Clarence Care Center

111 East Street, Clarence, MO 63437 (opens Google Maps) · Shelby County · (660) 699-2118· 60 certified beds · avg 31 residents/day · certified since Nov 18, 1994 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

3/5

Health inspection rating (on-site)

inspected Jan 29, 2026

Serious findings on record

most recent Jan 25, 2024

Fines, last 3 years

4.75

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jan 25, 2024 · F-0744

The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.

Why it matters: Poor dementia care can lead to distress, unsafe wandering, or unnecessary sedating medication.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 28, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.

Jan 29, 2026F · Potential for more than minimal harm, widespread
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
Nov 17, 2025D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
May 21, 2024D · Potential for more than minimal harm, isolated
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint F-0609

View all 25 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Jan 29, 2026	F · Potential for more than minimal harm, widespread	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Nov 17, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 21, 2024	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
May 21, 2024	D · Potential for more than minimal harm, isolated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Jan 25, 2024	▲ G · Actual harm, isolated	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · F-0744
Jan 25, 2024	F · Potential for more than minimal harm, widespread	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jan 25, 2024	F · Potential for more than minimal harm, widespread	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947
Jan 25, 2024	E · Potential for more than minimal harm, pattern	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Jan 25, 2024	E · Potential for more than minimal harm, pattern	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 25, 2024	E · Potential for more than minimal harm, pattern	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Jan 25, 2024	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jan 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Jan 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Jan 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Jan 25, 2024	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Jan 25, 2024	C · Potential for minimal harm, widespread	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Jan 25, 2024	C · Potential for minimal harm, widespread	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
May 27, 2021	F · Potential for more than minimal harm, widespread	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · F-0838
May 27, 2021	E · Potential for more than minimal harm, pattern	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · F-0568
May 27, 2021	E · Potential for more than minimal harm, pattern	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
May 27, 2021	E · Potential for more than minimal harm, pattern	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
May 27, 2021	E · Potential for more than minimal harm, pattern	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
May 27, 2021	E · Potential for more than minimal harm, pattern	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
May 27, 2021	D · Potential for more than minimal harm, isolated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · F-0678
May 27, 2021	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 1).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2021

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2021	8	0	F
2024	15	1	G ▲
2025	1	0	D
2026	1	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

0 fines totaling $0, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

Date	Type	Amount / length
Jan 25, 2024	Payment Denial	70 days from Apr 19, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityMissouri averageU.S. average

Total nurse staffing (hours per resident per day)

4.75

3.66

3.95

Registered Nurse hours

0.63

0.49

0.69

Weekend total nurse staffing

4.32

3.22

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.75	3.66	3.95	top 14% in Missouri; top 18% in the U.S.
Registered Nurse hours	0.63	0.49	0.69	top 17% in Missouri; top 44% in the U.S.
Weekend total nurse staffing	4.32	3.22	3.50	top 11% in Missouri; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.33	0.48	top 21% in Missouri; top 49% in the U.S.
Total nursing staff turnover (%)	40.0	56.0	45.8	top 13% in Missouri; top 36% in the U.S.
RN turnover (%)	33.3	47.8	42.9	top 26% in Missouri; top 33% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.15, RN 0.55, weekend 3.77.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.15 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Clarence Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - County

Owner / manager	Type	Role	Stake	Since
Clarence Nursing Home District	Organization	5% or Greater Direct Ownership Interest	100%	01/01/1977
Chinn, Tim	Individual	Corporate Director	NOT APPLICABLE	04/23/2019
Langhammer, Carl	Individual	Corporate Director	NOT APPLICABLE	08/22/2014
Maddex, Donnie	Individual	Corporate Director	NOT APPLICABLE	05/26/2020
Maupin, Rick	Individual	Corporate Director	NOT APPLICABLE	04/17/2018
McDowell, James	Individual	Operational/Managerial Control	NOT APPLICABLE	08/25/2021
McDowell, James	Individual	Trustee of the SNF	NOT APPLICABLE	08/25/2021
McDowell, James	Individual	ADP of the SNF	NOT APPLICABLE	02/03/2025
McKenzie, Mike	Individual	Corporate Director	NOT APPLICABLE	02/25/2025
Mefford, Angie	Individual	Corporate Director	NOT APPLICABLE	01/26/2021
Walker, Mark	Individual	Operational/Managerial Control	NOT APPLICABLE	01/02/2008
Walker, Mark	Individual	Trustee of the SNF	NOT APPLICABLE	01/02/2008
Walker, Mark	Individual	ADP of the SNF	NOT APPLICABLE	01/02/2008

All 13 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 13 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Macon Health Care Center	10.6 mi	Macon, MO	★★★★★	4/5
Baptist Homes of Shelbina	11.8 mi	Shelbina, MO	★☆☆☆☆	1/5
Loch Haven	12.6 mi	Macon, MO	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Clarence →

Facility data as of CMS processing date 2026-08-01. CCN 265599.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Clarence Care Center

111 East Street, Clarence, MO 63437 · (660) 699-2118

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Most serious findings on record:

▲ Jan 25, 2024 (F-0744, Actual harm, isolated): The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.

Questions for the administrator:

☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 13 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265599 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)