Clarence Nursing Home
402 2nd Avenue, Clarence, IA 52216 · Cedar County · 46 certified beds · avg 43 residents/day · certified since Feb 18, 2009
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 9, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Aug 22, 2024 | E · Potential for harm, repeated | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Aug 22, 2024 | D · Potential for harm, one-off | 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. |
| Jan 4, 2024 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jan 4, 2024 | D · Potential for harm, one-off | 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. |
| Jan 4, 2024 | D · Potential for harm, one-off | 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. |
| Jan 4, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 6 | 0 | E |
| 2025 | 1 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.45 | 4.37 | 3.95 | top 41% in Iowa; top 25% in the U.S. |
| Registered Nurse hours | 0.88 | 0.85 | 0.69 | top 38% in Iowa; top 22% in the U.S. |
| Weekend total nurse staffing | 4.01 | 3.86 | 3.50 | top 38% in Iowa; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.51 | 0.48 | top 16% in Iowa; top 16% in the U.S. |
| Total nursing staff turnover (%) | 30.0 | 44.0 | 45.8 | top 17% in Iowa; top 14% in the U.S. |
| RN turnover (%) | 16.7 | 42.1 | 42.9 | top 13% in Iowa; top 9% in the U.S. |
Hours are per resident per day, 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 3.58, RN 0.71, weekend 3.23. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/29/2025 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Caster, Brandi | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2023 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/29/2025 |
| Cattail INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/29/2025 |
| Clarence Nursing Home INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/17/2008 |
| Dircks, Russell | Individual | Corporate Officer | NOT APPLICABLE | 09/20/1999 |
| DS Webb & Company PC | Organization | ADP of the SNF | NOT APPLICABLE | 08/11/2015 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/29/2025 |
| Hall, Kelsey | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/13/2018 |
| Iowa Health Care Association | Organization | ADP of the SNF | NOT APPLICABLE | 11/29/2025 |
| Leeper, Wesley | Individual | Corporate Officer | NOT APPLICABLE | 09/20/1999 |
| Millennium Rehab & Consulting INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/30/2023 |
| Pruess, Linsey | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/05/2023 |
| Russell, Larry | Individual | Corporate Director | NOT APPLICABLE | 11/17/2008 |
| Russell, Larry | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2007 |
| Stresemann, Dennis | Individual | Corporate Officer | NOT APPLICABLE | 11/17/2008 |
| Tjaden, Jason | Individual | Corporate Officer | NOT APPLICABLE | 11/17/2008 |
| Tjaden, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/17/2018 |
| Tjaden, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 11/29/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Cedar Manor Nursing Home | 8.2 mi | Tipton, IA | ★★★☆☆ | 3/5 | |
| Mechanicsville Specialty Care | 9.9 mi | Mechanicsville, IA | ★★★★★ | 4/5 | |
| Wheatland Manor | 12.3 mi | Wheatland, IA | ★★★★☆ | 4/5 | |
| Rehabilitation Center of Lisbon | 17.1 mi | Lisbon, IA | ★★★★☆ | 4/5 | |
| Anamosa Care Center | 18.5 mi | Anamosa, IA | ★★★★★ | 4/5 | |
| Hallmark Care Center | 18.7 mi | Mount Vernon, IA | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165590.