Gideon Care Center
300 Lunbeck · Gideon, MO · 63848 · 5734483505
72 certified beds For profit - Corporation Chain: Paradigm Senior Management
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 77 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 5 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.16 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
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Potential for harm · D March 19, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected May 2, 2026 · Resident Rights
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Potential for harm · D March 19, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 2, 2026 · Resident Rights
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Potential for harm · D March 19, 2026
Post nurse staffing information every day.
Corrected May 2, 2026 · Nursing and Physician Services
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Potential for harm · D March 19, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 2, 2026 · Pharmacy Service
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Potential for harm · D March 19, 2026
Provide and implement an infection prevention and control program.
Corrected May 2, 2026 · Infection Control
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Potential for harm · D December 18, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected January 31, 2025 · Resident Rights
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Potential for harm · D December 18, 2024
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.
Corrected January 31, 2025 · Resident Rights
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Potential for harm · D December 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · D December 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 31, 2025 · Nutrition and Dietary
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Potential for harm · D December 18, 2024
Provide and implement an infection prevention and control program.
Corrected January 31, 2025 · Infection Control
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Potential for harm · D December 18, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 31, 2025 · Infection Control
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Potential for harm · D November 9, 2023
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected December 28, 2023 · Resident Rights
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Potential for harm · E November 9, 2023
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.
Corrected December 28, 2023 · Resident Rights
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Potential for harm · D November 9, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 9, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected December 28, 2023 · Pharmacy Service
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Potential for harm · D November 9, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 28, 2023 · Pharmacy Service
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Potential for harm · D November 9, 2023
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 28, 2023 · Nursing and Physician Services
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265409 · certified since January 31, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.