Clinton, IA

The Alverno Health Care Facility

2-star overall rating with 2-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

849 13th Avenue North, Clinton, IA

(563) 242-1521

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

90

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Trinity Health

Operator or chain grouping

Approved since

2004-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

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

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

0.67

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.53

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.49

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.69

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.20

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.25

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.82

CMS adjusted RN staffing hours

Adjusted total hours

4.50

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

397

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

Performance score

70.68

Composite VBP score used to determine payment impact.

Payment multiplier

1.0227

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

10

Baseline 18.17% · Performance 16.93% · Measure score 10 · Achievement 10 · Improvement 9

Healthcare-associated infections

6.48

Baseline 4.71% · Performance 5.90% · Measure score 6.48 · Achievement 6.48 · Improvement 0

Total nurse turnover

8.01

Baseline 42.42% · Performance 30.95% · Measure score 8.01 · Achievement 8.01 · Improvement 6.03

Adjusted total nurse staffing

3.78

Baseline 4.02 hours · Performance 4.15 hours · Measure score 3.78 · Achievement 3.78 · Improvement 0.27

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.02%	10.72% 1.7 pts better	No Different than the National Rate · Eligible stays 290 · Observed rate 7.59% · Lower 95% interval 6.69%
Discharge to community	66.84%	50.57% 16.3 pts better	Better than the National Rate · Eligible stays 273 · Observed rate 64.47% · Lower 95% interval 60.88%
Medicare spending per beneficiary	0.67	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 169 · Denominator 169
Falls with major injury	1.18%	0.77% 0.4 pts worse	Numerator 2 · Denominator 169
Discharge self-care score	41.01%	53.69% 12.7 pts worse	Numerator 57 · Denominator 139
Discharge mobility score	43.17%	50.94% 7.8 pts worse	Numerator 60 · Denominator 139
Pressure ulcers or injuries, new or worsened	5.33%	2.29% 3 pts worse	Numerator 9 · Denominator 169 · Adjusted rate 6.16%
Healthcare-associated infections requiring hospitalization	5.9%	7.12% 1.2 pts better	No Different than the National Rate · Eligible stays 153 · Observed rate 3.92% · Lower 95% interval 3.63%
Staff COVID-19 vaccination coverage	0.63%	8.2% 7.6 pts worse	Numerator 1 · Denominator 160
Staff flu vaccination coverage	28.73%	42% 13.3 pts worse	Numerator 52 · Denominator 181
Discharge function score	49.64%	56.45% 6.8 pts worse	Numerator 69 · Denominator 139
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 99 · Denominator 99
Transfer of health information to patient	97.22%	96.28% 0.9 pts better	Numerator 35 · Denominator 36
Resident COVID-19 vaccinations up to date	20.75%	25.2% 4.4 pts worse	Numerator 22 · Denominator 106

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	1.5 0.9 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.7 · Expected 1.3 · 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	100.0%	94.0% 6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.7%	95.2% 3.5 pts better	95.5% 3.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7%
Percentage of long-stay residents experiencing one or more falls with major injury	3.8%	3.7% 0.1 pts worse	3.3% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.2% · Q3 5.6% · Q4 4.2% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.0% 4 pts better	11.4% 11.4 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 who lose too much weight	5.3%	4.9% 0.4 pts worse	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 8.9% · Q3 7.4% · Q4 1.7% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.1%	20.6% 2.5 pts better	19.6% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 20.3% · Q3 17.5% · Q4 20.0% · 4Q avg 18.1%
Percentage of long-stay residents who received an antipsychotic medication	16.6%	19.8% 3.2 pts better	16.7% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 14.3% · Q3 20.0% · Q4 15.1% · 4Q avg 16.6% · 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	23.1%	18.5% 4.6 pts worse	16.3% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 32.5% · Q3 13.6% · Q4 22.8% · 4Q avg 23.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.0%	18.3% 0.7 pts worse	14.9% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 24.1% · Q3 12.3% · Q4 25.4% · 4Q avg 19.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	7.7%	1.7% 6 pts worse	1.0% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 9.2% · Q3 8.6% · Q4 9.8% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.3%	2.5% 1.8 pts worse	1.7% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 7.4% · Q3 4.3% · Q4 2.9% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.5%	26.0% 4.5 pts better	19.8% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 16.1% · Q3 20.6% · Q4 19.1% · 4Q avg 21.5%
Percentage of long-stay residents with pressure ulcers	4.4%	4.3% 0.1 pts worse	5.1% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 5.0% · Q3 4.6% · Q4 3.7% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	84.3% 15.7 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	21.1%	13.1% 8 pts worse	12.0% 9.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 21.1% · Observed 21.1% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	1.9% 1.4 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.8%	73.3% 18.5 pts better	79.7% 12.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.5%	21.3% 4.2 pts worse	23.9% 1.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.5% · Observed 24.3% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

9 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

3 fire-safety deficiencies

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

Cycle 2 Health 2024-05-02 · Fire 2024-05-02

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

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

Cycle 3 Health 2023-03-09 · Fire 2023-03-09

2 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-05

F · Potential for more than minimal harm 2025-02-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-21

F · Potential for more than minimal harm 2025-02-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-02-17

F · Potential for more than minimal harm 2024-05-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-09

F · Potential for more than minimal harm 2024-05-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-05-02

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-05-22

F · Potential for more than minimal harm 2023-03-09

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-14

E · Potential for more than minimal harm 2023-03-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-11

D · Potential for more than minimal harm 2025-08-07

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 2025-09-11

D · Potential for more than minimal harm 2025-08-07

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-11

D · Potential for more than minimal harm 2025-08-07

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-09-11

E · Potential for more than minimal harm 2025-02-06

F758 · Pharmacy Service Deficiencies

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 2025-03-10

E · Potential for more than minimal harm 2025-02-06

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 2025-03-10

D · Potential for more than minimal harm 2025-02-06

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 2025-03-10

D · Potential for more than minimal harm 2025-02-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-03-10

D · Potential for more than minimal harm 2025-02-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-10

E · Potential for more than minimal harm 2024-05-02

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 2024-06-02

E · Potential for more than minimal harm 2024-05-02

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-02

E · Potential for more than minimal harm 2024-05-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-02

D · Potential for more than minimal harm 2024-05-02

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-06-02

D · Potential for more than minimal harm 2024-05-02

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-06-02

D · Potential for more than minimal harm 2024-05-02

F758 · Pharmacy Service Deficiencies

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 2024-06-02

F · Potential for more than minimal harm 2024-02-01

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 2024-02-27

D · Potential for more than minimal harm 2023-03-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-09

Penalties and ownership

What sits behind the stars

Ownership

Trinity Continuing Care Services

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2013-03-01

Trinity Health Corporation

5% Or Greater Indirect Ownership Interest · Organization

100% 16 facilities 2000-05-01

Bowens, Marcus