Senior CareScorecard

Nursing home · Gideon, MO

Gideon Care Center

300 Lunbeck, Gideon, MO 63848 · 72 certified beds · for profit ownership · part of Paradigm Senior Management

Medicare & Medicaid
Medicare overall rating4 / 5Above averageDexter area 3.7 · Missouri 2.51 · U.S. 2.99
5/5Health inspections Much above average
1/5Staffing Much below average
3/5Quality measures Average
4/5Short-stay (rehab) quality Above average
2/5Long-stay quality Below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Mar 19, 2026, when they cited 5 problems. The most common area was resident rights (2 citations). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 5 are marked corrected in the CMS data. At its most recent standard inspection (Mar 19, 2026) it had 5 citations, compared with an average of 5.0 for Dexter-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.33 hours per resident per day here, about the same as the Missouri average (3.43) and 14% less than the U.S. average (3.86). Registered nurses account for 0.30 of those hours, versus 0.46 in Missouri and 0.68 nationally.

How Gideon Care Center compares

This home's latest CMS figures next to the averages for Dexter-area homes (15), Missouri (487) and the U.S. (14,680).

This homeDexter areaMissouriU.S.
Total nurse hours per resident per day3.333.513.433.86
Registered nurse hours per resident per day0.300.460.460.68
Weekend nurse hours per resident per day2.993.073.013.42
Nursing staff turnover (past year)—51%56%46%
Registered nurse turnover (past year)—41%48%43%
Citations at the most recent standard inspection55.011.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Mar 19, 20265standard
Dec 18, 20248standard
Nov 9, 20236standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 19 of 19 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Mar 19, 2026Reasonably accommodate the needs and preferences of each resident.
Resident rights
DDeficient, Provider has date of correction
Mar 19, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident rights
DDeficient, Provider has date of correction
Mar 19, 2026Post nurse staffing information every day.
Nursing and physician services
DDeficient, Provider has date of correction
Mar 19, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy service
DDeficient, Provider has date of correction
Mar 19, 2026Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Dec 18, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
DDeficient, Provider has date of correction
Dec 18, 2024Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Dec 18, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
DDeficient, Provider has date of correction
Dec 18, 2024Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of life and care
DDeficient, Provider has date of correction
Dec 18, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Dec 18, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
DDeficient, Provider has date of correction
Dec 18, 2024Honor 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.
Resident rights
DDeficient, Provider has date of correction
Dec 18, 2024Honor 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.
Resident rights
DDeficient, Provider has date of correction
Nov 9, 2023Honor 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.
Resident rights
EDeficient, Provider has date of correction
Nov 9, 2023Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident rights
DDeficient, Provider has date of correction
Nov 9, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident assessment and care planning
DDeficient, Provider has date of correction
Nov 9, 2023Ensure medication error rates are not 5 percent or greater.
Pharmacy service
DDeficient, Provider has date of correction
Nov 9, 2023Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy service
DDeficient, Provider has date of correction
Nov 9, 2023Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and physician services
DDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Reviews

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Questions about Gideon Care Center

Answers computed from CMS data for this facility.

What is Gideon Care Center's Medicare rating?

Medicare rates Gideon Care Center 4 out of 5 stars overall (above average). The average for Dexter-area nursing homes is 3.7, for Missouri 2.51 and for the U.S. 2.99.

How did Gideon Care Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Mar 19, 2026, when they cited 5 problems. The most common area was resident rights (2 citations). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 5 are marked corrected in the CMS data. At its most recent standard inspection (Mar 19, 2026) it had 5 citations, compared with an average of 5.0 for Dexter-area homes, 11.4 in Missouri and 9.2 nationally.

Has Gideon Care Center been fined?

CMS reports no federal fines for this facility in the past three years.

Does Gideon Care Center accept Medicaid?

Gideon Care Center is certified for both Medicare and Medicaid. Call (573) 448-3505 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.