How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

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 3.28, RN 0.35, weekend 3.01.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.28 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

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

All 19 owning or managing parties CMS has on file are shown — none excluded.

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.

• 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
• Annie's Garden Skilled Nursing — Sikeston, MO · overall —/5

Listed by state, then facility name — not a ranking.

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Missouri midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 56% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Sikeston →