Memory Lane of Dexter
415 S Catalpa Street, Dexter, MO 63841 · Stoddard County · 73 certified beds · avg 66 residents/day · certified since Sep 1, 1989
Part of chain: PARADIGM SENIOR MANAGEMENT (8 facilities, chain avg rating 3.6★)
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 (12)
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 |
|---|---|---|
| Apr 17, 2026 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Apr 17, 2026 | 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. |
| Apr 17, 2026 | 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. |
| Apr 17, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 17, 2025 | F · Potential for harm, 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. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 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. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Aug 17, 2023 | F · Potential for harm, 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. |
| Aug 17, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Aug 17, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2025 | 4 | 0 | F |
| 2026 | 4 | 0 | 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) | 3.66 | 3.66 | 3.95 | top 47% in Missouri; bottom 45% in the U.S. |
| Registered Nurse hours | 0.44 | 0.49 | 0.69 | top 45% in Missouri; bottom 28% in the U.S. |
| Weekend total nurse staffing | 3.21 | 3.22 | 3.50 | top 47% in Missouri; bottom 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.33 | 0.48 | top 9% in Missouri; top 35% 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 3.29, RN 0.39, weekend 2.88. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alliance Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/23/2023 |
| Alliance Bank | Organization | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Chism, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/03/2023 |
| Chism, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 04/03/2023 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
| Hutchinson, Dalen | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2022 |
| Hutchinson, Dalen | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/03/2023 |
| Hutchinson, Dalen | Individual | ADP of the SNF | NOT APPLICABLE | 04/03/2023 |
| Jones, Angela | Individual | Corporate Officer | NOT APPLICABLE | 04/03/2023 |
| Noles, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2024 |
| Noles, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 01/03/2024 |
| Paradigm Rehab Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Paradigm Rehab Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
| Paradigm Senior Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/03/2023 |
| Paradigm Senior Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
| Sells, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 04/03/2023 |
| Sells, Benjamin | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/03/2023 |
Questions to ask on your visit
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?"
- "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 | Flags |
|---|---|---|---|---|---|
| Cypress Point-Skilled Nursing by Americare | 0.4 mi | Dexter, MO | ★★★★☆ | 4/5 | |
| Crowley Ridge Care Center | 1.6 mi | Dexter, MO | ★★★★☆ | 5/5 | |
| Prairie View Skilled Nursing | 6.9 mi | Bloomfield, MO | ★★☆☆☆ | 4/5 | |
| Winchester Nursing Center, INC | 8.4 mi | Bernie, MO | ★★★★★ | 5/5 | |
| Aspire Senior Living Malden | 14.9 mi | Malden, MO | ★★★☆☆ | 4/5 | |
| Puxico Nursing and Rehabilitation Center | 15.8 mi | Puxico, MO | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265382.