Winchester Nursing Center, Inc. in Bernie, MO has a 4-star overall rating, with strong health inspection results (5 stars) but weak staffing (1 star) and lower quality measures (2 stars). Reported nurse staffing is 3.33 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: July 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3345.
Staffing detail
Registered nurses
0.66
Licensed practical nurses
0.43
Nurse aides
2.24
Weekend nursing
2.70
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 58%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
27%12.1%Improving
Residents with a fall causing major injury
8.9%15.2%Worsening
Residents with pressure ulcers (bedsores)
11.3%6.6%Improving
Residents with a urinary tract infection
0%6.5%Worsening
Residents who lost too much weight
5.3%13.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.5%15.8%Worsening
Residents whose ability to walk got worse
—12.9%—
Long-stay residents on antianxiety or sleep medication
10%18.4%Worsening
Short-stay residents newly given an antipsychotic
7.1%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.6%5.7%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—49.1%—
Long-stay residents given the pneumonia vaccine
22.2%10.9%Worsening
Short-stay residents given the seasonal flu vaccine
—10%—
Short-stay residents given the pneumonia vaccine
7.7%0%Worsening
What the inspectors found
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited May 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited May 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited May 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited May 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of PARADIGM SENIOR MANAGEMENT · 8 homes · 3.3 stars avg
Occupancy
52.5 residents on an average day (88% of 60 beds)
Medicare history
Certified for 7 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.