Winchester Nursing Center, Inc.
Bernie, Stoddard County, Missouri · CCN 265874 · For-profit (Corporation) · part of Paradigm Senior Management (8 facilities, chain average 3.6 stars)
CMS rates Winchester Nursing Center, Inc. 5 of 5 overall as of August 2026. 60 certified beds, 53 residents a day on average. 7 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 4 of 5 |
Staffing
| Total nurse staffing | 3.4102 hours per resident per day |
|---|---|
| Registered nurses | 0.60266 hours per resident per day |
| Weekend total | 2.8607 hours per resident per day |
| Nursing staff turnover | 55.6% (registered nurses 50%) |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-07-25 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-12 |
| 2024-05-09 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-05-09 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-05-09 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-05-09 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-05-09 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-05-09 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| First Midwest Bank Of Dexter Organization | 5% or greater mortgage interest | — | 2021-02-05 |
| First Midwest Bank Of Dexter Organization | adp of the snf | — | 2025-04-02 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2025-04-02 |
| Paradigm Rehab Services LLC Organization | adp of the snf | — | 2025-04-02 |
| Paradigm Senior Management LLC Organization | adp of the snf | — | 2025-04-02 |
| Winchester Place Retirement Community, LLC Organization | adp of the snf | — | 2025-04-02 |
| Forvis Mazars LLP Organization | operational/managerial control | — | 2025-01-01 |
| Paradigm Rehab Services LLC Organization | operational/managerial control | — | 2024-09-01 |
| Paradigm Senior Management LLC Organization | operational/managerial control | — | 2019-03-22 |
| Aters, Kelli Individual | adp of the snf | — | 2023-04-24 |
| Caldwell, Fred Individual | adp of the snf | — | 2024-10-01 |
| Diebold, Colby Individual | adp of the snf | — | 2025-01-01 |
| Hutchinson, Dalen Individual | adp of the snf | — | 2022-11-01 |
| Sells, Benjamin Individual | adp of the snf | — | 2022-08-23 |
| Jones, Angela Individual | corporate officer | — | 2022-08-23 |
| Sells, Benjamin Individual | corporate officer | — | 2022-08-23 |
| Aters, Kelli Individual | operational/managerial control | — | 2023-04-24 |
| Caldwell, Fred Individual | operational/managerial control | — | 2024-10-01 |
| Diebold, Colby Individual | operational/managerial control | — | 2025-01-01 |
| Hutchinson, Dalen Individual | operational/managerial control | — | 2022-11-01 |
| Sells, Benjamin Individual | operational/managerial control | — | 2022-08-23 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Winchester Nursing Center, Inc..
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Stoddard County.