14 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Clarence, MO
1-star overall rating with 2-star inspections with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
111 East Street, Clarence, MO
(660) 699-2118
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
34
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-11-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.56
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.52
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.69
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.77
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.08
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.26
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.68
CMS adjusted RN staffing hours
Adjusted total hours
4.57
CMS adjusted total nurse staffing hours
Case-mix index
1.13
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
6,113
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9881
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
1.31
Baseline 28.57% · Performance 58.33% · Measure score 1.31 · Achievement 1.31 · Improvement 0
Adjusted total nurse staffing
5.49
Baseline 4.24 hours · Performance 4.64 hours · Measure score 5.49 · Achievement 5.49 · Improvement 2.08
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.95% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 30 · Observed rate 20% · Lower 95% interval 7.58% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 80% |
95.27%
15.3 pts worse
|
Numerator 16 · Denominator 20 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 20 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 10% |
2.29%
7.7 pts worse
|
Numerator 2 · Denominator 20 · Adjusted rate 13.95% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 9.23% |
8.2%
1 pts better
|
Numerator 6 · Denominator 65 |
| Staff flu vaccination coverage | 26.58% |
42%
15.4 pts worse
|
Numerator 21 · Denominator 79 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
2.3
0.3 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.8% |
84.8%
7 pts better
|
93.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 87.1% · Q4 81.8% · 4Q avg 91.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
90.9%
5.9 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.4% |
4.1%
3.3 pts worse
|
3.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.0% · Q3 9.7% · Q4 3.0% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.2% |
14.7%
8.5 pts better
|
11.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 11.5% · Q3 3.6% · Q4 0.0% · 4Q avg 6.2% |
| Percentage of long-stay residents who lose too much weight | 1.0% |
5.5%
4.5 pts better
|
5.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.8% |
25.3%
15.5 pts better
|
19.6%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 10.7% · Q3 8.3% · Q4 11.5% · 4Q avg 9.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.6% |
25.0%
3.4 pts better
|
16.7%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 20.0% · 4Q avg 21.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.1% |
20.3%
8.2 pts better
|
16.3%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.6% |
19.8%
1.8 pts worse
|
14.9%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 10.7% · Q3 20.8% · Q4 23.1% · 4Q avg 21.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.5% |
1.4%
3.1 pts worse
|
1.0%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 3.8% · Q3 2.7% · Q4 3.3% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.0% |
2.6%
3.4 pts worse
|
1.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 6.9% · Q3 6.7% · Q4 0.0% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.2% |
18.1%
3.9 pts better
|
19.8%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 16.1% · Q3 20.5% · Q4 6.0% · 4Q avg 14.2% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
5.0%
1.5 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 5.6% · Q3 0.0% · Q4 0.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.3% |
66.4%
13.9 pts better
|
81.7%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 81.8% · Q3 65.0% · 4Q avg 80.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 24.1% |
13.4%
10.7 pts worse
|
12.0%
12.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 24.0% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 68.2% |
63.5%
4.7 pts better
|
79.7%
11.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 68.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.9% |
25.3%
3.6 pts worse
|
23.9%
5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.9% · Observed 24.0% · Expected 19.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
25 fire-safety deficiencies
Top issue: Emergency Preparedness (14 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-08
Fire Safety
Use approved construction type or materials.
Corrected 2021-08-03
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-08-03
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-08-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-08-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-08-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-03
Fire Safety
Meet other general requirements.
Corrected 2021-08-03
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2021-08-03
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-08-03
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2021-09-02
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2021-08-03
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2021-09-02
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2021-09-02
Fire Safety
List the names and contact information of those in the facility.
Corrected 2021-08-03
Fire Safety
Provide primary/alternate means for communication.
Corrected 2021-08-03
Fire Safety
Establish methods for sharing information.
Corrected 2021-08-03
Fire Safety
Provide family notifications of emergency plan.
Corrected 2021-09-02
Fire Safety
Establish staff and initial training requirements.
Corrected 2021-09-02
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-08-03
Fire Safety
Implement emergency and standby power systems.
Corrected 2021-08-03
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-08-03
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-08-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-03
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-08-03
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-08-03
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-05-22
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-05-22
Fire Safety
Install proper backup exit lighting.
Corrected 2019-05-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-22
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-05-22
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-05-22
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-05-22
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2019-05-22
Fire Safety
Implement emergency and standby power systems.
Corrected 2019-05-22
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-28
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-28
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-04-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-08
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-03-08
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-28
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-04-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-28
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-28
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-08
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-08
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-03-08
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2021-09-02
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2021-08-03
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-08-03
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2021-08-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-03
Health
Implement a program that monitors antibiotic use.
Corrected 2021-08-03
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2021-08-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-08-03
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-05-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-05-22
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2019-05-22
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2019-05-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-05-22
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2019-05-22
Penalties and ownership
Payment Denial · denial start 2024-04-19 · 70 days
70 day denial
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Nearby options
Macon, MO
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Shelbina, MO
1-star overall rating with 1-star inspections with $70,194 in total fines with 14 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Macon, MO
2-star overall rating with 2-star inspections with $77,841 in total fines with 18 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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