Azria Health Clarinda
600 Manor Drive, Clarinda, IA 51632 · Page County · (712) 542-5161
70 certified beds, about 59 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165158 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 13 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $16,448 in the last three years; the largest was $16,448, and the latest is dated January 9, 2024.
Nurses and nurse aides worked 3.66 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
32.8% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Azria Health, an affiliated group of 9 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
301/24
203/24
406/24
101/25
005/25
108/25
205/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
2E
0F
Potential for minimal harm
0A
0B
0C
May 7, 2026Standard inspection · 2 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, staff interviews, resident interviews, clinical review and policy review. The facility failed to respond to call lights in a timely manner for 4 of 4 residents reviewed (Resident #1, #15, #14, and #47). The facility reported a census of 60 residents. Findings Include:1. The Minimum Data Set (MDS) dated [DATE] documented Resident #1 had a Brief Interview for Mental Status (BIMS) of 00 that indicated severe cognitive impairment. The MDS further indicated that Resident #1 was dependent on staff for toileting hygiene, personal hygiene and transfers. On 5/4/26 at 12:35 PM a continuous observation revealed Resident #1's Wife turned the call light on. At 12:40 PM a Certified Nursing Assistant (CNA) entered the room Resident #1's Wife stated to that CNA Resident #1 wanted assistance to lay down in bed. [...]
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, clinical record review, and policy review, the facility failed to ensure universal infection control measures and Enhanced Barrier Precautions (EBP) were maintained. The facility failed to ensure appropriate hand hygiene was completed during personal care for Resident #1, during wound care for 1 of 2 residents (Resident #41), during medication administration and during catheter care for 1 of 2 residents (Resident #5). The facility also failed to ensure appropriate Personal Protective Equipment (PPE) was worn for a resident that required EBP during catheter care (Resident #37). The facility reported a census of 60 residents. Findings Include:1. The Minimum Data Set (MDS) dated [DATE] documented Resident #1 had a Brief interview for Mental Status (BIMS) of 00 that indicated severe cognitive impairment. [...]
August 8, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility investigation review, staff interviews and policy review the facility failed to report a reportable event to the appropriate facility staff members after the alleged event took place. Which lead to the facility failing to report to the State Agency within 2 hours of the alleged event. The facility reported a census of 52 residents.
May 1, 2025Standard inspection · 0 citations
January 7, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical document review, staff interviews, provider interview and policy review the facility failed to provide appropriate assessments, implementation of the bowel managment plan and physician notification for 1 of 3 Residents (Resident #1) reviewed. The facility reported a census of 61 residents.
June 13, 2024Standard inspection · 4 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on electronic health record (EHR) review, resident interview, staff interviews and facility policy review the facility failed to provide an opportunity for a comprehensive care plan to be reviewed and revised by an interdisciplinary team composed of a resident and/or resident representative to allow developing the care plan and making decisions about his or her care to 1 of 5 residents reviewed (Resident #6). The facility reported a census of 66 residents.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on clinical record review, observation, staff interviews, and policy review, the facility failed to maintain Activities of Daily Living (ADLs) by failing to provide restorative aid for 1 of 1 resident reviewed (#46). The facility reported a census of 66 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical record review, resident interview, staff interviews, and policy review, the facility failed to document an administered medication into the resident's medical record for 1 of 1 resident reviewed (Resident # 53). The facility reported a census of 66 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on clinical record review, resident interview, observation, staff interview, and policy review the facility failed to implement appropriate infection control practices to prevent cross contamination by failing to perform hand hygiene during resident care. The facility reported a census of 66 residents.
March 5, 2024Complaint inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, observation, staff interviews, facility investigative file review, and policy review the facility failed to treat 1 of 3 residents with dignity and respect (Resident #1). The facility reported a census 36 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, staff interviews and policy review the facility failed to follow 1 of 5 resident's (Resident #1) care plan during transfers. The facility reported a census of 36 residents.
January 9, 2024Complaint inspection · 3 citations
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, facility records, hospital records, staff, family, and physician interviews, and facility policy review the facility failed to have a nurse assess 1 of 3 residents (Resident #1) after two Certified Nursing Assistants (CNA) reported the resident had experienced a change in condition. On [DATE] two CNAs reported to the nurse at about 6:30PM-7:00 PM they noted her oxygen saturation was 63% on room air, blood pressure (BP) was 79/39, they rechecked it and it was 88/68. When the nurse on duty was notified she told the CNAs to put oxygen on her via oxygen concentrator at 2 liters (L). The CNAs rechecked Resident #1's oxygen saturation 20 minutes later and it was 92% but the resident seemed confused, not very aware and appeared to be in pain. The CNAs reported their concerns to the nurse again but she did not seem worried or concerned. [...]
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, staff interviews, family interview, physician interview, and facility policy review the facility failed to notify 1 of 3 resident's (Resident #2) family member of a fall. The facility also failed to notify 1 of 3 resident's (Resident #2) physician when Resident #2 fell and experienced 5 out of 10 pain to her shoulder. The facility reported a census of 39 residents.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on clinical record review, staff and physician interviews the facility failed to ensure competent staff members increased 1 of 3 resident's (Resident #1) supplemental oxygen as directed by the nurse. The facility reported a census of 39 residents.
Fire safety inspections
5 fire safety citations on file: 2 on May 7, 2026, 1 on May 1, 2025, 2 on June 13, 2024.
Every fire safety citation5 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E Install emergency lighting that can last at least 1 1/2 hours.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 9, 2024 | Fine | $16,448 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.66 | 3.82 | 3.86 |
| Registered nurses | 0.40 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.37 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 1.03 | ||
| Nursing staff turnover (share who left in a year) | 32.8% | 44.0% | 45.8% |
| Registered nurse turnover | 55.6% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.89 on weekdays and 3.09 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 3.66 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.66 | 0.40 | 3.89 | 3.09 | 4.5% | 0 of 90 | 59 |
| Oct to Dec 2025 | 3.82 | 0.54 | 4.04 | 3.25 | 3.7% | 0 of 92 | 57 |
| Jul to Sep 2025 | 3.76 | 0.51 | 3.96 | 3.27 | 3.6% | 0 of 92 | 59 |
| Apr to Jun 2025 | 3.65 | 0.59 | 3.86 | 3.11 | 5.9% | 0 of 91 | 59 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 32.6 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.6 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.9 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 36.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.9 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.2 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.9 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 7.3 | 2.1 | 1.8 |
Owners and operators
Legal business name: BCP CLARINDA LLC. CMS links this home to Azria Health, a group of 9 nursing homes averaging 1.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bcp Iowa Opco Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 09/17/2019 |
| Kaminer, Aaron | 5% or greater indirect ownership interest | Individual | 100% | 09/17/2019 |
| Oxford Finance LLC | 5% or greater security interest | Organization | 09/17/2019 | |
| Runyan, Cheryl | W-2 managing employee | Individual | 09/17/2019 | |
| Kaminer, Aaron | Corporate officer | Individual | 09/17/2019 | |
| Bcp Iowa Opco Holdings LLC | Operational/managerial control | Organization | 09/17/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on January 7, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 13, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Good Samaritan - Villisca Villisca, 14.4 mi · 3 of 5 stars · 18 citations
- Bedford Specialty Care Bedford, 17.3 mi · 4 of 5 stars · 14 citations
- Accura Healthcare of Shenandoah Shenandoah, 17.3 mi · 1 of 5 stars · 32 citations
- Accura Healthcare of Stanton Stanton, 17.4 mi · 3 of 5 stars · 27 citations
- Garden View Care Center Shenandoah, 17.7 mi · not rated · 107 citations
- Red Oak Rehab and Care Center Red Oak, 21.6 mi · 3 of 5 stars · 24 citations
- Good Samaritan - Red Oak Red Oak, 22.4 mi · 1 of 5 stars · 34 citations
- Corning Specialty Care Corning, 24.7 mi · 4 of 5 stars · 19 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Azria Health Clarinda's Medicare star rating?
- CMS rates Azria Health Clarinda 2 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Azria Health Clarinda get at its last inspection?
- 2 health deficiencies at the standard inspection on May 7, 2026. The Iowa average is 6.5.
- Has Azria Health Clarinda been fined?
- Yes. CMS lists 1 fine totaling $16,448 in the last three years.
- Does Azria Health Clarinda accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Azria Health Clarinda?
- CMS lists 6 owners and managers, and links the home to Azria Health. Legal business name: BCP CLARINDA LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.