Winchester Nursing Center, Inc.
A nursing home in Bernie, Missouri 63822
400 Winchester Dr, Bernie, Missouri 63822. (573) 293-6702.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 1 health citation at the latest inspection cycle Missouri average: 11.4
- 3.42 nurse hours per resident per day Missouri average: 3.40
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
1 health citation at the latest inspection cycle
The Missouri average is 11.4.
Last standard inspection Jul 25, 2025.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
7 citations in 2 months of the last 36. Last cited Jul 2025. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 7 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 25, 2025: standard inspection1 citation
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
May 9, 2024: standard inspection6 citations
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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.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Ensure medication error rates are not 5 percent or greater.
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 9, 2019.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 60 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.42 nurse hours per resident per day
The Missouri average is 3.40.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Missouri average |
|---|---|---|
| Nurse hours per resident per day | 3.42 | 3.40 |
| Of which registered nurses | 0.63 | 0.46 |
| At weekends | 2.86 | 2.96 |
| Nursing staff turnover | 53.7% | 56.9% |
| Registered nurse turnover | 33.3% | 50% |
| Administrators who left | Not given | Not given |
Who owns it?
- Paradigm Senior Management LLC and Forvis Mazars LLP and Paradigm Rehab Services LLC run it.
- 17 owners or officers are people: Benjamin P Sells (owns 5% or more directly, 50%); Benjamin P Sells (corporate officer, 50%); Angela R Jones (owns 5% or more directly, 50%); Angela R Jones (corporate officer, 50%); Benjamin P Sells (runs it (operational or managerial control)); Benjamin P Sells (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Kelli Aters (runs it (operational or managerial control)); Kelli Aters (additional disclosable party (controls, leases property to, or provides services to the home)); Colby Lynn Diebold (runs it (operational or managerial control)); Colby Lynn Diebold (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Fred Caldwell (runs it (operational or managerial control)); Fred Caldwell (additional disclosable party (controls, leases property to, or provides services to the home)); Dalen Hutchinson (runs it (operational or managerial control)); Dalen Hutchinson (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Paradigm Senior Management (8 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Paradigm Senior Management LLC | Runs it (operational or managerial control) | 100% | Mar 22, 2019 |
| First Midwest Bank of Dexter | Holds 5% or more of the mortgage | 100% | Feb 5, 2021 |
| Paradigm Senior Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 2, 2025 | |
| Winchester Place Retirement Community, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 2, 2025 | |
| Forvis Mazars LLP | Runs it (operational or managerial control) | Jan 1, 2025 | |
| Forvis Mazars LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 2, 2025 | |
| Paradigm Rehab Services LLC | Runs it (operational or managerial control) | Sep 1, 2024 | |
| Paradigm Rehab Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 2, 2025 | |
| First Midwest Bank of Dexter | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 2, 2025 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Missouri average 2.9).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 23.2 miles, this one had the 12th most health citations at the latest inspection cycle (1; the middle value was 5.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Winchester Nursing Center, Inc. This nursing home | 1 | |
| Aspire Senior Living Malden | 6.5 | 10 |
| Memory Lane of Dexter | 8.4 | 4 |
| Cypress Point-Skilled Nursing By Americare | 8.9 | 6 |
| Crowley Ridge Care Center | 10.0 | 3 |
| Campbell Healthcare & Senior Living | 13.8 | 7 |
| Gideon Care Center | 15.1 | 5 |
| Prairie View Skilled Nursing | 15.3 | 3 |
| Puxico Nursing and Rehabilitation Center | 22.2 | 3 |
| Portageville Health Care Center | 22.3 | 9 |
| Cotton Point Living Center | 22.9 | 6 |
| Piggott Healthcare & Senior Living, LLC | 23.2 | 6 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.