Annie's Garden Skilled Nursing
302 Stallcup Drive, Sikeston, MO 63801 · New Madrid County · 75 certified beds · avg 43 residents/day · certified since Oct 15, 2025 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PARADIGM SENIOR MANAGEMENT (8 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: —/5 · CMS overall rating: —/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (0)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
No health citations in the currently published records.
Inspection trend by year
No citations in the published record to chart.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 0.00 | 3.66 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.49 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.22 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.33 | 0.48 | bottom 47% in Missouri; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 56.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 47.8 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.11, RN 0.47, weekend 3.46. Staffing rating: —/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Jones, Angela | Individual | Direct Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Paradigm Senior Management LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Sells, Benjamin | Individual | Direct Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Alliance Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/01/2025 |
| Alliance Bank | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Dunning, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Dunning, Kimberly | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Hutchinson, Dalen | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Hutchinson, Dalen | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Jones, Angela | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Paradigm Rehab Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Paradigm Rehab Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Paradigm Senior Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Paradigm Senior Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Rapert, Kathy | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Sahai, Madhu | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Sahai, Madhu | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Sells, Benjamin | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Delta South Nursing & Rehabilitation | 1.4 mi | Sikeston, MO | ★★★★☆ | 4/5 | |
| Hunter Acres Caring Center | 1.7 mi | Sikeston, MO | ★★★☆☆ | 4/5 | |
| Sikeston Convalescent Center | 2.0 mi | Sikeston, MO | ★★★☆☆ | 4/5 | |
| Clearview Nursing Center | 2.1 mi | Sikeston, MO | ★★★★☆ | 4/5 | |
| Cotton Point Living Center | 6.9 mi | Matthews, MO | ★★★☆☆ | 4/5 | |
| Bertrand Nursing and Rehab Center | 8.1 mi | Bertrand, MO | ★★★★☆ | 5/5 | |
| Daybreak Nursing Center | 10.7 mi | Sikeston, MO | ★★★★☆ | 5/5 | |
| Aspire Senior Living East Prairie | 12.2 mi | East Prairie, MO | ★★★☆☆ | 4/5 | |
| New Madrid Living Center | 18.5 mi | New Madrid, MO | ★★★★★ | 5/5 | |
| Prairie View Skilled Nursing | 19.1 mi | Bloomfield, MO | ★★☆☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265890.