Gideon Care Center — nursing home in Gideon, MO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 72 CMS-certified beds (not state-licensed beds)
Licensed beds: 72 state-licensed beds · Missouri Department of Health and Senior Services
State license: 053326 active · licensee GIDEON CARE CENTERS, INC
Average residents per day: 62.8 CMS, MDS-derived
CMS Certification Number: 265409
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 31, 1990
Ownership type: For profit - Corporation
Operator (legal business name): Gideon Care Center, Inc
CMS chain: Paradigm Senior Management 8 facilities
Phone: (573) 448-3505
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Mar 19, 2026

Citations

26

19 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E2	F6
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 265409
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 72
First approved: Jan 31, 1990
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 4, 2026
Evidence: Verified

State license

Authority: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
License number: 053326
State facility ID: 15538
License type: Skilled nursing facility
License status: active
Licensed beds: 72
Link to CMS record: Linked by exact CCN Verified
Licensee: GIDEON CARE CENTERS, INC · Profit Corporation
Current license: Jan 31, 2026 → Jan 30, 2028
Certification (per state): Medicare/Medicaid
As of: Nov 4, 2026
Evidence: Verified source ↗

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 19, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Mar 19, 2026	Health	Health Standard	5	Potential harm	—	Open →
Dec 18, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Dec 18, 2024	Health	Health Standard	8	Potential harm	—	Open →
Nov 9, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Nov 9, 2023	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E2	F6
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Mar 19, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 2, 2026
Mar 19, 2026	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 2, 2026
Mar 19, 2026	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 2, 2026
Mar 19, 2026	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 2, 2026
Mar 19, 2026	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected May 2, 2026
Mar 19, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 2, 2026
Mar 19, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 2, 2026
Dec 18, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 31, 2025
Dec 18, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 31, 2025
Dec 18, 2024	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 31, 2025
Dec 18, 2024	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 31, 2025
Dec 18, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 31, 2025
Dec 18, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 31, 2025
Dec 18, 2024	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 31, 2025
Dec 18, 2024	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 Jan 31, 2025
Dec 18, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 31, 2025
Dec 18, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 31, 2025
Nov 9, 2023	K-0222	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. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 28, 2023
Nov 9, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 28, 2023
Nov 9, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 28, 2023
Nov 9, 2023	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 28, 2023
Nov 9, 2023	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 28, 2023
Nov 9, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 28, 2023
Nov 9, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 28, 2023
Nov 9, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 28, 2023
Nov 9, 2023	F-0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Dec 28, 2023

“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.

Five-Star ratings

Federal · CMS

Overallstate 2.6

Health inspectionsstate 2.8

Staffingstate 2.2

Quality measuresstate 2.9

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.20

State avg 3.40US avg 3.90

Registered nurse (RN)0.35

State avg 0.46US avg 0.69

Licensed practical nurse0.62

State avg 0.68US avg 0.86

Nurse aide2.23

State avg 2.26US avg 2.35

Weekend total nurse2.82

State avg 2.96US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.14 (case-mix index 1.42).

Staff turnover

Total nursing staff turnoverNot reported

State avg 56.9%US avg 45.3%

Registered nurse turnoverNot reported

State avg 50.0%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 19, 2026
Cycle 1 health score: 20
Total weighted score: 23

Operating entity

Gideon Care Center, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Paradigm Senior Management

8 facilities in 1 states. CMS chain ID 623.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.6

Ownership disclosures

Disclosures

23

Organizations

5

Individuals

14

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Benjamin Sells	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 1, 2022

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Benjamin Sells	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 1, 2022
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	Aug 1, 2022
Mckenzie Armstrong	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 16, 2023
Dalen Hutchinson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2022
Angela Jones	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2022
Benjamin Sells	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2022
Holly Underwood	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 27, 2024
Dalen Hutchinson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2022
Angela Jones	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2022
Benjamin Sells	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2022
Mrv Banks	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Sep 23, 2022
Forvis Mazars LLP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 27, 2025
Gideon Health Care Center, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 14, 2025
Mrv Banks	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 3, 2025
Paradigm Rehab Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 27, 2025
Paradigm Senior Management LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 25, 2025
Mckenzie Armstrong	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 16, 2023
Dalen Hutchinson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2022
Angela Jones	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Benjamin Sells	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2022
Holly Underwood	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 27, 2024

Same chain in Missouri

All 7 in chain →

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	—
Memory Lane of Dexter 415 S Catalpa Street, Dexter, MO 63841 CCN 265382	73		Apr 17, 2026	20	—
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	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 300 Lunbeck, Gideon, MO 63848
ZIP: 63848
County: New Madrid County FIPS 29143
State: Missouri
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Aspire Senior Living Malden 1209 Stokelan, Malden, MO 63863 CCN 265609	14.1 km	58		May 16, 2025	38	—
Campbell Healthcare & Senior Living 17108 US Highway 62, Campbell, MO 63933 CCN 265677	14.8 km	90		Aug 22, 2025	40	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	265409	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	265409	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	15538	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Nov 4, 2026	Nov 7, 2026

Record-level source links for CCN 265409

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction