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 3.02, RN 0.20, weekend 2.67.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.02 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 - Corporation

Showing 20 of 22 parties CMS has on file for this facility; 2 are not displayed. The full list is in the CMS Ownership dataset.

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.

• 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
• Memory Lane of Dexter — Dexter, MO · overall 4/5
• Prairie View Skilled Nursing — Bloomfield, MO · overall 2/5

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 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?"

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 22 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 1 closest →

All facilities in Birch Tree →