Nursing home
Winchester Nursing Center
400 Winchester Dr, Bernie, MO 63822 · Map
For profit - Corporation · Part of Paradigm Senior Management (6 facilities) · 60 certified beds
Winchester Nursing Center is a Medicare-certified nursing home in Bernie, Missouri. CMS rates it 4 out of 5 stars overall (1/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.41 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Jul 25, 2025 cited 1 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Winchester Nursing Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.41 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.63 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.24 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 60.8% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 1.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 25, 2025 inspection was corrected by September 12, 2025
What inspectors found at Winchester Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 9, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · May 9, 2024 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · May 9, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · May 9, 2024 · Full report (PDF)
Show all 7 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · May 9, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · May 9, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 400 Winchester Dr
Bernie, MO 63822 - CMS certification #
- 265874
- Ownership
- For profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 52.2
- Provider type
- Medicare and Medicaid
- First certified
- 2019-01-09
- Chain
- Paradigm Senior Management (6 facilities)
- Setting
- Rural
Part of Paradigm Senior Management
Paradigm Senior Management operates 6 nursing facilities across the United States. View all Paradigm Senior Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Winchester Nursing Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Hospital Stoddard, Dexter. 9.7 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Aspire Senior Living Malden, Malden. 6.5 miles away, straight line.
- Nearest home health agency office
- Elara Caring, Dexter. 9.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 24.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63822 as rural (rural area).
- Dialysis within 15 miles
- Davita Dexter Dialysis, Dexter, 9.5 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 63822.
Elara Caring, office in Dexter, 9.5 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Cogent Healthcare Of Tennessee, PC, Dyersburg. 54.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Area not mapped by FEMA. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively high, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Winchester Nursing Center a good nursing home?
CMS gives Winchester Nursing Center an overall rating of 4 out of 5 stars, including 1/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Winchester Nursing Center staffed?
Winchester Nursing Center reports 3.41 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Winchester Nursing Center had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Winchester Nursing Center have?
Winchester Nursing Center is certified for 60 beds.