 pts worse
|
Numerator 1 · Denominator 28 |
| Discharge self-care score | 61.9% |
53.69%
8.2 pts better
|
Numerator 13 · Denominator 21 |
| Discharge mobility score | 57.14% |
50.94%
6.2 pts better
|
Numerator 12 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 3.57% |
2.29%
1.3 pts worse
|
Numerator 1 · Denominator 28 · Adjusted rate 4.54% |
| Healthcare-associated infections requiring hospitalization | 6.83% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 27 · Observed rate 3.7% · Lower 95% interval 3.29% |
| Staff COVID-19 vaccination coverage | 1.75% |
8.2%
6.4 pts worse
|
Numerator 1 · Denominator 57 |
| Staff flu vaccination coverage | 11.97% |
42%
30 pts worse
|
Numerator 14 · Denominator 117 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 14 · Denominator 21 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.1
0.6 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.3
0.2 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.0 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 71.2% |
84.8%
13.6 pts worse
|
93.4%
22.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 72.9% · Q2 70.4% · Q3 68.5% · Q4 72.9% · 4Q avg 71.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 59.7% |
90.9%
31.2 pts worse
|
95.5%
35.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 59.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.8% |
4.1%
1.7 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.6% · Q3 7.4% · Q4 5.1% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
14.7%
14.2 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 7.9% |
5.5%
2.4 pts worse
|
5.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.4% · Q3 8.7% · Q4 14.3% · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.3% |
25.3%
3 pts better
|
19.6%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 19.1% · Q3 25.5% · Q4 24.0% · 4Q avg 22.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 42.6% |
25.0%
17.6 pts worse
|
16.7%
25.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.7% · Q2 39.0% · Q3 37.8% · Q4 44.7% · 4Q avg 42.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.3% |
20.3%
4 pts worse
|
16.3%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 20.8% · Q3 17.9% · Q4 19.6% · 4Q avg 24.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.9% |
19.8%
5.1 pts worse
|
14.9%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.8% · Q2 21.7% · Q3 19.1% · Q4 12.5% · 4Q avg 24.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.4%
0.4 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
2.6%
0.8 pts better
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.9% · Q3 1.9% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.8% |
18.1%
14.3 pts better
|
19.8%
16 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.5% · Q3 5.3% · Q4 1.6% · 4Q avg 3.8% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
5.0%
0.3 pts worse
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 8.4% · Q3 4.8% · Q4 2.3% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 15.4% |
66.4%
51 pts worse
|
81.7%
66.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 12.1% · Q3 22.5% · Q4 22.6% · 4Q avg 15.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.2% |
13.4%
1.8 pts worse
|
12.0%
3.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 14.7% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 10.0% |
2.2%
7.8 pts worse
|
1.6%
8.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 10.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 12.1% |
63.5%
51.4 pts worse
|
79.7%
67.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 12.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.9% |
25.3%
2.6 pts worse
|
23.9%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.9% · Observed 23.5% · Expected 20.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-09 · Fire 2023-11-09
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-04-28 · Fire 2022-04-28
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-18
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-31
E · Potential for more than minimal harm
2024-12-18
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-31
F · Potential for more than minimal harm
2023-11-09
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2023-12-28
F · Potential for more than minimal harm
2023-11-09
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-12-28
F · Potential for more than minimal harm
2023-11-09
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-12-28
F · Potential for more than minimal harm
2022-04-28
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-05-31
F · Potential for more than minimal harm
2022-04-28
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-05-31
F · Potential for more than minimal harm
2022-04-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-27
F · Potential for more than minimal harm
2022-04-28
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-05-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-18
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-18
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-18
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-18
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-18
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-01-31
E · Potential for more than minimal harm
2023-11-09
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2023-12-28
D · Potential for more than minimal harm
2023-11-09
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-12-28
D · Potential for more than minimal harm
2023-11-09
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-28
D · Potential for more than minimal harm
2023-11-09
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-28
D · Potential for more than minimal harm
2023-11-09
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-12-28
D · Potential for more than minimal harm
2023-11-09
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-12-28
E · Potential for more than minimal harm
2022-04-28
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2022-06-12
D · Potential for more than minimal harm
2022-04-28
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-05-31
D · Potential for more than minimal harm
2022-04-28
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-05-31
Penalties and ownership
What sits behind the stars
Ownership
Jones, Angela
5% Or Greater Direct Ownership Interest · Individual
Sells, Benjamin
5% Or Greater Direct Ownership Interest · Individual
Armstrong, Mckenzie
Operational/Managerial Control · Individual
Forvis Mazars Llp
Operational/Managerial Control · Organization
Hutchinson, Dalen
Operational/Managerial Control · Individual
Hutchinson, Dalen
Corporate Officer · Individual
Jones, Angela
Operational/Managerial Control · Individual
Jones, Angela
Corporate Officer · Individual
Mrv Banks
5% Or Greater Mortgage Interest · Organization
Paradigm Rehab Services LLC
Operational/Managerial Control · Organization
Paradigm Senior Management LLC
Operational/Managerial Control · Organization
Sells, Benjamin
Operational/Managerial Control · Individual
Sells, Benjamin
Corporate Officer · Individual
Underwood, Holly
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Aspire Senior Living Malden
Malden, MO
4-star overall rating with 4-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Campbell Healthcare & Senior Living
Campbell, MO
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Portageville Health Care Center
Portageville, MO
2-star overall rating with 4-star inspections with $240,603 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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