Winchester Nursing Center, Inc

400 Winchester Dr · Bernie, MO · 63822 · 5732936702

60 certified beds For profit - Corporation Chain: Paradigm Senior Management

  • Cleaner inspection record than most facilities nationally.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 84
Serious harm & abuse 20% 100
Staffing 20% 61
Federal penalties 15% 100
Trend 10% 90
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 5 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.333.48 min · 4.1 strong
RN hours / resident-day0.660.55–0.75
Weekend hours / resident-day2.70≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)none

Inspection citations (7 in the current record)

  • Potential for harm · D July 25, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected September 12, 2025 · Resident Rights

  • Potential for harm · D May 9, 2024

    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.

    Corrected June 26, 2024 · Resident Rights

  • Potential for harm · D May 9, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected June 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 9, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected June 26, 2024 · Quality of Life and Care

  • Potential for harm · D May 9, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected June 26, 2024 · Quality of Life and Care

  • Potential for harm · D May 9, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 26, 2024 · Pharmacy Service

  • Potential for harm · D May 9, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 26, 2024 · Infection Control

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265874 · certified since January 9, 2019. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.