Clark's Mountain Nursing Center

Name: Clark's Mountain Nursing Center
Address: 2100 BARNES, Piedmont, MO, 63957, US
Telephone: 5732234297

2100 Barnes, Piedmont, MO 63957 · Wayne County · 91 certified beds · avg 64 residents/day · certified since Feb 9, 1990

Part of chain: AMERICARE SENIOR LIVING (23 facilities, chain avg rating 3.6★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.84

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · 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 (8)

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
May 14, 2026	F · Potential for harm, facility-wide	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.
May 14, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
May 14, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Jan 31, 2025	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.
Dec 6, 2023	F · Potential for harm, facility-wide	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.
Dec 6, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).

Year	Citations	Worst severity that year
2023	2	F
2025	3	D
2026	3	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)

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	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.84	3.66	3.95	top 39% in Missouri; top 46% in the U.S.
Registered Nurse hours	0.34	0.49	0.69	bottom 35% in Missouri; bottom 14% in the U.S.
Weekend total nurse staffing	3.20	3.22	3.50	top 47% in Missouri; bottom 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.33	0.48	bottom 21% in Missouri; bottom 8% in the U.S.
Total nursing staff turnover (%)	38.5	56.0	45.8	top 11% in Missouri; top 32% in the U.S.
RN turnover (%)	37.5	47.8	42.9	top 33% in Missouri; top 42% 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 3.70, RN 0.33, weekend 3.09. Staffing rating: 3/5.

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: 3/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Ford, Julianna	Individual	5% or Greater Indirect Ownership Interest	33%	01/01/2012
HWJ LLC	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2012
Montgomery, Henley	Individual	5% or Greater Indirect Ownership Interest	33%	01/01/2012
Montgomery, William	Individual	5% or Greater Indirect Ownership Interest	33%	01/01/2012
Americare Systems, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2012
Crosson, Clay	Individual	Operational/Managerial Control	NOT APPLICABLE	10/29/2001
Schade, Kyle	Individual	Corporate Officer	NOT APPLICABLE	03/01/2021
Turner, William	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2013

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
"Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"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
Greenville Health Care Center	13.4 mi	Greenville, MO	★★★☆☆	4/5
Brent B Tinnin Manor	15.7 mi	Ellington, MO	★☆☆☆☆	3/5

Compare this facility with the 2 closest →

All facilities in Piedmont →

Facility data as of CMS processing date 2026-08-01. CCN 265416.

The Care File

Visit checklist — Clark's Mountain Nursing Center

2100 Barnes, Piedmont, MO 63957 · 5732234297

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
☐ "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "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?"

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 265416 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)