Nursing home · Bernie, MO
Winchester Nursing Center
400 Winchester Dr, Bernie, MO 63822 · 60 certified beds · for profit ownership · part of Paradigm Senior Management
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jul 25, 2025, when they cited 1 problem. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jul 25, 2025) it had 1 citation, 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 3.41 hours per resident per day here, about the same as the Missouri average (3.43) and 12% less than the U.S. average (3.86). Registered nurses account for 0.60 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 56% over the past year, 0 points lower than Missouri (56%) and 10 points higher than the U.S. (46%).
How Winchester Nursing 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 home | Dexter area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.41 | 3.51 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.60 | 0.46 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.86 | 3.07 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 56% | 51% | 56% | 46% |
| Registered nurse turnover (past year) | 50% | 41% | 48% | 43% |
| Citations at the most recent standard inspection | 1 | 5.0 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 7 of 7 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jul 25, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | D | Deficient, Provider has date of correction |
| 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. Resident rights | D | Deficient, Provider has date of correction |
| May 9, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| 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. Quality of life and care | D | Deficient, Provider has date of correction |
| May 9, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| May 9, 2024 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| May 9, 2024 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
Map data © OpenStreetMap contributors.
We don't have licensed photos yet. See photos on Google Maps.
Reviews
No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.
Read Google reviews (opens Google Maps).
Questions about Winchester Nursing Center
Answers computed from CMS data for this facility.
What is Winchester Nursing Center's Medicare rating?
Medicare rates Winchester Nursing Center 5 out of 5 stars overall (much 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 Winchester Nursing Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jul 25, 2025, when they cited 1 problem. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jul 25, 2025) it had 1 citation, compared with an average of 5.0 for Dexter-area homes, 11.4 in Missouri and 9.2 nationally.
Has Winchester Nursing Center been fined?
CMS reports no federal fines for this facility in the past three years.
Does Winchester Nursing Center accept Medicaid?
Winchester Nursing Center is certified for both Medicare and Medicaid. Call (573) 293-6702 to ask whether a Medicaid bed is open.
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- 4/5Gideon Care CenterGideon · 72 beds
- 4/5Heritage Nursing Center - Skilled Nursing By AmeriKennett · 72 beds
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.