Gideon Care Center

Name: Gideon Care Center
Address: 300 LUNBECK, Gideon, MO, 63848, US
Telephone: 5734483505

300 Lunbeck, Gideon, MO 63848 · New Madrid County · 72 certified beds · avg 59 residents/day · certified since Jan 31, 1990

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

3.35

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 (19)

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
Mar 19, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Dec 18, 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.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 18, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Dec 18, 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.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Nov 9, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 9, 2023	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.
Nov 9, 2023	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.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 5).

Year	Citations	Worst severity that year
2023	6	E
2024	8	D
2026	5	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)	3.35	3.66	3.95	bottom 38% in Missouri; bottom 29% in the U.S.
Registered Nurse hours	0.30	0.49	0.69	bottom 26% in Missouri; bottom 9% in the U.S.
Weekend total nurse staffing	3.01	3.22	3.50	bottom 42% in Missouri; bottom 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.33	0.48	top 42% in Missouri; bottom 32% 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 3.33, RN 0.30, weekend 2.99. 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: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Sells, Benjamin	Individual	Direct Ownership Interest	NOT APPLICABLE	08/01/2022
Armstrong, McKenzie	Individual	Operational/Managerial Control	NOT APPLICABLE	06/16/2023
Armstrong, McKenzie	Individual	ADP of the SNF	NOT APPLICABLE	06/16/2023
Forvis Mazars LLP	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Forvis Mazars LLP	Organization	ADP of the SNF	NOT APPLICABLE	02/27/2025
Gideon Health Care Center, INC.	Organization	ADP of the SNF	NOT APPLICABLE	03/14/2025
Hutchinson, Dalen	Individual	Corporate Officer	NOT APPLICABLE	11/01/2022
Hutchinson, Dalen	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2022
Hutchinson, Dalen	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2022
Jones, Angela	Individual	Corporate Officer	NOT APPLICABLE	08/01/2022
Jones, Angela	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2022
Jones, Angela	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2024
MRV Banks	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	09/23/2022
MRV Banks	Organization	ADP of the SNF	NOT APPLICABLE	03/03/2025
Paradigm Rehab Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2024
Paradigm Rehab Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/27/2025
Paradigm Senior Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2022
Paradigm Senior Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/25/2025
Sells, Benjamin	Individual	Corporate Officer	NOT APPLICABLE	08/01/2022
Sells, Benjamin	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Where do you post your daily staffing numbers, and can I see today's?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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
Aspire Senior Living Malden	8.8 mi	Malden, MO	★★★☆☆	4/5
Campbell Healthcare & Senior Living	9.2 mi	Campbell, MO	★★★☆☆	4/5
Portageville Health Care Center	12.7 mi	Portageville, MO	★★★☆☆	4/5
Winchester Nursing Center, INC	15.1 mi	Bernie, MO	★★★★★	5/5
Piggott Healthcare & Senior Living, LLC	16.1 mi	Piggott, AR	★☆☆☆☆	1/5
Heritage Nursing Center - Skilled Nursing by Ameri	17.3 mi	Kennett, MO	★★★★☆	4/5
NHC Healthcare, Kennett	17.8 mi	Kennett, MO	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Gideon →

Facility data as of CMS processing date 2026-08-01. CCN 265409.

The Care File

Visit checklist — Gideon Care Center

300 Lunbeck, Gideon, MO 63848 · 5734483505

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

Questions for the administrator:

☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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 265409 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)