Mount Ayr, IA

Clearview Home

3-star overall rating with 3-star inspections with $47,996 in total fines with 4 fire-safety deficiencies in the latest cycle

406 West Washington, Mount Ayr, IA

(641) 464-2240

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

82

Certified beds

Average residents

72

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-05-03

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

Hours and turnover

RN hours / resident day

0.60

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.29

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.35

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.24

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

0.89

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.92

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.69

CMS adjusted RN staffing hours

Adjusted total hours

3.73

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,802

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

Performance score

25.66

Composite VBP score used to determine payment impact.

Payment multiplier

0.9839

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

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

2.63

Baseline 44.62% · Performance 52.94% · Measure score 2.63 · Achievement 2.63 · Improvement 0

Adjusted total nurse staffing

2.50

Baseline 4.10 hours · Performance 3.79 hours · Measure score 2.50 · Achievement 2.50 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.34%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 39 · Observed rate 5.13% · Lower 95% interval 6.56%
Discharge to community	40.61%	50.57% 10 pts worse	No Different than the National Rate · Eligible stays 27 · Observed rate 33.33% · Lower 95% interval 28.33%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	3.7%	95.27% 91.6 pts worse	Numerator 1 · Denominator 27
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 27
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 27 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	2.06%	8.2% 6.1 pts worse	Numerator 2 · Denominator 97
Staff flu vaccination coverage	46.72%	42% 4.7 pts better	Numerator 64 · Denominator 137
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · 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	2.0	1.5 0.5 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.3 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.1 0.1 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.3 · 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 100.0% · Q2 95.5% · Q3 95.5% · Q4 98.6% · 4Q avg 97.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.5%	95.2% 3.3 pts better	95.5% 3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury	3.7%	3.7% About the same	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.5% · Q3 3.0% · Q4 2.9% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	10.8%	4.0% 6.8 pts worse	11.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 5.5% · Q3 8.3% · Q4 11.9% · 4Q avg 10.8%
Percentage of long-stay residents who lose too much weight	0.9%	4.9% 4 pts better	5.4% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.9% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.3%	20.6% 1.3 pts better	19.6% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 21.4% · Q3 20.0% · Q4 19.0% · 4Q avg 19.3%
Percentage of long-stay residents who received an antipsychotic medication	14.0%	19.8% 5.8 pts better	16.7% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 14.0% · Q3 14.0% · Q4 10.9% · 4Q avg 14.0% · 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	10.2%	18.5% 8.3 pts better	16.3% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 12.0% · Q3 10.6% · Q4 2.4% · 4Q avg 10.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.3%	18.3% 8 pts better	14.9% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 16.7% · Q3 9.6% · Q4 5.5% · 4Q avg 10.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.4%	1.7% 0.7 pts worse	1.0% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 2.7% · Q3 2.1% · Q4 1.1% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.0%	2.5% 0.5 pts worse	1.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 6.2% · Q3 3.1% · Q4 1.4% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.1%	26.0% 3.1 pts worse	19.8% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.1% · Q2 24.8% · Q3 26.8% · Q4 29.5% · 4Q avg 29.1%
Percentage of long-stay residents with pressure ulcers	5.2%	4.3% 0.9 pts worse	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 2.9% · Q3 7.1% · Q4 4.6% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.9%	84.3% 8.6 pts better	81.7% 11.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 94.6% · Q3 82.8% · Q4 100.0% · 4Q avg 92.9%
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 assessed and appropriately given the seasonal influenza vaccine	77.8%	73.3% 4.5 pts better	79.7% 1.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 77.8%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-24 · Fire 2024-09-12

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-09-12 · Fire 2024-04-25

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2024-04-25 · Fire 2022-12-01

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-17

E · Potential for more than minimal harm 2024-09-12

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-09-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-09-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-09-25

F · Potential for more than minimal harm 2024-04-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-01

D · Potential for more than minimal harm 2024-04-25

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-05-31

D · Potential for more than minimal harm 2024-04-25

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-03

F · Potential for more than minimal harm 2022-12-01

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-01-05

F · Potential for more than minimal harm 2022-12-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-12-17

F · Potential for more than minimal harm 2022-12-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-12-30

F · Potential for more than minimal harm 2022-12-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-17

E · Potential for more than minimal harm 2022-12-01

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 2022-12-06

D · Potential for more than minimal harm 2022-12-01

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-01-05

D · Potential for more than minimal harm 2022-12-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-12-07

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-09-12

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 2024-09-25

J · Immediate jeopardy 2023-05-02

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-05-02

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 2023-05-03

D · Potential for more than minimal harm 2023-05-02

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-05-02

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 2023-05-17

Penalties and ownership

What sits behind the stars

$47,996 2023-05-02

Fine

Fine · fine $47,996

Fine

Ownership

Routh, Gary

5% Or Greater Direct Ownership Interest · Individual

50% 1 facilities 1997-02-01

Routh, Patricia

5% Or Greater Direct Ownership Interest · Individual

50% 1 facilities 1997-02-01

Casteel, Monica