Deficiency Index

Gideon Care Center

Gideon, Missouri · CCN 265409

14 surveys since 2010, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
77
Surveys
14
Harm or worse
0
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file11/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
72
Ownership
For profit - Corporation
Chain
PARADIGM SENIOR MANAGEMENT
County
New Madrid · rural
Medicare-certified since
1990

CMS ratings

Overall
4
Health inspection
5
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 113 for-profit facilities of 66–99 beds in Missouri.

Last survey on record

Mar 19, 2026

235 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.333.32
Registered-nurse hours per resident day0.30—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1894.7%E15.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 77 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5842×

    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.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5771×

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  • F5781×

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

In the surveyor’s words

From the most serious findings on record at Gideon Care Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF584Nov 9, 2023

    Based on observation, interview, and record review, the facility failed to provide a safe, clean and comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 64. Review of the facility's policy titled, Homelike Environment, revised February 2021, showed: - Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible; - Clean, sanitary and orderly environment; - Comfortable and adequate lighting is provided in all areas of the facility to promote a safe, comfortable and homelike environment. Observations made on 11/07/23 at 10:09 A.M., and 11/08/23 at 10:35 A.M., of the 100 Hall showed: - A two inch (in.) X 24 in. […]

  • No harm, potential for more than minimal, patternF679Apr 28, 2022

    Based on interview and record review, the facility failed to provide an ongoing program of activities to meet the interests and physical, mental, and psychosocial well being of each resident. This practice affected three residents (Resident #5, #11, and #32) out of 14 sampled residents, and three residents (Resident #1, #26, and #55) outside the sample, and had the potential to affect all residents in the facility. The facility's census was 56. 1. Record review of the facility's policy titled, Activity Programs, revised June 2018, showed: - Activities programs designed to meet the interests of and support the physical, mental and psychosocial well-being of each resident; - The Activities Program will be ongoing and includes facility-organized group activities, independent individual… […]

  • No harm, potential for more than minimal, isolatedF558Mar 19, 2026

    Based on observation, interview, and record review, the facility failed to provide reasonable accommodations to meet the needs of residents by not replacing an oxygen concentrator for one resident (Resident #18) out of 16 sampled residents and by not adjusting a dining table to an adequate level during meal consumption for one resident (Resident #31) out of 16 sampled residents and one resident (Resident #42) outside the sample. The facility failed to place a call light within reach for one resident (Resident #54) outside the sample. […]

  • No harm, potential for more than minimal, isolatedF582Mar 19, 2026

    Based on interview and record review, the facility failed to issue a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) to the resident and/or the resident's representative in writing at least two calendar days before discharge from skilled services. This notice informs the beneficiary about potential non-coverage and the option to continue services with the beneficiary accepting the financial liability for those services. This practice affected one resident (Resident #8) out of three sampled residents. […]

  • No harm, potential for more than minimal, isolatedF732Mar 19, 2026

    Based on observation and interview, the facility staff failed to post the required daily nurse staffing information which included the total number of staff and the actual hours worked by both licensed and unlicensed nursing staff directly responsible for resident care, in a prominent location readily accessible to residents and visitors for three out of four days. The facility census was 62. Review of the facility's policy titled, Posting Direct Care Daily Staffing Numbers, dated August 2022, showed:- The facility will post on a daily basis for each shift nurse staffing data, including the number of nursing personnel responsible for providing direct care to residents;- Within two hours of the beginning of each shift, the number of licensed nurses (Registered Nurses (RN), Licensed… […]

Read 20 findings in full →The most serious and the most recent: 20 of 77 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 19, 2026Standard5 findings
  • Dec 18, 2024Standard8 findings
  • Nov 9, 2023Standard6 findings
  • Apr 28, 2022Standard3 findings
  • Dec 5, 2019Standard8 findings
  • Nov 29, 2018Standard8 findings
  • Jan 5, 2018Standard2 findings
  • Dec 8, 2016Standard6 findings
Show the 6 earlier surveys
  • Jan 15, 2016Standard4 findings
  • Oct 2, 2014Standard7 findings
  • Dec 5, 2013—4 findings
  • Nov 29, 2012—5 findings
  • Jan 27, 2012—7 findings
  • Oct 28, 2010—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction