Cycle 1
Health 2025-01-17 · Fire 2025-01-17
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Dexter, MO
Memory Lane Of Dexter
2-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
415 S Catalpa Street, Dexter, MO
(573) 624-7491
Overall
2 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
73
Certified beds
Average residents
62
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Paradigm Senior Management
Operator or chain grouping
Approved since
1989-09-01
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
0.28
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.58
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.72
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.14
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.11
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.31
CMS adjusted RN staffing hours
Adjusted total hours
4.03
CMS adjusted total nurse staffing hours
Case-mix index
1.26
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
11,977
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.44
Composite VBP score used to determine payment impact.
Payment multiplier
0.9813
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
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0
Baseline 72.00% · Performance 70.97% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.89
Performance 3.9 hours · Measure score 2.89 · Achievement 2.89 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 68 |
| Staff flu vaccination coverage | 4.69% |
42%
37.3 pts worse
|
Numerator 3 · Denominator 64 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| 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 | 2.1 |
2.1
About the same
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.7 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.6 |
2.3
2.3 pts worse
|
1.8
2.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.6 · Observed 4.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 52.7% |
84.8%
32.1 pts worse
|
93.4%
40.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 66.1% · Q2 42.2% · Q3 52.6% · Q4 50.0% · 4Q avg 52.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.1% |
90.9%
6.8 pts worse
|
95.5%
11.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 10.2% |
4.1%
6.1 pts worse
|
3.3%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 15.6% · Q3 10.5% · Q4 8.1% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
14.7%
14.7 pts better
|
11.4%
11.4 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 who lose too much weight | 13.0% |
5.5%
7.5 pts worse
|
5.4%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 24.5% · Q3 13.2% · Q4 6.8% · 4Q avg 13.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.8% |
25.3%
7.5 pts better
|
19.6%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 23.2% · Q3 14.8% · Q4 10.2% · 4Q avg 17.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 44.4% |
25.0%
19.4 pts worse
|
16.7%
27.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 49.1% · Q2 42.2% · Q3 41.3% · Q4 44.2% · 4Q avg 44.4% · 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 | 23.1% |
20.3%
2.8 pts worse
|
16.3%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 55.7% · Q2 18.3% · Q3 9.2% · Q4 7.8% · 4Q avg 23.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.4% |
19.8%
2.4 pts better
|
14.9%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.6% · Q2 10.7% · Q3 3.7% · Q4 10.3% · 4Q avg 17.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.4%
0.5 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 10.2% |
2.6%
7.6 pts worse
|
1.7%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 14.0% · Q3 8.9% · Q4 9.7% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.4% |
18.1%
9.7 pts better
|
19.8%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 13.5% · Q3 5.5% · Q4 8.9% · 4Q avg 8.4% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
5.0%
2.7 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 6.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 8.7% |
66.4%
57.7 pts worse
|
81.7%
73 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q3 20.8% · 4Q avg 8.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.4% |
13.4%
3 pts worse
|
12.0%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 18.5% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.6% |
25.3%
2.3 pts worse
|
23.9%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 18.5% · Expected 16.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-17 · Fire 2023-08-17
4 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2021-07-01 · Fire 2021-07-01
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-17
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-02-28
F · Potential for more than minimal harm
2025-01-17
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 2025-02-28
F · Potential for more than minimal harm
2025-01-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-17
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-02-28
F · Potential for more than minimal harm
2023-08-17
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 2023-09-30
F · Potential for more than minimal harm
2023-08-17
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-09-30
F · Potential for more than minimal harm
2021-07-01
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 2021-07-31
F · Potential for more than minimal harm
2021-07-01
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 2021-07-31
D · Potential for more than minimal harm
2021-07-01
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-07-31
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-01-17
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 2025-02-28
D · Potential for more than minimal harm
2025-01-17
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 2025-02-28
D · Potential for more than minimal harm
2025-01-17
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-17
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-02-28
F · Potential for more than minimal harm
2023-08-17
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 2023-09-30
E · Potential for more than minimal harm
2023-08-17
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-30
D · Potential for more than minimal harm
2023-08-17
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-09-30
D · Potential for more than minimal harm
2023-08-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-30
F · Potential for more than minimal harm
2021-07-01
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2021-07-31
E · Potential for more than minimal harm
2021-07-01
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 2021-07-31
D · Potential for more than minimal harm
2021-07-01
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 2021-07-31
D · Potential for more than minimal harm
2021-07-01
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-07-01
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-07-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-07-01
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 2021-07-31
D · Potential for more than minimal harm
2021-07-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-07-01
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2021-07-31
C · Minimal harm
2021-07-01
F680 · Quality of Life and Care Deficiencies
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2021-07-31
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
Alliance Bank
5% Or Greater Mortgage Interest · Organization
Chism, Michelle
Operational/Managerial Control · Individual
Forvis Mazars Llp
Operational/Managerial Control · Organization
Hutchinson, Dalen
Operational/Managerial Control · Individual
Hutchinson, Dalen
Corporate Officer · Individual
Jones, Angela
Corporate Officer · Individual
Noles, Leslie
Operational/Managerial Control · Individual
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
Nearby options
Other facilities in reach
#1
Cypress Point-Skilled Nursing By Americare
Dexter, MO
4-star overall rating with 3-star inspections with $73,743 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Crowley Ridge Care Center
Dexter, MO
2-star overall rating with 2-star inspections with abuse icon flag with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Prairie View Skilled Nursing
Bloomfield, MO
3-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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