Federal inspection record · CMS data as of October 1, 2026
Memory Lane Of Dexter
415 S Catalpa Street, Dexter, MO · (573) 624-7491
- Certified beds
- 73
- Residents per day
- 65
- Ownership
- For-Profit
- Chain
- Paradigm Senior Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1989
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Memory Lane Of Dexter carries 19 inspection points. That is fewer than 90% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary3F
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care2E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control2D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service2D
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
Resident Rights1D
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Environmental1D
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Assessment and Care Planning1D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspection history
2026-04-17
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-01-17
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-08-17
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 26 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.3 pts worse | 4.5 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine36.4 pts worse | 47.6% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.5 pts worse | 83.3% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.7 pts worse | 8.7% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms19.1 pts better | 0.9% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts worse | 6.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.9 pts better | 9.7% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication25 pts worse | 48.5% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6 pts better | 9.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts better | 8.6% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection5.4 pts worse | 7.6% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.3 pts better | 6.8% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.4 pts better | 0.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine56.8 pts worse | 8.9% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 15.0% | 13.4% | 11.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.7 pts worse | 31.4% | 25.7% | 23.4% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Alliance Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 3 facilities |
| Alliance Bank | Adp Of The SNF · Organization | 0% | 3 facilities |
| Chism, Michelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Chism, Michelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Forvis Mazars Llp | Operational/Managerial Control · Organization | 0% | 295 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Hutchinson, Dalen | Corporate Officer · Individual | 0% | 8 facilities |
| Hutchinson, Dalen | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Hutchinson, Dalen | Adp Of The SNF · Individual | 0% | 8 facilities |
| Jones, Angela | Corporate Officer · Individual | 0% | 8 facilities |
| Noles, Leslie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Noles, Leslie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Paradigm Rehab Services LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Paradigm Rehab Services LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Paradigm Senior Management LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Paradigm Senior Management LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Sells, Benjamin | Corporate Officer · Individual | 0% | 8 facilities |
| Sells, Benjamin | Operational/Managerial Control · Individual | 0% | 8 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress1F
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Gas, Vacuum, and Electrical Systems1F
- F
Meet requirements for the installation and maintenance of electrical systems.
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Other homes nearby
-
Cypress Point-Skilled Nursing By Americare
Dexter, MO · Americare Senior Living
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 47 min
- Fines
- $73,743
-
Crowley Ridge Care Center
Dexter, MO · James & Judy Lincoln
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
Prairie View Skilled Nursing
Bloomfield, MO · Paradigm Senior Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 34 min
- Fines
- $0