Cycle 1
Health 2025-04-03 · Fire 2025-04-03
7 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Bloomfield, MO
Prairie View Skilled Nursing
3-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
606 West Missouri Street, Bloomfield, MO
(573) 568-2137
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
60
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Paradigm Senior Management
Operator or chain grouping
Approved since
1991-06-01
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
0.45
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.38
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.08
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.23
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
0.42
CMS adjusted RN staffing hours
Adjusted total hours
3.17
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 7 · 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 4 · 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 | 100% |
95.27%
4.7 pts better
|
Numerator 26 · Denominator 26 |
| Falls with major injury | 3.85% |
0.77%
3.1 pts worse
|
Numerator 1 · Denominator 26 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 26 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 2% |
8.2%
6.2 pts worse
|
Numerator 1 · Denominator 50 |
| Staff flu vaccination coverage | 8.24% |
42%
33.8 pts worse
|
Numerator 7 · Denominator 85 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · 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 | 1.5 |
2.1
0.6 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.0 |
2.3
1.7 pts worse
|
1.8
2.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 3.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.2% |
84.8%
9.6 pts worse
|
93.4%
18.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 51.4% · Q2 78.9% · Q3 89.5% · Q4 78.6% · 4Q avg 75.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 59.5% |
90.9%
31.4 pts worse
|
95.5%
36 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 59.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.2% |
4.1%
5.1 pts worse
|
3.3%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 7.9% · Q3 7.9% · Q4 11.9% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 32.2% |
14.7%
17.5 pts worse
|
11.4%
20.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 32.4% · Q3 27.8% · Q4 37.8% · 4Q avg 32.2% |
| Percentage of long-stay residents who lose too much weight | 11.8% |
5.5%
6.3 pts worse
|
5.4%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 3.6% · Q3 11.1% · Q4 15.2% · 4Q avg 11.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.3% |
25.3%
5 pts better
|
19.6%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 23.3% · Q3 17.2% · Q4 20.0% · 4Q avg 20.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.7% |
25.0%
7.3 pts better
|
16.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 18.2% · Q4 23.8% · 4Q avg 17.7% · 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 | 21.6% |
20.3%
1.3 pts worse
|
16.3%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 16.3% · 4Q avg 21.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.1% |
19.8%
1.3 pts worse
|
14.9%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 17.2% · Q3 10.7% · Q4 29.4% · 4Q avg 21.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5% |
1.4%
1.1 pts worse
|
1.0%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 2.1% · Q3 0.0% · Q4 2.5% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.9% |
2.6%
4.3 pts worse
|
1.7%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.6% · Q3 8.3% · Q4 12.5% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.1% |
18.1%
6 pts better
|
19.8%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 11.8% · Q3 15.1% · Q4 6.7% · 4Q avg 12.1% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
5.0%
1.7 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.6% · Q3 0.0% · Q4 5.4% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 38.7% |
66.4%
27.7 pts worse
|
81.7%
43 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 37.2% · Q2 38.1% · Q3 45.7% · Q4 33.3% · 4Q avg 38.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 41.4% |
13.4%
28 pts worse
|
12.0%
29.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 41.4% · Observed 43.3% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.2% |
2.2%
2 pts worse
|
1.6%
2.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q3 4.8% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 7.1% |
63.5%
56.4 pts worse
|
79.7%
72.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 7.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.2% |
25.3%
5.1 pts better
|
23.9%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 16.7% · Expected 19.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-26 · Fire 2024-04-26
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2021-10-22 · Fire 2021-10-22
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-03
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-17
F · Potential for more than minimal harm
2024-04-26
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 2024-06-11
F · Potential for more than minimal harm
2021-10-22
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-12-05
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-03
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-04-03
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-04-03
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-04-03
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-04-03
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-04-03
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-04-03
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-05-17
D · Potential for more than minimal harm
2024-04-26
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-11
D · Potential for more than minimal harm
2024-04-26
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 2024-06-11
D · Potential for more than minimal harm
2024-04-26
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-06-11
D · Potential for more than minimal harm
2024-04-26
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-11
D · Potential for more than minimal harm
2024-04-26
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 2024-06-11
D · Potential for more than minimal harm
2024-04-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-11
E · Potential for more than minimal harm
2021-10-22
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 2021-12-05
D · Potential for more than minimal harm
2021-10-22
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2021-12-05
D · Potential for more than minimal harm
2021-10-22
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 2021-12-05
D · Potential for more than minimal harm
2021-10-22
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 2021-12-05
D · Potential for more than minimal harm
2021-10-22
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 2021-12-28
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
Forvis Mazars Llp
Operational/Managerial Control · Organization
Harris, Maci
Operational/Managerial Control · Individual
Hutchinson, Dalen
Operational/Managerial Control · Individual
Johnson, Brittany
Operational/Managerial Control · Individual
Jones, Angela
Corporate Officer · 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
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
#2
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
#3
Memory Lane Of Dexter
Dexter, MO
2-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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