Federal inspection record · CMS data as of October 1, 2026
Winchester Nursing Center, Inc
400 Winchester Dr, Bernie, MO · (573) 293-6702
- Certified beds
- 60
- Residents per day
- 51
- Ownership
- For-Profit
- Chain
- Paradigm Senior Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 9, 2019
1
How this home got 5 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
★★★★★no change
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Winchester Nursing Center, Inc carries 9 inspection points. That is fewer than 99% 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
7 health citations on record since 2024. 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
Resident Rights2D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
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.
Quality of Life and Care2D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-07-25
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2024-05-09
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-02-23
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 25 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 25 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 33% of registered nurses left in the past year.
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 days1 pts worse | 3.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.9 pts worse | 4.1 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine50.1 pts worse | 33.9% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine17.2 pts worse | 73.6% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury9.4 pts worse | 13.4% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20 pts better | 0.0% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight14.4 pts worse | 19.5% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.2 pts better | 18.4% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.6 pts better | 15.9% | 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 worsened4.8 pts better | 11.0% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts better | 17.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.4% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.3 pts worse | 5.5% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.4 pts better | 4.7% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 6.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine57.6 pts worse | 8.1% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.1 pts worse | 16.5% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.9% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine36.8 pts worse | 24.6% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.4 pts worse | 33.1% | 25.7% | 23.4% |
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Who owns and runs it
21 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 |
|---|---|---|---|
| Aters, Kelli | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Aters, Kelli | Adp Of The SNF · Individual | 0% | 1 facilities |
| Caldwell, Fred | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Caldwell, Fred | Adp Of The SNF · Individual | 0% | 4 facilities |
| Diebold, Colby | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Diebold, Colby | Adp Of The SNF · Individual | 0% | 1 facilities |
| First Midwest Bank Of Dexter | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| First Midwest Bank Of Dexter | Adp Of The SNF · Organization | 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 | 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 |
| 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 |
| Sells, Benjamin | Adp Of The SNF · Individual | 0% | 8 facilities |
| Winchester Place Retirement Community, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
Smoke2F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
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★★★★★- Worst citation, 3 yrs
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Memory Lane Of Dexter
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