Paradigm Senior Management
8 nursing homes in 1 state, in CMS's provider file of 2026-09-01.
These are the homes CMS lists under this chain today. Where a home has changed owner since 2016, CMS's change-of-ownership file (edition 2026-06-01) gives the date its current owner took it over, and penalties from before that date are counted apart: they were against an earlier owner, not a penalty against this chain's management. The figure can be off both ways: a change between two companies in the same chain is counted the same way, and a change the file does not hold (it runs to changes effective by 2026-02-01) is not counted at all.
CMS's archive holds 8 fines totalling $95,920 and 1 payment denials against these homes, at 3 of the 8. CMS's current file no longer shows 9 of those penalties. 1 of the homes changed owner in the last twelve months.
5 of the 8 homes changed owner since 2016. 6 of those penalties, $89,000 in fines, are dated before the home's current owner took it over, which leaves $6,920 in fines since.
These are counts, not rates. They are not adjusted for how many homes the chain has, how large they are, or which states inspect them.
| Home | State | Fines | Total | Payment denials | Earliest | Current owner since | Before that |
|---|---|---|---|---|---|---|---|
| Annie's Garden Skilled Nursing | MO | 0 | 0 | none in CMS's file | |||
| Daybreak Nursing Center | MO | 0 | 0 | 2022-12-01 | |||
| Gideon Care Center | MO | 3 | $6,920 | 0 | 2021 | none in CMS's file | |
| Hubble Creek | MO | 4 | $79,250 | 1 | 2023 | 2025-09-01 | 5 ($79,250) |
| Memory Lane of Dexter | MO | 1 | $9,750 | 0 | 2021 | 2023-04-03 | 1 ($9,750) |
| Prairie View Skilled Nursing | MO | 0 | 0 | 2024-01-23 | |||
| Rock Point Nursing Center | MO | 0 | 0 | 2021-01-01 | |||
| Winchester Nursing Center, Inc | MO | 0 | 0 | none in CMS's file |