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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E1 | F9 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 17, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 17, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jan 17, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jan 17, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Aug 17, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 17, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E1 | F9 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 17, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 31, 2026 | |
| Apr 17, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 31, 2026 | |
| Apr 17, 2026 | F-0569 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
8 facilities in 1 states. CMS chain ID 623.
Chain average overall rating (CMS): 3.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Forvis Mazars LLP | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Paradigm Rehab Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Paradigm Senior Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 3, 2023 |
| Michelle Chism | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 3, 2023 |
| Dalen Hutchinson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 3, 2023 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Rock Point Nursing Center 8477 North Street, Birch Tree, MO 65438 CCN 265368 | 86 | Mar 19, 2026 | 24 | — | |
| Gideon Care Center 300 Lunbeck, Gideon, MO 63848 CCN 265409 | 72 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Cypress Point-Skilled Nursing By Americare 801 Baliff Drive, Dexter, MO 63841 CCN 265367 | 0.7 km | 79 | Sep 18, 2025 | 191 IJ | $74k | |
| Crowley Ridge Care Center 1204 North Outer Road, Dexter, MO 63841 CCN 265552 | 2.6 km | 90 | Jun 10, 2025 | 16 | — | |
| Prairie View Skilled Nursing 606 West Missouri Street, Bloomfield, MO 63825 CCN 265451 | 11.1 km | 60 | May 28, 2026 | 21 | — | |
| Winchester Nursing Center, Inc 400 Winchester Dr, Bernie, MO 63822 CCN 265874 | 13.6 km | 60 | Jul 25, 2025 | 11 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265382 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265382 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Missouri DHSS Long-Term Care Directory MO | 02156 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected May 31, 2026 |
| Apr 17, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2026 |
| Apr 17, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 31, 2026 |
| Apr 17, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 31, 2026 |
| Jan 17, 2025 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Jan 17, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Jan 17, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Jan 17, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 28, 2025 |
| Jan 17, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 28, 2025 |
| Jan 17, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Jan 17, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 28, 2025 |
| Aug 17, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 30, 2023 |
| Aug 17, 2023 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 30, 2023 |
| Aug 17, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2023 |
| Aug 17, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 30, 2023 |
| Aug 17, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 30, 2023 |
| Aug 17, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 30, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.85 (case-mix index 1.25).
| Leslie Noles |
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 3, 2024 |
| Benjamin Sells | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 3, 2023 |
| Dalen Hutchinson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2022 |
| Angela Jones | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 3, 2023 |
| Benjamin Sells | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 3, 2023 |
| Alliance Bank | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jan 23, 2023 |
| Alliance Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 24, 2025 |
| Forvis Mazars LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 17, 2025 |
| Paradigm Rehab Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 17, 2025 |
| Paradigm Senior Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 17, 2025 |
| Michelle Chism | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 3, 2023 |
| Dalen Hutchinson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 3, 2023 |
| Leslie Noles | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 3, 2024 |
| Mar 19, 2026 |
26 |
| — |
| Prairie View Skilled Nursing 606 West Missouri Street, Bloomfield, MO 63825 CCN 265451 | 60 | May 28, 2026 | 21 | — |
| Daybreak Nursing Center 410 H Road, Sikeston, MO 63801 CCN 265548 | 70 | Nov 17, 2025 | 23 | — |
| Hubble Creek 1115 K Land Drive, Jackson, MO 63755 CCN 265716 | 105 | Feb 12, 2026 | 501 IJ | — |
| Winchester Nursing Center, Inc 400 Winchester Dr, Bernie, MO 63822 CCN 265874 | 60 | Jul 25, 2025 | 11 | — |
| Annie's Garden Skilled Nursing 302 Stallcup Drive, Sikeston, MO 63801 CCN 265890 | 75 | Not rated | Oct 15, 2025 | No citations in window | — |