Skilled nursing facility · CMS certification number 265890
ANNIE'S GARDEN SKILLED NURSING
SIKESTON, Missouri · Medicare and Medicaid
Certified beds, as filed in Care Compare: 75
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
No Medicare cost report on file for this facility.
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 |
|---|---|---|---|---|
| ALLIANCE BANK | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/01/2025 |
| ALLIANCE BANK | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2025 |
| DUNNING, KIMBERLY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2025 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2025 |
| HUTCHINSON, DALEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2025 |
| PARADIGM REHAB SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2025 |
| PARADIGM SENIOR MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2025 |
| SAHAI, MADHU | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2025 |
| JONES, ANGELA | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2025 |
| SELLS, BENJAMIN | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2025 |
| PARADIGM SENIOR MANAGEMENT LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2025 |
| SELLS, BENJAMIN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/22/2025 |
| DUNNING, KIMBERLY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2025 |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2025 |
| HUTCHINSON, DALEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2025 |
| JONES, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2025 |
| PARADIGM REHAB SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2025 |
| PARADIGM SENIOR MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2025 |
| RAPERT, KATHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2025 |
| SAHAI, MADHU | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2025 |
| SELLS, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ANNIES GARDEN SKILLED NURSING LLC (enrollment ID O20250819003541).
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 |
|---|---|---|---|---|---|
| ALLIANCE BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 9/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALLIANCE BANK | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DALEN HUTCHINSON | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FORVIS MAZARS LLP | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KIMBERLY DUNNING | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MADHU SAHAI | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2025 | 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 | 9/1/2025 | 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 | 9/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANGELA R JONES | Individual | DIRECT OWNERSHIP INTEREST | 50 | 9/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN P SELLS | Individual | DIRECT OWNERSHIP INTEREST | 50 | 9/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PARADIGM SENIOR MANAGEMENT LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 9/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANGELA R JONES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2025 | 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 | 9/1/2025 | 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 | 9/1/2025 | 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 | 9/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KATHY RAPERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIMBERLY DUNNING | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MADHU SAHAI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2025 | 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 | 9/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PARADIGM SENIOR MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- February 1, 2026: PARADIGM REHAB SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PARADIGM REHAB SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FORVIS MAZARS LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DALEN HUTCHINSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DALEN HUTCHINSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KIMBERLY DUNNING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KIMBERLY DUNNING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PARADIGM SENIOR MANAGEMENT LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PARADIGM SENIOR MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PARADIGM SENIOR MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ALLIANCE BANK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ALLIANCE BANK (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ANGELA R JONES (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ANGELA R JONES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MADHU SAHAI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MADHU SAHAI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BENJAMIN P SELLS (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BENJAMIN P SELLS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KATHY RAPERT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
Recent changes on this record
- February 1, 2026: PARADIGM REHAB SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PARADIGM REHAB SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FORVIS MAZARS LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DALEN HUTCHINSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DALEN HUTCHINSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KIMBERLY DUNNING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KIMBERLY DUNNING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PARADIGM SENIOR MANAGEMENT LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PARADIGM SENIOR MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PARADIGM SENIOR MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ALLIANCE BANK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ALLIANCE BANK (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ANGELA R JONES (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ANGELA R JONES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MADHU SAHAI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MADHU SAHAI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BENJAMIN P SELLS (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BENJAMIN P SELLS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KATHY RAPERT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | October 15, 2025 | October 15, 2025 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
No deficiency on file for this facility in CMS’s Care Compare health citations data.
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 - Limited Liability company |
| Legal Business Name | ANNIES GARDEN SKILLED NURSING LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2025-10-15 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | New Madrid |
| Telephone Number | 5736214910 |
| Chain Name | PARADIGM SENIOR MANAGEMENT |
| Chain ID | 623 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 75 |
| Average Number of Residents per Day | 43.4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
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The citable document for ANNIE'S GARDEN SKILLED NURSING
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 265890.