Rock Point Nursing Center

Name: Rock Point Nursing Center
Address: 8477 NORTH STREET, Birch Tree, MO, 65438, US
Telephone: 5732923212

8477 North Street, Birch Tree, MO 65438 · Shannon County · 86 certified beds · avg 73 residents/day · certified since May 17, 1989

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.93

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

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 (21)

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	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.
Mar 19, 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.
Mar 19, 2026	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.
Mar 19, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Mar 19, 2026	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.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
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.
Jan 9, 2025	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.
Jan 9, 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 9, 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 9, 2025	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.
Sep 29, 2023	E · Potential for harm, repeated	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.
Sep 29, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 29, 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.
Sep 29, 2023	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.
Sep 29, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 29, 2023	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.
Sep 29, 2023	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 10).

Year	Citations	Worst severity that year
2023	7	E
2025	4	D
2026	10	F

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)	2.93	3.66	3.95	bottom 21% in Missouri; bottom 11% in the U.S.
Registered Nurse hours	0.19	0.49	0.69	bottom 8% in Missouri; bottom 2% in the U.S.
Weekend total nurse staffing	2.59	3.22	3.50	bottom 23% in Missouri; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.33	0.48	bottom 30% in Missouri; bottom 13% in the U.S.
Total nursing staff turnover (%)	55.6	56.0	45.8	top 47% in Missouri; bottom 24% in the U.S.
RN turnover (%)	20.0	47.8	42.9	top 12% in Missouri; top 13% in the U.S.

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 3.02, RN 0.20, weekend 2.67. 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 - Corporation

Owner / manager	Type	Role	Stake	Since
Jones, Angela	Individual	Direct Ownership Interest	NOT APPLICABLE	01/01/2021
Sells, Benjamin	Individual	Direct Ownership Interest	NOT APPLICABLE	01/01/2021
Caldwell, Fred	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Caldwell, Fred	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	04/01/2025
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	Operational/Managerial Control	NOT APPLICABLE	01/01/2021
Jones, Sondra	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2021
Jones, Sondra	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2021
Montgomery, Christopher	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Montgomery, Christopher	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
MRV Banks	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	12/05/2021
MRV Banks	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2025
Paradigm Rehab Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2024
Paradigm Rehab Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2025
Paradigm Senior Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2021
Paradigm Senior Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2025
Sells, Benjamin	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2021

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
Mountain View Healthcare	11.3 mi	Mountain View, MO	★★★★★	5/5

Compare this facility with the 1 closest →

All facilities in Birch Tree →

Facility data as of CMS processing date 2026-08-01. CCN 265368.

The Care File

Visit checklist — Rock Point Nursing Center

8477 North Street, Birch Tree, MO 65438 · 5732923212

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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 265368 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)