Skilled nursing facility · CMS certification number 265874
WINCHESTER NURSING CENTER, INC
BERNIE, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 60
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,710,683 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $779,035 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,931,648 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,325,005 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $606,643 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,120 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $607,763 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $607,763 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,960 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,720 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,703 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,773 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,196 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 33 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 63 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 92 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 188 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 217.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441572, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 24, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,824,541 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $893,488 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,931,053 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,554,484 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $376,569 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $376,570 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $376,570 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,015 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404101, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,803,234 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $655,185 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,148,049 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,163,298 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,249 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $530,023 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $514,774 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $514,774 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,949 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 460.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389624, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,491,521 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $745,176 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,746,345 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,918,462 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$172,117 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,219 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$128,898 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$128,898 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,510 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 382.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331544, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,511,432 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $619,403 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,892,029 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,237,002 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$344,973 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $497,081 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $152,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $152,108 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,125 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300351, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 9, 2019 to December 31, 2019 — a reporting period of 356 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,368,050 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $844,237 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,523,813 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,523,753 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $60 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$4,078 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,018 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,018 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,227 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 202.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1266624, read from the public cost report file SNF10FY2019.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| FIRST MIDWEST BANK OF DEXTER | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 02/05/2021 |
| ATERS, KELLI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/24/2023 |
| CALDWELL, FRED | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| DIEBOLD, COLBY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| FIRST MIDWEST BANK OF DEXTER | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/02/2025 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/02/2025 |
| HUTCHINSON, DALEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2022 |
| PARADIGM REHAB SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/02/2025 |
| PARADIGM SENIOR MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/02/2025 |
| SELLS, BENJAMIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/23/2022 |
| WINCHESTER PLACE RETIREMENT COMMUNITY, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/02/2025 |
| JONES, ANGELA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/23/2022 |
| SELLS, BENJAMIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/23/2022 |
| ATERS, KELLI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/24/2023 |
| CALDWELL, FRED | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2024 |
| DIEBOLD, COLBY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2025 |
| HUTCHINSON, DALEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2022 |
| PARADIGM REHAB SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2024 |
| PARADIGM SENIOR MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/22/2019 |
| SELLS, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/23/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WINCHESTER NURSING CENTER, INC (enrollment ID O20181031002400).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ANGELA R JONES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 8/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN P SELLS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 8/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FIRST MIDWEST BANK OF DEXTER | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 2/5/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN P SELLS | Individual | ADP OF THE SNF | Not stated in the filing | 8/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLBY LYNN DIEBOLD | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DALEN HUTCHINSON | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FIRST MIDWEST BANK OF DEXTER | Organization | ADP OF THE SNF | Not stated in the filing | 4/2/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| FORVIS MAZARS LLP | Organization | ADP OF THE SNF | Not stated in the filing | 4/2/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| FRED CALDWELL | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KELLI ATERS | Individual | ADP OF THE SNF | Not stated in the filing | 4/24/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PARADIGM REHAB SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/2/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PARADIGM SENIOR MANAGEMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/2/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| WINCHESTER PLACE RETIREMENT COMMUNITY, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/2/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 2/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 11/8/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA R JONES | Individual | CORPORATE OFFICER | 50 | 8/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN P SELLS | Individual | CORPORATE OFFICER | 50 | 8/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN P SELLS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLBY LYNN DIEBOLD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DALEN HUTCHINSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FORVIS MAZARS LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| FRED CALDWELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KELLI ATERS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/24/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PARADIGM REHAB SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PARADIGM SENIOR MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 3/22/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- September 1, 2025: BENJAMIN P SELLS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FIRST MIDWEST BANK OF DEXTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FIRST MIDWEST BANK OF DEXTER (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PARADIGM REHAB SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PARADIGM REHAB SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FORVIS MAZARS LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DALEN HUTCHINSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DALEN HUTCHINSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WINCHESTER PLACE RETIREMENT COMMUNITY, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FRED CALDWELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FRED CALDWELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PARADIGM SENIOR MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: COLBY LYNN DIEBOLD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: COLBY LYNN DIEBOLD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KELLI ATERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KELLI ATERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BENJAMIN P SELLS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BENJAMIN P SELLS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BENJAMIN P SELLS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Recent changes on this record
- October 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 1, 2025: BENJAMIN P SELLS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FIRST MIDWEST BANK OF DEXTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FIRST MIDWEST BANK OF DEXTER (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PARADIGM REHAB SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PARADIGM REHAB SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FORVIS MAZARS LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DALEN HUTCHINSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DALEN HUTCHINSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WINCHESTER PLACE RETIREMENT COMMUNITY, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FRED CALDWELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FRED CALDWELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PARADIGM SENIOR MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: COLBY LYNN DIEBOLD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: COLBY LYNN DIEBOLD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KELLI ATERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KELLI ATERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BENJAMIN P SELLS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BENJAMIN P SELLS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BENJAMIN P SELLS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- February 24, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 19, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 16, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 9, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 25, 2025 | July 25, 2025 | 1 | 2 |
| 2 | May 9, 2024 | May 9, 2024 | 6 | 1 |
| 3 | February 23, 2023 | February 23, 2023 | 0 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
7 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 25, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | September 12, 2025 |
| May 9, 2024 | Health | F 0584 | 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. | D | No | Deficient, Provider has date of correction | June 26, 2024 |
| May 9, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | June 26, 2024 |
| May 9, 2024 | Health | F 0690 | 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. | D | No | Deficient, Provider has date of correction | June 26, 2024 |
| May 9, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | June 26, 2024 |
| May 9, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | June 26, 2024 |
| May 9, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 26, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | WINCHESTER NURSING CENTER, INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2019-01-09 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Stoddard |
| Telephone Number | 5732936702 |
| Chain Name | PARADIGM SENIOR MANAGEMENT |
| Chain ID | 623 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 60 |
| Average Number of Residents per Day | 52.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on WINCHESTER NURSING CENTER, INC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On October 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for WINCHESTER NURSING CENTER, INC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Missouri at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 265874.