Clarksville Skilled Nursing & Rehab Center
115 North Hilton St, Clarksville, IA 50619 · Butler County · 42 certified beds · avg 35 residents/day · certified since Apr 1, 2004
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 10, 2025 · F-0805 · triggered by a complaint
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 11, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (10)
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 |
|---|---|---|
| Apr 9, 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). |
| Jul 10, 2025 | ▲ G · Actual harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint |
| Jul 10, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 3, 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. · from a complaint |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. · from a complaint |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Apr 3, 2025 | D · Potential for harm, one-off | 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. |
| Apr 11, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Apr 11, 2024 | B · Minimal risk, repeated | 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. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | D |
| 2025 | 7 | 1 | G ▲ |
| 2026 | 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) | 4.26 | 4.37 | 3.95 | top 49% in Iowa; top 30% in the U.S. |
| Registered Nurse hours | 0.68 | 0.85 | 0.69 | bottom 33% in Iowa; top 38% in the U.S. |
| Weekend total nurse staffing | 3.63 | 3.86 | 3.50 | bottom 44% in Iowa; top 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.51 | 0.48 | top 36% in Iowa; top 31% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 44.0 | 45.8 | top 24% in Iowa; top 20% in the U.S. |
| RN turnover (%) | 20.0 | 42.1 | 42.9 | top 18% in Iowa; top 13% 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 3.87, RN 0.62, weekend 3.30. Staffing rating: 4/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Martin, Dean | Individual | 5% or Greater Direct Ownership Interest | 6% | 07/21/2011 |
| Amunson, Dale | Individual | Corporate Director | NOT APPLICABLE | 11/17/2021 |
| Arenholz, Jane | Individual | Corporate Director | NOT APPLICABLE | 04/11/2025 |
| Arenholz, Steven | Individual | Corporate Director | NOT APPLICABLE | 04/01/2018 |
| Arenholz, Steven | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2018 |
| Backer, Chris | Individual | Corporate Director | NOT APPLICABLE | 04/01/2018 |
| Blue Stone Therapy INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Carney Alexander Marold & Co LLP | Organization | ADP of the SNF | NOT APPLICABLE | 05/31/2021 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/30/2022 |
| Cattail INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cedar Valley Nutrition Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Cramer, Rebecca | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/22/2013 |
| Derfield, Brandi | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Fagre, Lee | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| Fagre, Lee | Individual | ADP of the SNF | NOT APPLICABLE | 02/25/2026 |
| Finn Enterprises, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/31/2021 |
| Iowa Health Care Association | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who would be my family member's attending doctor here, and how often would they be seen?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Rehabilitation Center of Allison | 6.7 mi | Allison, IA | ★★★☆☆ | 2/5 | |
| Shell Rock Senior Living | 7.0 mi | Shell Rock, IA | ★☆☆☆☆ | 1/5 | |
| Woodland Terrace | 9.9 mi | Waverly, IA | ★★★★★ | 3/5 | |
| Ams Memorial-Greene | 10.1 mi | Greene, IA | ★☆☆☆☆ | 2/5 | |
| Maple Manor Village | 17.2 mi | Aplington, IA | ★★★★☆ | 4/5 | |
| Chautauqua Guest Home #2 | 18.5 mi | Charles City, IA | ★★★★★ | 4/5 | |
| Chautauqua Guest Home #3 | 18.7 mi | Charles City, IA | ★★★★★ | 5/5 | |
| Denver Sunset Home | 18.8 mi | Denver, IA | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165495.