Memory Lane of Dexter

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 3.29, RN 0.39, weekend 2.88.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.29 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 18 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.

• 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
• Daybreak Nursing Center — Sikeston, MO · overall 4/5
• Gideon Care Center — Gideon, MO · overall 4/5
• Hubble Creek — Jackson, MO · overall 3/5

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.

• "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
• "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
• "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
• "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
• "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
• "What is your current medication error rate, and what have you changed to bring errors down?"
• "How is pest control handled here, and when was the last treatment or inspection?"
• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"

Also worth asking anywhere

• "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "The ownership record on file lists 18 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 →

Other facilities in the same county

CMS records place this facility in Stoddard, MO — 7 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

• Aspire Senior Living Advance — Advance, MO · overall 4/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Dexter →