Winchester Nursing Center, Inc
Bernie, Missouri · CCN 265874
3 surveys since 2020, 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
- 17
- Surveys
- 3
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- For profit - Corporation
- Chain
- PARADIGM SENIOR MANAGEMENT
- County
- Stoddard · rural
- Medicare-certified since
- 2019
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 2
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=7, floor 20).
Last survey on record
Jul 25, 2025
472 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.41 | 3.20 |
| Registered-nurse hours per resident day | 0.60 | — |
| Annual nurse turnover | 55.6% | 57.5% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D7100.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
From the most serious findings on record at Winchester Nursing Center, Inc, in the surveyor’s own words.
- No harm, potential for more than minimal, isolatedF628Jul 25, 2025
Based on interview and record review, the facility failed to notify the resident and/or the resident's representative in writing of a transfer to a hospital which included the reason for the transfer for two residents (Residents #30 and #52) out of nine sampled residents. The facility census was 52. Review of the facility policy titled, Transfer or Discharge Notices, revised March 2025, showed:- When a resident is sent emergently to an acute care setting, this is considered a transfer, not discharge, because the resident's return is generally expected;- Notice of Transfer is provided to the resident and representative as soon as practicable before the transfer and to the long- term care (LTC) ombudsman (an advocate for residents of nursing homes) when practicable;- Notices are provided in… […]
- No harm, potential for more than minimal, isolatedF584May 9, 2024
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 44. Review of the facility's policy titled, Homelike Environment, revised 2021, showed: - Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible; - Staff provides person-centered care that emphasizes the residents' comfort, independence and personal needs and preferences; - The facility staff and management maximizes, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting which include a clean, sanitary and… […]
- No harm, potential for more than minimal, isolatedF658May 9, 2024
Based on interview and record review the facility failed to follow physician's orders for daily weights for one resident (Resident #40) out of 12 sampled residents. The facility census was 44. The facility did not provide a policy. 1. Review of Resident #40's Physician Order Sheet, dated May 2024, showed: - An order to obtain daily weight, one time a day, dated 03/21/24; - Diagnosis of congestive heart failure (when the heart does not pump like it should and fluid can build up around the heart). Review of the resident's medical chart showed: - March 21, 2024 through March 31, 2024 three missed out of 11 opportunities; - April 2024 12 missed out of 30 opportunities; - May 1, 2024 through May 8, 2024 five missed out of eight opportunities. […]
- No harm, potential for more than minimal, isolatedF690May 9, 2024
Based on observation, interview and record review, the facility failed to follow standards of practice to have a physician's order for an indwelling catheter (a tube inserted into the urinary bladder to drain urine), failed to obtain orders to change catheter every 30 days and failed to ensure documentation of the catheter changes were maintained for one resident (Resident #6) out of three sampled residents. The facility census was 44. The facility did not provide a policy. Record review of Resident #6's Physician Order Sheet (POS), dated May 2024, showed: - An admitted [DATE]; - No order for Foley catheter. Observation made on 05/06/24 at 9:23 A.M., showed the resident resting in bed and catheter bag visible from doorway. […]
- No harm, potential for more than minimal, isolatedF698May 9, 2024
Based on interview and record review, the facility failed to provide documentation of ongoing assessments, monitoring, and communication between the facility and the dialysis (a process for removing waste and excess water from the blood) center for two residents (Residents #40 and #42) out of two sampled residents. The facility census was 44. Review of the facility's policy titled, Hemodialysis Catheters-Access and Care Of, dated February 2023, showed: - Check patency (open/unobstructed) of the site at regular intervals. […]
Every survey on record
FindingsAt actual harm or above
- Jul 25, 2025Standard1 finding
- May 9, 2024Standard6 findings
- Mar 13, 2020Standard10 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.
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