Nursing HomeInspections

Winchester Nursing Center, INC

Nursing home in Bernie, MO

Medicare & Medicaid certified5★ overall (CMS)

Call (573) 293-6702Send a messageMap ↗

Public-record details

Address
400 Winchester Dr, Bernie, MO 63822
Phone
(573) 293-6702
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
265874
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
60
Average residents per day
53
Ownership
For-profit, corporation
Chain
Paradigm Senior Management (8 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 9, 2019
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 265874. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 25, 2025. CMS lists 7 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 9, 2024 to Jul 25, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 25, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
May 9, 2024Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
May 9, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 9, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 9, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 9, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 9, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.41 hours
Registered nurse (RN) time per resident per day
0.60 hours
Nurse aide time per resident per day
2.28 hours
Total nurse staffing on weekends
2.86 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
50%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.