Winchester Nursing Center, INC
400 Winchester Dr, Bernie, MO 63822 · Stoddard County · 60 certified beds · avg 53 residents/day · certified since Jan 9, 2019
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: 5/5
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 (7)
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 |
|---|---|---|
| Jul 25, 2025 | 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). |
| May 9, 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. |
| May 9, 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. |
| May 9, 2024 | 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. |
| May 9, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| May 9, 2024 | 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. |
| May 9, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 6 | 0 | D |
| 2025 | 1 | 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) | 3.41 | 3.66 | 3.95 | bottom 42% in Missouri; bottom 32% in the U.S. |
| Registered Nurse hours | 0.60 | 0.49 | 0.69 | top 22% in Missouri; top 48% in the U.S. |
| Weekend total nurse staffing | 2.86 | 3.22 | 3.50 | bottom 37% in Missouri; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.33 | 0.48 | top 28% in Missouri; bottom 44% 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 (%) | 50.0 | 47.8 | 42.9 | top 46% in Missouri; bottom 39% 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 3.41, RN 0.60, weekend 2.86. Staffing rating: 2/5.
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 |
|---|---|---|---|---|
| Aters, Kelli | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/24/2023 |
| Aters, Kelli | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2023 |
| Caldwell, Fred | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Caldwell, Fred | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Diebold, Colby | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Diebold, Colby | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| First Midwest Bank of Dexter | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 02/05/2021 |
| First Midwest Bank of Dexter | Organization | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| 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 | Corporate Officer | NOT APPLICABLE | 08/23/2022 |
| Paradigm Rehab Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Paradigm Rehab Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| Paradigm Senior Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/22/2019 |
| Paradigm Senior Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| Sells, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 08/23/2022 |
| Sells, Benjamin | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/23/2022 |
| Sells, Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Aspire Senior Living Malden | 6.5 mi | Malden, MO | ★★★☆☆ | 4/5 | |
| Memory Lane of Dexter | 8.4 mi | Dexter, MO | ★★★★☆ | 5/5 | |
| Cypress Point-Skilled Nursing by Americare | 8.9 mi | Dexter, MO | ★★★★☆ | 4/5 | |
| Crowley Ridge Care Center | 10.0 mi | Dexter, MO | ★★★★☆ | 5/5 | |
| Campbell Healthcare & Senior Living | 13.8 mi | Campbell, MO | ★★★☆☆ | 4/5 | |
| Gideon Care Center | 15.1 mi | Gideon, MO | ★★★★☆ | 5/5 | |
| Prairie View Skilled Nursing | 15.3 mi | Bloomfield, MO | ★★☆☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265874.