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Clara City Care Center

1012 North Division Street, Clara City, MN 56222 · Chippewa County · (320) 847-2221

48 certified beds, about 32 residents a day · Government - City · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245573 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 1, 2026, inspectors cited 1 health deficiency (the Minnesota average is 7.1, the national average 9.2).

Of 12 health citations since March 2024, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $13,260 in the last three years; the largest was $13,260, and the latest is dated December 4, 2025.

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.

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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
2E
2F
Potential for minimal harm
0A
0B
0C
April 1, 2026Standard inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 17, 2026
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure refrigerated food items were properly labeled, dated, and closed after the packaging was opened to prevent cross contamination which had the potential to affect all 28 residents currently residing in the facility. In addition, the facility failed to ensure refrigerated food items were disposed of after the expiration date or opened per facility policy. Findings Include:During the initial tour of the main kitchen on 3/30/26 at 12:36 p.m., with the dietary manager (DM)-A, the following areas of concern were identified and confirmed by DM-A:Upright refrigerator:-small disposable covered container of cake dated 3/5/26.-plastic half bag of salami slices, opened, undated. Walk In refrigerator:-opened gallon plastic container of ranch dressing, undated, expiration date of 9/25/25. [...]
December 4, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 14, 2026
    Inspectors wroteBased on interview and record review the facility failed to adequately supervise a resident to reduce the risk of falls for 1 of 3 residents (R1) reviewed for accidents and supervision. R1 had a chair alarm that would sound when R1 would stand. The chair alarm prompted staff to respond to R1 after standing. R1 was found on her bathroom floor, transferred to the hospital with a left hip fracture.
October 23, 2025Complaint inspection · 2 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 12, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure doors were secured and failed to implement individualized interventions to prevent/reduce the risk of elopement for 1 of 3 residents (R1) who had a history of exit seeking behaviors. This resulted in an immediate jeopardy (IJ) when R1 eloped from the facility through two unsecured doors and the wander guard alarm did not work. R1 was later found and returned to the facility by a passerby. The IJ began on 10/13/25, when staff failed to identify doors were not secured and failed to develop and implement appropriate interventions when R1 displayed exit seeking behaviors and left the building unwitnessed. The director of nursing (DON) was notified of the IJ on 10/22/25 at 3:05 p.m. [...]
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 12, 2025
    Inspectors wroteBased on document review and interviews, the facility failed to develop and implement comprehensive care plans for 2 of 3 residents (R1, R2) reviewed for elopement.
July 16, 2025Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on interview, observation and document review, the facility failed to ensure safe use of a mechanical lift per manufacturer's recommendations to transfer 1 of 11 residents (R1), who required a mechanical lift for transfers. This resulted in an immediate jeopardy (IJ) when R1 fell from a full body mechanical lift causing R1 to suffer fractures to her cervical spine (C1 and C6), nasal cavity, and left femur as well as lacerations to facial area requiring hospital admission. In addition, the facility failed to ensure a system for completed comprehensive assessments for sling size and/or care plan development for 9 of 11 residents (R1, R2, R3, R5, R6, R8, R9, R10, R11) reviewed who required mechanical lifts. [...]
February 26, 2025Standard inspection · 2 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure an environment that was free of accident hazards, related to hot water temperatures in 6 of 6 resident rooms ( R9, R11, R16, R28, R31, R32,) tested for safe water temperatures. This deficient practice had the potential to affect all 6 residents who used water from the water faucets.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteR16 R16's significant change MDS dated [DATE], identified R16 had severe cognitive impairment with diagnoses which included, Alzheimer's disease, heart failure, and anxiety. Identified R16 required substantial/maximal assistance with shower/bathing and upper body dressing, and was dependent for lower body dressing and transfers. R16's care plan revised 2/18/25, identified R16 had ADL self care deficit and needed assistance to complete ADLs. R16 required EBP, related to: open draining wounds to right lower extremity and was at risk of developing a multi-drug resistant organism/infection. Interventions included apply personal protective equipment (PPE) prior to providing wound care. Remove before leaving R16's room. R16's care plan lacked EBP intervention to include use of PPE with all high contact resident care activities. R16's Referral Form signed 2/7/25, included order: [...]
May 15, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 12, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 1 of 3 residents (R1) were treated with dignity and respect.
March 6, 2024Standard inspection · 4 citations
  1. F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 16, 2024
    Inspectors wroteBased on document review and interview, the facility failed to ensure the required members and/or their designee attended the quarterly meetings for 3 of 4 quarterly Quality Assurance Performance Improvement (QAPI) meetings.
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 16, 2024
    Inspectors wroteBased on observation, interview, and document review the facility failed to ensure alcoholic beverages were secure in 1 of 1 resident refrigerator located in the east dining room. This had the potential to affect 4 out of 20 residents with diagnoses of dementia and with known confusion that ate in the east dining room (R21, R24, R27, R30)
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 29, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to maintain and monitor their system for the the disposition and security of emergency medication kits (E-kit) that contained controlled and/or narcotic substances for 1 of 3 E-kits to immediately detect and reconcile to prevent potential drug diversion.
  4. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2024
    Inspectors wroteBased on interview and document review, the facility failed to offer and/or administer the most recent Centers for Disease Control (CDC) pneumococcal vaccine for 2 of 5 residents (R23 and R24) reviewed for immunizations. Furthermore, the facility failed to have a method or system to ensure the facility offer or provided any initial or updated vaccine to residents per Centers for Disease Control (CDC) vaccination recommendations.

Fire safety inspections

9 fire safety citations on file: 5 on April 1, 2026, 4 on February 26, 2025.

Every fire safety citation9 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 1, 2026 · Corrected (the home has a date of correction)
  2. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · April 1, 2026 · Corrected (the home has a date of correction)
  3. D
    Ensure proper usage of power strips and extension cords.
    K 920 · April 1, 2026 · Corrected (the home has a date of correction)
  4. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 1, 2026 · Corrected (the home has a date of correction)
  5. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 1, 2026 · Corrected (the home has a date of correction)
  6. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 26, 2025 · Corrected (the home has a date of correction)
  7. E
    Install corridor and hallway doors that block smoke.
    K 363 · February 26, 2025 · Corrected (the home has a date of correction)
  8. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 26, 2025 · Corrected (the home has a date of correction)
  9. D
    Install properly constructed and protected linen or trash chutes.
    K 541 · February 26, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 4, 2025Payment Denial 13 days from January 1, 2026
October 23, 2025Fine $13,260
July 16, 2025Payment Denial 28 days from July 16, 2025

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.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)not reported4.193.86
Registered nursesnot reported1.060.69
All nursing staff on weekendsnot reported3.713.42
Nurse aidesnot reported
Licensed practical nursesnot reported
Nursing staff turnover (share who left in a year)not reported42.2%45.8%
Registered nurse turnovernot reported38.6%42.9%
Administrators who leftnot reported

CMS note on this home's staffing data: This facility submitted data that did not meet the criteria required to calculate a staffing measure.

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 October to December 2025, nursing staff hours per resident were 4.72 on weekdays and 3.64 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.58 in April to June 2025 to 4.42 in October to December 2025.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Oct to Dec 20254.421.154.723.64 0.0%0 of 9233
Jul to Sep 20254.731.225.113.77 0.0%0 of 9233
Apr to Jun 20254.581.234.953.65 0.6%0 of 9133
United States, Oct to Dec 20253.760.623.933.345.3%0.5% of days
Minnesota, Oct to Dec 20254.171.054.353.715.3%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.

MeasureThis homeMinnesotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
12.218.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
11.74.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.320.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
14.75.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.717.115.4

Owners and operators

Legal business name: CITY OF CLARA CITY.

NameRoleTypeShareSince
Jurgenson, CindyW-2 managing employeeIndividual12/18/2019
Blum, MatthewCorporate directorIndividual05/15/2019

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on December 4, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. 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 February 26, 2025: "Provide and implement an infection prevention and control program."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 1, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on October 23, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."

Other nursing homes nearby

Minnesota contacts for a concern about a nursing home

These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.

Common questions

What is Clara City Care Center's Medicare star rating?
CMS rates Clara City Care Center 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Clara City Care Center get at its last inspection?
1 health deficiency at the standard inspection on April 1, 2026. The Minnesota average is 7.1.
Has Clara City Care Center been fined?
Yes. CMS lists 1 fine totaling $13,260 in the last three years.
Does Clara City Care Center 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 Clara City Care Center?
CMS lists 2 owners and managers. Legal business name: CITY OF CLARA CITY.

Sources

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