Annie's Garden Skilled Nursing
Sikeston, New Madrid County, Missouri · CCN 265890 · For-profit (LLC) · part of Paradigm Senior Management (8 facilities, chain average 3.6 stars)
CMS rates Annie's Garden Skilled Nursing unrated overall as of August 2026. 75 certified beds, 43 residents a day on average. No 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 | Newly certified, with less than the 12 to 15 months of data a rating needs (CMS footnote 1) |
|---|---|
| Health inspections | Newly certified, with less than the 12 to 15 months of data a rating needs (CMS footnote 1) |
| Staffing | Newly certified, with less than the 12 to 15 months of data a rating needs (CMS footnote 1) |
| Quality measures | Newly certified, with less than the 12 to 15 months of data a rating needs (CMS footnote 1) |
Staffing
| Total nurse staffing | 4.11259 hours per resident per day |
|---|---|
| Registered nurses | 0.46526 hours per resident per day |
| Weekend total | 3.4646 hours per resident per day |
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.
No citations in the current inspection cycles.
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 |
|---|---|---|---|
| Alliance Bank Organization | 5% or greater mortgage interest | — | 2025-09-01 |
| Alliance Bank Organization | adp of the snf | — | 2025-09-01 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2025-09-01 |
| Paradigm Rehab Services LLC Organization | adp of the snf | — | 2025-09-01 |
| Paradigm Senior Management LLC Organization | adp of the snf | — | 2025-09-01 |
| Paradigm Senior Management LLC Organization | indirect ownership interest | — | 2025-09-01 |
| Forvis Mazars LLP Organization | operational/managerial control | — | 2025-09-01 |
| Paradigm Rehab Services LLC Organization | operational/managerial control | — | 2025-09-01 |
| Paradigm Senior Management LLC Organization | operational/managerial control | — | 2025-09-01 |
| Dunning, Kimberly Individual | adp of the snf | — | 2025-09-01 |
| Hutchinson, Dalen Individual | adp of the snf | — | 2025-09-01 |
| Sahai, Madhu Individual | adp of the snf | — | 2025-09-01 |
| Jones, Angela Individual | direct ownership interest | — | 2025-09-01 |
| Sells, Benjamin Individual | direct ownership interest | — | 2025-09-01 |
| Sells, Benjamin Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-22 |
| Dunning, Kimberly Individual | operational/managerial control | — | 2025-09-01 |
| Hutchinson, Dalen Individual | operational/managerial control | — | 2025-09-01 |
| Jones, Angela Individual | operational/managerial control | — | 2025-09-01 |
| Rapert, Kathy Individual | operational/managerial control | — | 2025-09-01 |
| Sahai, Madhu Individual | operational/managerial control | — | 2025-09-01 |
| Sells, Benjamin Individual | operational/managerial control | — | 2025-09-01 |
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 Annie's Garden Skilled Nursing.
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 New Madrid County.