Winchester Nursing Center, Inc
5★ official rating · 60 beds
Official inspection rating
Paradigm Senior Management
8 nursing homes · 1 state · 601 beds
average official
inspection rating
inspection rating
Paradigm Senior Management at a glance
- Nursing homes
- 8
- States
- 1
- Licensed beds
- 601
- Average rating
- 3.4★
- Rated 4★ or better
- 43%
Is Paradigm Senior Management a good nursing home group?
Across 7 rated homes, Paradigm Senior Management averages 3.4★ on official inspection ratings — above the roughly 3.0★ national average. 43% of its rated homes earn 4★ or better, while 14% sit at 1–2★. That’s a stronger-than-average record overall, but ratings still vary from location to location — judge each home on its own.
A group-wide number can’t tell you about the specific home near you — quality varies by location. Open each home below to see its own official inspection rating before you decide.
Paradigm Senior Management quality vs. the national average
Across the 7 homes with an official inspection rating, Paradigm Senior Management averages 3.4★. 43% are rated 4★ or better, and 14% are rated 1–2★. These are official government inspection ratings — a group-wide average hides a lot, so open each home below and judge it on its own.
| Measure | Paradigm Senior Management | National average |
|---|---|---|
| Average rating | 3.4★ | 3.0★ |
| Homes rated 4★ or better | 43% | 40% |
| Homes rated 1–2★ | 14% | 41% |
How Paradigm Senior Management’s homes are distributed
- 5★1
- 4★2
- 3★3
- 2★1
- 1★0
Paradigm Senior Management nursing home ratings by state
Where Paradigm Senior Management operates and how its homes rate in each state. Ratings are the average of that state’s homes with an official inspection rating. Pick a state to browse every nursing home there.
| State | Homes | Avg. rating |
|---|---|---|
| Missouri | 8 | 3.4★ |
Highest-rated Paradigm Senior Management homes
The best-rated Paradigm Senior Management nursing homes we have on record, by official inspection rating.
Lowest-rated Paradigm Senior Management homes
The lowest-rated Paradigm Senior Management homes we have on record — the ones to look at most closely and ask the most questions about.
About Paradigm Senior Management
Paradigm Senior Management traces its roots to a single facility—Gideon Care Center—established in 1990. The company’s founders, Doran and Wanda Vancil, emphasized bringing quality senior care to rural Missouri communities.
The business formally took its current form in 2016, when Ben Sells—grandson of the Vancils and a lifelong long-term care worker—established Paradigm Senior Management to manage both existing facilities and pursue growing services in smaller, underserved markets.
It is a family-owned, for-profit LLC headquartered in Dexter, Missouri, focusing on managing and developing rural skilled nursing and assisted living communities that other larger operators often overlook.
According to CMS-affiliated data, as of early 2026, the company is affiliated with eight skilled nursing facilities in Missouri and plays an operational or managerial role in each.
On the quality and regulatory side, industry data indicates an average CMS five-star rating of 3.0 across affiliated facilities, totaling around 200 deficiencies and approximately $52,622 in fines as of February 1, 2026.
- Founded
- 2016
- Headquarters
- Dexter, Missouri
- Website
- www.paradigmsenior.com
Leadership
Researched summary — facts drawn from cited public sources, in our own words. Ratings shown are official government inspection ratings.
Where Paradigm Senior Management operates
Paradigm Senior Management runs nursing homes in Missouri. Pick a state to see every Paradigm Senior Management home there alongside every other nursing home in the area.
All homes Paradigm Senior Management runs
Each home is listed with its official inspection rating — from government health inspections, staffing, and quality data. A visit is still the best test.
- Rock Point Nursing Center
3★ official rating · 86 beds
Official inspection rating - Prairie View Skilled Nursing
2★ official rating · 60 beds
Official inspection rating - Memory Lane of Dexter
3★ official rating · 73 beds
Official inspection rating - Gideon Care Center
4★ official rating · 72 beds
Official inspection rating - Hubble Creek
3★ official rating · 105 beds
Official inspection rating - Official inspection ratingNot rated
- Daybreak Nursing Center
4★ official rating · 70 beds
Official inspection rating
Frequently asked questions about Paradigm Senior Management
- How many nursing homes does Paradigm Senior Management operate?
- Paradigm Senior Management operates 8 nursing homes across 1 state with about 601 licensed beds in total.
- What states does Paradigm Senior Management operate in?
- Paradigm Senior Management runs nursing homes in Missouri. Its largest presence is in Missouri.
- Is Paradigm Senior Management a good nursing home group?
- Across 7 rated homes, Paradigm Senior Management averages 3.4★ on official inspection ratings — above the roughly 3.0★ national average. 43% of its rated homes earn 4★ or better, while 14% sit at 1–2★. That’s a stronger-than-average record overall, but ratings still vary from location to location — judge each home on its own.
- Where is Paradigm Senior Management headquartered?
- Paradigm Senior Management is headquartered in Dexter, Missouri.
- How are these ratings determined?
- The ratings shown are official government inspection ratings. They combine on-site health inspections, staffing levels, and clinical quality measures into an overall score from 1 to 5 stars for each home — the same official data families and regulators use.