Winchester Nursing Center, Inc
400 Winchester Dr, Bernie, MO, 63822
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Paradigm Senior Management
- Certified beds
- 60 · avg 53 residents/day
- Total nursing staff turnover
- 56.1% — near the Missouri averageMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 58.3% — higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 265874
- Certified beds
- 60 beds · avg 53 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Winchester Nursing Center, Inc
- Chain affiliation
- Paradigm Senior Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Paradigm Senior Management chain — 8 facilities. Chain-wide average overall rating 3.3 / 5.
Disclosed owners (14 on record)
- First Midwest Bank of Dexter
Adp of The Snf · since 2025
- Forvis Mazars Llp
Adp of The Snf · since 2025
- Paradigm Rehab Services Llc
Adp of The Snf · since 2025
- Paradigm Senior Management Llc
Adp of The Snf · since 2025
- Winchester Place Retirement Community, LlcHolding
Adp of The Snf · since 2025
- Colby Lynn Diebold
Operational/managerial Control · since 2025
+ 8 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 7 of 7)
- D0628·Jul 25, 2025
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D0880·May 9, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0759·May 9, 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0698·May 9, 2024
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D0690·May 9, 2024
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0658·May 9, 2024
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0584·May 9, 2024
Resident Rights Deficiencies
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.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Jul 25, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Winchester Nursing Center, Incinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.