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No fines or payment denials in the published 3-year window.
Annie's Garden Skilled Nursing
302 Stallcup Drive, Sikeston, MO 63801 (opens Google Maps) · New Madrid County · (573) 621-4910· 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★)
—/5
Health inspection rating (on-site)
inspected Oct 15, 2025
0
Serious findings on record
$0
Fines, last 3 years
—
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: —/5 · CMS overall rating: —/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
0 inspection findings in the public record
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: Not reported
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: Not reported
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: Not reported
Missouri average: 3.22
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | — | 3.66 | 3.95 | — |
| Registered Nurse hours | — | 0.49 | 0.69 | — |
| Weekend total nurse staffing | — | 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 (%) | — | 56.0 | 45.8 | — |
| RN turnover (%) | — | 47.8 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.11 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: —/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Annie's Garden Skilled Nursing. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Paradigm Senior Management — 8 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Daybreak Nursing Center — Sikeston, MO · overall 4/5
- Gideon Care Center — Gideon, MO · overall 4/5
- Hubble Creek — Jackson, MO · overall 3/5
- Memory Lane of Dexter — Dexter, MO · overall 4/5
- Prairie View Skilled Nursing — Bloomfield, MO · overall 2/5
- Rock Point Nursing Center — Birch Tree, MO · overall 3/5
- Winchester Nursing Center, INC — Bernie, MO · overall 5/5
Listed by state, then facility name — not a ranking.
Questions to ask on your visit
The published CMS deficiency file lists no citations for this facility, so there is nothing here that is specific to it. The questions below are general ones, worth asking on any tour.
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 →
Other facilities in the same county
CMS records place this facility in New Madrid, MO — 6 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Gideon Care Center — Gideon, MO · overall 4/5
- Portageville Health Care Center — Portageville, MO · overall 3/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 265890.