Clarksville Skilled Nursing & Rehab Center

115 North Hilton St, Clarksville, IA 50619 (opens Google Maps) · Butler County · (319) 278-4900· 42 certified beds · avg 35 residents/day · certified since Apr 1, 2004 · 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 Apr 9, 2026

Serious findings on record

most recent Jul 10, 2025

Fines, last 3 years

4.26

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: ★★★★☆4/5 · CMS overall rating: 4/5 · 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 · 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): 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: Jul 11, 2025 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.

Apr 9, 2026D · Potential for more than minimal harm, isolated
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). F-0628
Jul 10, 2025G · Actual harm, isolated
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 F-0805
Jul 10, 2025D · Potential for more than minimal harm, isolated
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 F-0580

View all 10 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
Apr 9, 2026	D · Potential for more than minimal harm, isolated	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). · F-0628
Jul 10, 2025	▲ G · Actual harm, isolated	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 · F-0805
Jul 10, 2025	D · Potential for more than minimal harm, isolated	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 · F-0580
Apr 3, 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. · from a complaint · F-0641
Apr 3, 2025	D · Potential for more than minimal harm, isolated	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 · F-0710
Apr 3, 2025	D · Potential for more than minimal harm, isolated	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 · F-0755
Apr 3, 2025	D · Potential for more than minimal harm, isolated	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 · F-0760
Apr 3, 2025	D · Potential for more than minimal harm, isolated	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
Apr 11, 2024	D · Potential for more than minimal harm, isolated	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 · F-0657
Apr 11, 2024	B · Potential for 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. · from a complaint · F-0625

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 1).

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

All citationsSerious citations (G–L)

2024

2025

2026

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

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

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 facilityIowa averageU.S. average

Total nurse staffing (hours per resident per day)

4.26

4.37

3.95

Registered Nurse hours

0.68

0.85

0.69

Weekend total nurse staffing

3.63

3.86

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)	4.26	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 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 3.87, RN 0.62, weekend 3.30.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.87 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: 2/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Clarksville Skilled Nursing & Rehab 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 →

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

Showing 20 of 31 parties CMS has on file for this facility; 11 are not displayed. The full list is in the CMS Ownership dataset.

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.

"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?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 33% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 31 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
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

Compare this facility with the 3 closest →

All facilities in Clarksville →

Facility data as of CMS processing date 2026-08-01. CCN 165495.

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 — Clarksville Skilled Nursing & Rehab Center

115 North Hilton St, Clarksville, IA 50619 · (319) 278-4900

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Jul 10, 2025 (F-0805, Actual harm, isolated): 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.

Questions for the administrator:

☐ "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?"
☐ "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 33% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 31 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 165495 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)