Daybreak Nursing Center

Name: Daybreak Nursing Center
Address: 410 H ROAD, Sikeston, MO, 63801, US
Telephone: 5734717683

410 H Road, Sikeston, MO 63801 · Scott County · 70 certified beds · avg 61 residents/day · certified since Nov 1, 1993

Part of chain: PARADIGM SENIOR MANAGEMENT (8 facilities, chain avg rating 3.6★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.04

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5

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 (13)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 17, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 17, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Nov 17, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 10, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 10, 2024	C · Minimal risk, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
May 19, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 19, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
May 19, 2023	C · Minimal risk, facility-wide	The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss.
May 19, 2023	C · Minimal risk, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 19, 2023	C · Minimal risk, facility-wide	The facility did not dispose of garbage and refuse properly.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 3).

Year	Citations	Worst severity that year
2023	5	D
2024	5	D
2025	3	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

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)	3.04	3.66	3.95	bottom 24% in Missouri; bottom 15% in the U.S.
Registered Nurse hours	0.33	0.49	0.69	bottom 32% in Missouri; bottom 12% in the U.S.
Weekend total nurse staffing	2.79	3.22	3.50	bottom 31% in Missouri; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.33	0.48	top 12% in Missouri; top 38% in the U.S.
Total nursing staff turnover (%)	55.7	56.0	45.8	top 48% in Missouri; bottom 24% in the U.S.
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 3.28, RN 0.35, weekend 3.01. Staffing rating: 1/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bramlett, Candace	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Bramlett, Candace	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
Forvis Mazars LLP	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Forvis Mazars LLP	Organization	ADP of the SNF	NOT APPLICABLE	03/11/2025
Hutchinson, Dalen	Individual	Corporate Officer	NOT APPLICABLE	12/01/2022
Hutchinson, Dalen	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Hutchinson, Dalen	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
MRV Banks	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	09/23/2022
MRV Banks	Organization	ADP of the SNF	NOT APPLICABLE	03/11/2025
Paradigm Rehab Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2024
Paradigm Rehab Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/11/2025
Paradigm Senior Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Paradigm Senior Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/31/2025
Sahai, Madhu	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Sahai, Madhu	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
Sells, Benjamin	Individual	Corporate Officer	NOT APPLICABLE	12/01/2022
Sells, Benjamin	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Thornsbrough, Brock	Individual	Operational/Managerial Control	NOT APPLICABLE	02/19/2024
Thornsbrough, Brock	Individual	ADP of the SNF	NOT APPLICABLE	02/19/2024

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 falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How is pest control handled here, and when was the last treatment or inspection?"
"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
Bertrand Nursing and Rehab Center	7.9 mi	Bertrand, MO	★★★★☆	5/5
Sikeston Convalescent Center	8.7 mi	Sikeston, MO	★★★☆☆	4/5
Clearview Nursing Center	9.0 mi	Sikeston, MO	★★★★☆	4/5
Hunter Acres Caring Center	9.4 mi	Sikeston, MO	★★★☆☆	4/5
Delta South Nursing & Rehabilitation	9.9 mi	Sikeston, MO	★★★★☆	4/5
Annie's Garden Skilled Nursing	10.7 mi	Sikeston, MO		—/5
Chaffee Nursing Center	14.8 mi	Chaffee, MO	★★★★★	5/5
Aspire Senior Living East Prairie	17.0 mi	East Prairie, MO	★★★☆☆	4/5
Cotton Point Living Center	17.2 mi	Matthews, MO	★★★☆☆	4/5
Lutheran Home, the	20.0 mi	Cape Girardeau, MO	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Sikeston →

Facility data as of CMS processing date 2026-08-01. CCN 265548.

The Care File

Visit checklist — Daybreak Nursing Center

410 H Road, Sikeston, MO 63801 · 5734717683

Health inspection rating 5/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265548 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)