Federal inspection record · CMS data as of October 1, 2026

The Alverno Health Care Facility

849 13th Avenue North, Clinton, IA · (563) 242-1521

CMS overall rating

3 of 5

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Certified beds
112
Residents per day
82
Ownership
Non-Profit
Chain
Trinity Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 2004

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Iowa homes

The Alverno Health Care Facility carries 38 inspection points. That is fewer than 45% of Iowa's 385 rated homes.

5★4★3★2★1★+12 homes above 18305102550100inspection points → fewer is better on the leftThis home · 38 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–7 pts
  • 4★ 7–21 pts
  • 3★ 21–41 pts
  • 2★ 41–86.5 pts
  • 1★ over 86.5 pts

Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

21 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 13 4 pts
E 7 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Pharmacy Service7E
  1. D

    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.

    February 19, 2026 · Complaint · F761 · Corrected March 21, 2026

  2. D

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

    August 7, 2025 · Complaint · F755 · Corrected September 11, 2025

  3. D

    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.

    August 7, 2025 · Complaint · F761 · Corrected September 11, 2025

  4. E

    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.

    February 6, 2025 · Standard · F758 · Corrected March 10, 2025

  5. D

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

    February 6, 2025 · Standard · F755 · Corrected March 10, 2025

  6. E

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

    May 2, 2024 · Standard · F755 · Corrected June 2, 2024

  7. D

    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.

    May 2, 2024 · Standard · F758 · Corrected June 2, 2024

Infection Control3E
  1. E

    Provide and implement an infection prevention and control program.

    February 19, 2026 · Standard · F880 · Corrected March 21, 2026

  2. D

    Provide and implement an infection prevention and control program.

    February 6, 2025 · Complaint · F880 · Corrected March 10, 2025

  3. E

    Provide and implement an infection prevention and control program.

    May 2, 2024 · Standard · F880 · Corrected June 2, 2024

Quality of Life and Care3D
  1. D

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

    August 7, 2025 · Complaint · F684 · Corrected September 11, 2025

  2. D

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

    August 7, 2025 · Complaint · F689 · Corrected September 11, 2025

  3. D

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

    February 6, 2025 · Complaint · F689 · Corrected March 10, 2025

Resident Rights2D
  1. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    February 19, 2026 · Complaint · F554 · Corrected March 21, 2026

  2. D

    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.

    February 19, 2026 · Standard · F578 · Corrected March 21, 2026

Nutrition and Dietary2F
  1. E

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

    February 6, 2025 · Standard · F812 · Corrected March 10, 2025

  2. F

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

    February 1, 2024 · Complaint · F812 · Corrected February 27, 2024

Administration1E
  1. E

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

    February 19, 2026 · Standard · F865 · Corrected March 21, 2026

Nursing and Physician Services1E
  1. E

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

    May 2, 2024 · Complaint · F725 · Corrected June 2, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Respond appropriately to all alleged violations.

    May 2, 2024 · Standard · F610 · Corrected June 2, 2024

Resident Assessment and Care Planning1D
  1. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    May 2, 2024 · Standard · F645 · Corrected June 2, 2024

Inspection history

  1. 2026-02-19

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

  2. 2025-02-06

    9 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

  3. 2024-05-02

    7 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 45 min of nursing staff time a day, 43 min of it from a registered nurse.

This home

3 h 45 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 43% of nursing staff and 59% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts worse1.71.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better1.41.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts better99.7%94.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better100.0%95.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better3.7%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms4.2 pts better0.0%4.2%13.5%
Percentage of long-stay residents who lose too much weight2.4 pts worse6.8%4.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts worse21.5%21.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.2 pts better15.6%19.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.5 pts better12.7%15.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1 pts worse17.6%16.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.8 pts worse4.2%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts worse2.8%2.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.6 pts better16.4%25.0%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts worse4.5%4.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.6 pts better99.6%84.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.7 pts worse17.7%13.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.7%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.5 pts better86.9%74.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.7 pts better16.0%20.7%23.4%

·

Who owns and runs it

17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Trinity Continuing Care Services5% Or Greater Direct Ownership Interest · Organization100%12 facilities
Bowens, MarcusCorporate Director · Individual0%8 facilities
Bowens, MarcusCorporate Officer · Individual0%8 facilities
Defrain, DavidCorporate Director · Individual0%4 facilities
Dolph, LethaOperational/Managerial Control · Individual0%1 facilities
Handy, JoanneCorporate Director · Individual0%14 facilities
Henkel, ArthurCorporate Director · Individual0%5 facilities
Jones, BeverlyCorporate Director · Individual0%5 facilities
Latovick, PamelaW-2 Managing Employee · Individual0%9 facilities
Minnix, WilliamCorporate Director · Individual0%5 facilities
Murray, MandiCorporate Director · Individual0%4 facilities
Murray, MandiCorporate Officer · Individual0%4 facilities
Poole, LejonCorporate Director · Individual0%5 facilities
Tag, Anna MarieCorporate Director · Individual0%5 facilities
Tapia, MarjorieCorporate Director · Individual0%4 facilities
Villarruel, AntoniaCorporate Director · Individual0%5 facilities
Wells, DewayneCorporate Director · Individual0%5 facilities

·

Fire safety

9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

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

    February 19, 2026 · K345 · Corrected February 26, 2026

  2. F

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

    February 6, 2025 · K345 · Corrected February 5, 2025

  3. D

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

    May 2, 2024 · K341 · Corrected May 22, 2024

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    February 19, 2026 · K712 · Corrected March 11, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    February 6, 2025 · K712 · Corrected February 21, 2025

  3. F

    Have simulated fire drills held at unexpected times.

    May 2, 2024 · K712 · Corrected June 9, 2024

Gas, Vacuum, and Electrical Systems3F
  1. E

    Meet requirements for the use and maintenance of medical gas equipment.

    February 19, 2026 · K922 · Corrected February 26, 2026

  2. F

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

    February 6, 2025 · K918 · Corrected February 17, 2025

  3. F

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

    May 2, 2024 · K918 · Corrected May 17, 2024

·

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