nursing home in Bernie, MO
Winchester Nursing Center, INC
400 Winchester Dr, Bernie, MO 63822 · (573) 293-6702
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Winchester Nursing Center, INC at a glance
Winchester Nursing Center, INC is a 60-bed for-profit nursing home in Bernie, Missouri (Stoddard County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Missouri average of 2.5.
Residents receive about 3.4 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (July 25, 2025) found 1 health citation. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 55.6% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Paradigm Senior Management
- Medicare-certified since
- January 9, 2019
- Resident/family council
- None
- County
- Stoddard County
- CMS Certification Number
- 265874
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.5 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 2.7 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.41 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.60 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.28 hrs | 2.29 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.86 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 55.6% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 47.8% | 42.9% | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 1 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 9 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 103 | 107 | |
| Average residents per day | 53 | 73 | 86 | |
| Occupancy | 87.7% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 15.4% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.9% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 15.9% | 23.5% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 6.3% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.9% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 13.9% | 18.1% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 14.6% | 17.4% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 17.1% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.4% | 25.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 3.6% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 49.1% | 90.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 20.9% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.8% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 10% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 4.6% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 7 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 25, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected September 12, 2025 |
| July 25, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected September 12, 2025 |
| July 25, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected September 12, 2025 |
| May 9, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 26, 2024 |
| May 9, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected June 26, 2024 |
| May 9, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 26, 2024 |
| May 9, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 26, 2024 |
| May 9, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 26, 2024 |
| May 9, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 26, 2024 |
| May 9, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 26, 2024 |
| February 23, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FIRST MIDWEST BANK OF DEXTER Organization | 5% or greater mortgage interest | NOT APPLICABLE | 02/05/2021 |
| ATERS, KELLI Individual | adp of the snf | NOT APPLICABLE | 04/24/2023 |
| CALDWELL, FRED Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| DIEBOLD, COLBY Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| FIRST MIDWEST BANK OF DEXTER Organization | adp of the snf | NOT APPLICABLE | 04/02/2025 |
| FORVIS MAZARS LLP Organization | adp of the snf | NOT APPLICABLE | 04/02/2025 |
| HUTCHINSON, DALEN Individual | adp of the snf | NOT APPLICABLE | 11/01/2022 |
| PARADIGM REHAB SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 04/02/2025 |
| PARADIGM SENIOR MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 04/02/2025 |
| SELLS, BENJAMIN Individual | adp of the snf | NOT APPLICABLE | 08/23/2022 |
| WINCHESTER PLACE RETIREMENT COMMUNITY, LLC Organization | adp of the snf | NOT APPLICABLE | 04/02/2025 |
| JONES, ANGELA Individual | corporate officer | NOT APPLICABLE | 08/23/2022 |
| SELLS, BENJAMIN Individual | corporate officer | NOT APPLICABLE | 08/23/2022 |
| ATERS, KELLI Individual | operational/managerial control | NOT APPLICABLE | 04/24/2023 |
| CALDWELL, FRED Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| DIEBOLD, COLBY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| FORVIS MAZARS LLP Organization | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| HUTCHINSON, DALEN Individual | operational/managerial control | NOT APPLICABLE | 11/01/2022 |
| PARADIGM REHAB SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| PARADIGM SENIOR MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 03/22/2019 |
| SELLS, BENJAMIN Individual | operational/managerial control | NOT APPLICABLE | 08/23/2022 |
Other nursing homes near Winchester Nursing Center, INC
Aspire Senior Living Malden
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For-profit · 58 beds · Part of Aspire Senior Living
★★★★★3AverageMemory Lane of Dexter
415 S Catalpa Street, Dexter, MO 63841 · 8.4 mi
For-profit · 73 beds · Part of Paradigm Senior Management
★★★★★4Above averageCypress Point-Skilled Nursing By Americare
801 Baliff Drive, Dexter, MO 63841 · 8.9 mi
For-profit · 79 beds · Part of Americare Senior Living
★★★★★4Above averageCrowley Ridge Care Center
1204 North Outer Road, Dexter, MO 63841 · 10 mi
For-profit · 90 beds · Part of James & Judy Lincoln
★★★★★4Above averageCampbell Healthcare & Senior Living
17108 US Highway 62, Campbell, MO 63933 · 13.8 mi
For-profit · 90 beds · Part of Pointe Management
★★★★★3AverageGideon Care Center
300 Lunbeck, Gideon, MO 63848 · 15.1 mi
For-profit · 72 beds · Part of Paradigm Senior Management
★★★★★4Above average
Frequently asked questions
What is Winchester Nursing Center, INC's rating?
Winchester Nursing Center, INC has 5 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Winchester Nursing Center, INC receive?
Its most recent standard health inspection found 1 citation, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Winchester Nursing Center, INC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Winchester Nursing Center, INC?
It is for profit - corporation and part of Paradigm Senior Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Winchester Nursing Center, INC and how do I contact it?
Winchester Nursing Center, INC is at 400 Winchester Dr, Bernie, MO 63822. Phone: (573) 293-6702.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.