Piedmont, MO

Clark's Mountain Nursing Center

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2100 Barnes, Piedmont, MO

(573) 223-4297

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

91

Certified beds

Average residents

63

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Americare Senior Living

Operator or chain grouping

Approved since

1990-02-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing

LPN hours / resident day

0.63

Licensed practical nurse staffing

Aide hours / resident day

2.73

Nurse aide staffing

Weekend hours

3.20

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

45%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.6
2.1
1.5 pts worse
1.9
1.7 pts worse
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
84.8%
13.8 pts better
93.4%
5.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.5%
90.9%
5.6 pts better
95.5%
1 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.4%
4.1%
2.7 pts better
3.3%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
14.7%
14.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 13.1%
5.5%
7.6 pts worse
5.4%
7.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.0%
25.3%
1.7 pts worse
19.6%
7.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 21.1%
25.0%
3.9 pts better
16.7%
4.4 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 9.9%
20.3%
10.4 pts better
16.3%
6.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 11.7%
19.8%
8.1 pts better
14.9%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
1.4%
0.6 pts better
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.8%
2.6%
1.2 pts worse
1.7%
2.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.6%
18.1%
4.5 pts better
19.8%
6.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.4%
5.0%
1.6 pts better
5.1%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.5%
66.4%
29.1 pts better
81.7%
13.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 19.2%
13.4%
5.8 pts worse
12.0%
7.2 pts worse
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92.9%
63.5%
29.4 pts better
79.7%
13.2 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.2%
25.3%
4.1 pts better
23.9%
2.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-31 · Fire 2025-01-31

3 health deficiencies

Top issue: Administration (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-12-06 · Fire 2023-12-06

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-03-18 · Fire 2022-03-18

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-31

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-16

F · Potential for more than minimal harm 2025-01-31

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-16

F · Potential for more than minimal harm 2023-12-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-01-18

F · Potential for more than minimal harm 2022-03-18

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2022-04-01

F · Potential for more than minimal harm 2022-03-18

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-04-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-01-31

F728 · Nursing and Physician Services Deficiencies

Health

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2025-03-16

D · Potential for more than minimal harm 2025-01-31

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-03-16

D · Potential for more than minimal harm 2025-01-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-16

F · Potential for more than minimal harm 2023-12-06

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 2024-01-18

D · Potential for more than minimal harm 2023-12-06

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 2024-01-18

Penalties and ownership

What sits behind the stars

Ownership

Hwj LLC

5% Or Greater Direct Ownership Interest · Organization

100% 7 facilities 2012-01-01
Ford, Julianna

5% Or Greater Indirect Ownership Interest · Individual

33% 7 facilities 2012-01-01
Montgomery, Henley

5% Or Greater Indirect Ownership Interest · Individual

33% 7 facilities 2012-01-01
Montgomery, William

5% Or Greater Indirect Ownership Interest · Individual

33% 7 facilities 2012-01-01
Americare Systems, Inc.

Operational/Managerial Control · Organization

0% 23 facilities 2012-01-01
Crosson, Clay

Operational/Managerial Control · Individual

0% 14 facilities 2001-10-29
Schade, Kyle

Corporate Officer · Individual

0% 23 facilities 2021-03-01
Turner, William

W-2 Managing Employee · Individual

0% 2 facilities 2013-01-01

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