Clarion, IA

Clarion Wellness and Rehabilitation Center

1-star overall rating with 1-star inspections with $24,174 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

110 13th Avenue SW, Clarion, IA

(515) 532-2893

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1997-09-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.33

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.69

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

1.87

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

2.89

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.02

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.38

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.19

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.35

CMS adjusted RN staffing hours

Adjusted total hours

3.02

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,430

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

44.36

Composite VBP score used to determine payment impact.

Payment multiplier

0.9974

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.84

Baseline 20.32% · Performance 19.65% · Measure score 3.84 · Achievement 3.84 · Improvement 1.53

Healthcare-associated infections

4.87

Baseline 5.81% · Performance 6.38% · Measure score 4.87 · Achievement 4.87 · Improvement 0

Total nurse turnover

7.77

Baseline 30.00% · Performance 31.91% · Measure score 7.77 · Achievement 7.77 · Improvement 0

Adjusted total nurse staffing

1.26

Baseline 3.58 hours · Performance 3.44 hours · Measure score 1.26 · Achievement 1.26 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.15%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 69 · Observed rate 8.7% · Lower 95% interval 6.63%
Discharge to community	45.26%	50.57% 5.3 pts worse	No Different than the National Rate · Eligible stays 41 · Observed rate 39.02% · Lower 95% interval 33.17%
Medicare spending per beneficiary	0.86	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 28 · Denominator 28
Falls with major injury	3.57%	0.77% 2.8 pts worse	Numerator 1 · Denominator 28
Discharge self-care score	52.17%	53.69% 1.5 pts worse	Numerator 12 · Denominator 23
Discharge mobility score	39.13%	50.94% 11.8 pts worse	Numerator 9 · Denominator 23
Pressure ulcers or injuries, new or worsened	3.57%	2.29% 1.3 pts worse	Numerator 1 · Denominator 28 · Adjusted rate 4%
Healthcare-associated infections requiring hospitalization	6.38%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 35 · Observed rate 2.86% · Lower 95% interval 3.22%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 87
Staff flu vaccination coverage	36.56%	42% 5.4 pts worse	Numerator 34 · Denominator 93
Discharge function score	43.48%	56.45% 13 pts worse	Numerator 10 · Denominator 23
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.5 0.2 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	2.1 0.3 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.4%	94.0% 3.4 pts better	93.4% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 96.8% · Q3 96.7% · Q4 98.2% · 4Q avg 97.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.2%	95.2% 3 pts worse	95.5% 3.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.2%
Percentage of long-stay residents experiencing one or more falls with major injury	0.9%	3.7% 2.8 pts better	3.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	33.9%	4.0% 29.9 pts worse	11.4% 22.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 28.1% · Q3 47.4% · Q4 50.0% · 4Q avg 33.9%
Percentage of long-stay residents who lose too much weight	5.1%	4.9% 0.2 pts worse	5.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 2.2% · Q3 3.8% · Q4 8.0% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	37.6%	20.6% 17 pts worse	19.6% 18 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.0% · Q2 33.9% · Q3 41.8% · Q4 40.4% · 4Q avg 37.6%
Percentage of long-stay residents who received an antipsychotic medication	14.8%	19.8% 5 pts better	16.7% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 17.1% · Q3 14.3% · Q4 12.2% · 4Q avg 14.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	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	16.3%	18.5% 2.2 pts better	16.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 30.5% · Q2 19.3% · Q3 6.0% · Q4 10.3% · 4Q avg 16.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.0%	18.3% 3.3 pts better	14.9% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 12.7% · Q3 5.7% · Q4 20.0% · 4Q avg 15.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.7% 1.2 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.6%	2.5% 0.1 pts worse	1.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 4.8% · Q3 1.7% · Q4 1.9% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.7%	26.0% 2.3 pts better	19.8% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.3% · Q2 21.2% · Q3 14.0% · Q4 28.5% · 4Q avg 23.7%
Percentage of long-stay residents with pressure ulcers	3.3%	4.3% 1 pts better	5.1% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.7% · Q3 4.2% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.1%	84.3% 5.8 pts better	81.7% 8.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 81.8% · Q4 95.8% · 4Q avg 90.1%
Percentage of short-stay residents who had an outpatient emergency department visit	11.4%	13.1% 1.7 pts better	12.0% 0.6 pts better	Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 12.5% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 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 rehospitalized after a nursing home admission	10.7%	21.3% 10.6 pts better	23.9% 13.2 pts better	Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 12.5% · Expected 27.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

10 health deficiencies

Top issue: Administration (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-10-17 · Fire 2024-10-17

10 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-07-20 · Fire 2023-07-20

17 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-19

E · Potential for more than minimal harm 2025-08-28

K222 · Egress Deficiencies

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 2025-09-16

E · Potential for more than minimal harm 2025-08-28

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-09-16

D · Potential for more than minimal harm 2025-08-28

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-08-30

F · Potential for more than minimal harm 2024-10-17

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-11-04

F · Potential for more than minimal harm 2024-10-17

K222 · Egress Deficiencies

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 2024-11-04

F · Potential for more than minimal harm 2024-10-17

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-10-25

F · Potential for more than minimal harm 2024-10-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-10-17

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-10-24

F · Potential for more than minimal harm 2023-07-20

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2023-07-26

F · Potential for more than minimal harm 2023-07-20

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-07-27

F · Potential for more than minimal harm 2023-07-20

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-07-26

F · Potential for more than minimal harm 2023-07-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-27

E · Potential for more than minimal harm 2023-07-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-08-20

E · Potential for more than minimal harm 2023-07-20

K321 · Smoke Deficiencies

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 2023-07-21

E · Potential for more than minimal harm 2023-07-20

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-07-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-25

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-12-24

D · Potential for more than minimal harm 2025-08-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-28

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-28

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-28

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-28

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-07-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-07-09

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-02-11

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-14

K · Immediate jeopardy 2024-10-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-04

K · Immediate jeopardy 2024-10-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-04

J · Immediate jeopardy 2024-10-17

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-11-04

J · Immediate jeopardy 2024-10-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-11-04

E · Potential for more than minimal harm 2024-10-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-04

E · Potential for more than minimal harm 2024-10-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-04

E · Potential for more than minimal harm 2024-10-17

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2024-11-04

D · Potential for more than minimal harm 2024-10-17

F578 · Resident Rights Deficiencies

Health

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 2024-11-04

D · Potential for more than minimal harm 2024-10-17

F803 · Nutrition and Dietary Deficiencies

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 2024-11-04

E · Potential for more than minimal harm 2023-07-20

F584 · Resident Rights Deficiencies

Health

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 2023-08-16

E · Potential for more than minimal harm 2023-07-20

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-08-16