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Clarence Nursing Home
402 2nd Avenue, Clarence, IA 52216 (opens Google Maps) · Cedar County · (563) 452-3262· 46 certified beds · avg 43 residents/day · certified since Feb 18, 2009 · 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 →
4/5
Health inspection rating (on-site)
inspected Jul 9, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.45
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: ★★★★☆4/5 · CMS overall rating: 5/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 7 inspection findings. Open the full record below to read every finding.
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
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. F-0868
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
View all 7 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 |
|---|---|---|
| Jul 9, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Aug 22, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0868 |
| Aug 22, 2024 | D · Potential for more than minimal harm, isolated | 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 4, 2024 | E · Potential for more than minimal harm, pattern | 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 4, 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 4, 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 4, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
All citationsSerious citations (G–L)
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.45
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.88
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.01
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 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 3.58, RN 0.71, weekend 3.23.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.58 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Clarence Nursing Home. 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 →
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 |
Showing 20 of 22 parties CMS has on file for this facility; 2 are not displayed. The full list is in the CMS Ownership dataset.
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?"
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 30% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 22 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 | 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 →
Other facilities in the same county
CMS records place this facility in Cedar, IA — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Crestview Specialty Care — West Branch, IA · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 165590.