Clarence Nursing Home
402 2nd Avenue, Clarence, IA 52216 · Cedar County · (563) 452-3262
46 certified beds, about 43 residents a day · For profit - Corporation · Medicare and Medicaid since 2009
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165590 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 9, 2025, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
None of its 7 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.58 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
30.0% of nursing staff left within the year CMS measured (Iowa average 44.0%).
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.
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 7 health citations on file.
July 9, 2025Standard inspection · 1 citation
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, facility policy review, and staff interviews, the facility failed to complete and sign admission, quarterly, and discharge resident assessments within the required time frames for 3 of 3 residents reviewed (Residents #27, #42, and #197). The facility reported a census of 42 residents.
August 22, 2024Standard inspection · 2 citations
- E Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on staff interviews, facility record review and facility policy review the facility failed to have the required Infection Preventionist (IP) at 2 of 2 Quality Assessment and Assurance/Quality Assurance and Performance Improvement (QAPI) meetings. The facility reported a census of 45 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, policy review and staff interview the facility failed to wear appropriate Personal Protective Equipment (PPE) to follow Enhanced Barrier Precautions (EBP) while administering a tube feeding for 1 of 1 residents (Resident #38) reviewed for EBP. The facility reported a census of 45 residents.
January 4, 2024Standard inspection · 4 citations
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, observations, staff interviews, and facility document review, the facility failed to follow Physician's Orders for insulin administration (Resident #29). The facility further failed to follow sanitary practice when staff placed medication directly into ungloved hands then into the residents' mouths (Resident #19, #25, #33, #36) for 5 of 5 medication administrations observed. Findings Include: 1. The Minimum Data Set (MDS), for Resident #29, dated 12/07/23, revealed a Brief Interview for Mental Status (BIMS), score of 11 out of 15, indicative of moderate cognitive impairment. Diagnoses included: Diabetes Mellitus, Type 2, with long-term and current use of insulin, and non-Alzheimer's dementia. Resident #29 required insulin injections all 7 days of the MDS reference period. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, observations, staff interviews and facility policy review the facility failed to report injuries of unknown origin to the State Agency (SA) for 1 out of 1 residents reviewed (Resident #10). The facility reported a census of 46 residents. Findings Include: The Minimum Data Set (MDS) Assessment for Resident # 10 dated 12/9/23, listed diagnoses of Alzheimer's disease, and hypertension. The MDS identified Resident #10 with short and long-term memory problems and severely impaired daily decision-making skills. The MDS reflected Resident #10 dependent on staff for transfers, positioning, dressing, eating and personal hygiene. The Care Plan for Resident #10 dated 6/20/23, directed stop & watch, report any changes in my skin when helping with my cares, discoloration, redness, swelling, open areas, drainage, odor, pain/tenderness, and so on. [...]
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on clinical record review, observations, staff interviews, and facility policy review the facility failed to investigate injuries of unknown origin for 1 out of 1 residents reviewed (Resident #10). The facility reported a census of 46 residents. Findings Include: The Minimum Data Set (MDS) Assessment for Resident #10 dated 12/9/23, listed diagnoses of Alzheimer's disease, and hypertension. The MDS identified Resident #10's short and long-term memory problems and severely impaired daily decision-making skills. The MDS reflected Resident #10 dependent on staff for transfers, positioning, dressing, eating and personal hygiene. The Care Plan for Resident #10 dated 6/20/23, directed stop & watch, report any changes in my skin when helping with my cares, discoloration, redness, swelling, open areas, drainage, odor, pain/tenderness, and so on. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, observations, staff and resident interviews, the facility failed to accurately complete resident assessments in the Minimum Data Set (MDS) for 1 of 12 residents reviewed (Resident #42). The facility reported a census of 46 residents. Findings Include: An admission assessment dated [DATE] indicated the resident experienced shortness of breath with exertion and required the use of a continuous positive airway pressure device (CPAP) at night for obstructive sleep apnea. An MDS titled Admission/Medicare - 5 Day dated 11/15/23, documented diagnoses of atrial fibrillation, orthostatic hypotension, and sleep apnea. The MDS identified the resident required partial assistance with self care from another person to complete any activities. The MDS failed to include the use of a CPAP. [...]
Fire safety inspections
11 fire safety citations on file: 2 on July 9, 2025, 4 on August 22, 2024, 5 on January 4, 2024.
Every fire safety citation11 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Conduct testing and exercise requirements.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Meet requirements for the use and maintenance of medical gas equipment.
- F Have proper medical gas storage and administration areas.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.58 | 3.82 | 3.86 |
| Registered nurses | 0.71 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.23 | 3.37 | 3.42 |
| Nurse aides | 2.54 | ||
| Licensed practical nurses | 0.33 | ||
| Nursing staff turnover (share who left in a year) | 30.0% | 44.0% | 45.8% |
| Registered nurse turnover | 16.7% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.09 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 3.73 on weekdays and 3.23 on weekends, 13% 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 3.32 in April to June 2025 to 3.58 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 | 3.58 | 0.71 | 3.73 | 3.23 | 0.0% | 0 of 90 | 43 |
| Oct to Dec 2025 | 3.29 | 0.58 | 3.41 | 2.99 | 0.0% | 0 of 92 | 44 |
| Jul to Sep 2025 | 3.34 | 0.54 | 3.48 | 3.01 | 0.0% | 0 of 92 | 42 |
| Apr to Jun 2025 | 3.32 | 0.58 | 3.43 | 3.04 | 0.0% | 0 of 91 | 44 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 22.2 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.6 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 2.1 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Clarence Nursing Home's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: CLARENCE NURSING HOME INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Russell, Larry | Corporate director | Individual | 11/17/2008 | |
| Dircks, Russell | Corporate officer | Individual | 09/20/1999 | |
| Leeper, Wesley | Corporate officer | Individual | 09/20/1999 | |
| Russell, Larry | Corporate officer | Individual | 01/01/2007 | |
| Stresemann, Dennis | Corporate officer | Individual | 11/17/2008 | |
| Tjaden, Jason | Corporate officer | Individual | 11/17/2008 | |
| Clarence Nursing Home Inc | Operational/managerial control | Organization | 11/17/2008 | |
| Caster, Brandi | Operational/managerial control | Individual | 06/05/2023 | |
| Hall, Kelsey | Operational/managerial control | Individual | 04/13/2018 | |
| Pruess, Linsey | Operational/managerial control | Individual | 04/05/2023 | |
| Tjaden, Jason | Operational/managerial control | Individual | 11/17/2018 | |
| Younger, Clete | Operational/managerial control | Individual | 05/01/2022 | |
| Bcg Holdings Inc | Adp of the SNF | Organization | 11/29/2025 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Bcg LLC | Adp of the SNF | Organization | 11/29/2025 | |
| Cattail Inc | Adp of the SNF | Organization | 11/29/2025 | |
| Ds Webb & Company PC | Adp of the SNF | Organization | 08/11/2015 | |
| Ecsi Inc | Adp of the SNF | Organization | 11/29/2025 | |
| Iowa Health Care Association | Adp of the SNF | Organization | 11/29/2025 | |
| Millennium Rehab & Consulting Inc | Adp of the SNF | Organization | 06/30/2023 | |
| Tjaden, Jason | Adp of the SNF | Individual | 11/29/2025 | |
| Younger, Clete | Adp of the SNF | Individual | 11/29/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 9, 2025: "Ensure each resident receives an accurate assessment."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 4, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on August 22, 2024: "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly"
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 22, 2024: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.23 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Cedar Manor Nursing Home Tipton, 8.2 mi · 3 of 5 stars · 15 citations
- Mechanicsville Specialty Care Mechanicsville, 9.9 mi · 5 of 5 stars · 12 citations
- Wheatland Manor Wheatland, 12.3 mi · 4 of 5 stars · 7 citations
- Rehabilitation Center of Lisbon Lisbon, 17.1 mi · 4 of 5 stars · 3 citations
- Anamosa Care Center Anamosa, 18.5 mi · 5 of 5 stars · 8 citations
- Hallmark Care Center Mount Vernon, 18.7 mi · 2 of 5 stars · 18 citations
- Wilton Retirement Community Wilton, 20.3 mi · 5 of 5 stars · 7 citations
- Crestview Specialty Care West Branch, 20.9 mi · 1 of 5 stars · 28 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 Clarence Nursing Home's Medicare star rating?
- CMS rates Clarence Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Clarence Nursing Home get at its last inspection?
- 1 health deficiency at the standard inspection on July 9, 2025. The Iowa average is 6.5.
- Has Clarence Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Clarence Nursing Home 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 Clarence Nursing Home?
- CMS lists 22 owners and managers. Legal business name: CLARENCE NURSING HOME INC.
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.