2100 Barnes, Piedmont, MO 63957 · Wayne County · (573) 223-4297
91 certified beds, about 64 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265416 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 14, 2026, inspectors cited 3 health deficiencies (the Missouri average is 11.4, the national average 9.2).
None of its 8 health citations since December 2023 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 3.70 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
38.5% of nursing staff left within the year CMS measured (Missouri average 56.0%).
CMS links it to Americare Senior Living, an affiliated group of 23 nursing homes.
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.
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 8 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 61. Review of the facility's policy titled, Sanitation Inspection, revised 2025, showed:- The dietary manager shall develop and provide food service personnel with standard operating procedures for sanitation and daily, weekly inspections. [...]
Inspectors wroteBased on interview and record review, the facility failed to include the bed-hold rate and complete the bed-hold policy upon transfer to the hospital for four residents (Residents #3, # 4, #9, and #56) out of four sampled residents. The facility census was 61. Review of the facility's policy titled, Bed-Holds and Returns, undated, showed:- The resident may request that the facility hold open a bed for the residents at the time of hospitalization or therapeutic leave;- The resident shall be given written notice of the bed hold option at the time of admission, hospitalization or therapeutic leave and should be sent with the other papers accompanying the resident to the hospital;- Bed holds or room reserves are voluntary. 1. Review of Resident #3's medical record showed:- admitted on [DATE];- Transferred to the hospital on [DATE], and returned on 03/27/26. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store medications in a safe and effective manner when staff left the South Hall medication cart unlocked and unattended. This had the potential to affect all residents. The facility census was 61. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure three nurse aides (NAs) (NA F, NA G, and NA H) out of six sampled NAs completed a nurse aide training program within four months of his/her employment in the facility. This deficient practice had the potential to affect all residents in the facility. The facility's census was 62. Review of facility's policy titled, Required Training, Certification and Continuing Education of Nurse Aides, undated, showed: - NAs may be employed as full-time and permanent, but must provide documentation of certification within 4 months of their hire date; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure the arbitration agreement was explained in a form and manner which correctly describes the arbitration process for four residents (Resident #3, #46, #58 and #112) out of four sampled residents and had the potential to affect the other 51 residents who had signed an arbitration agreement. The facility's census was 62. Review of the facility's policy titled, Binding Arbitration Agreements, undated, showed: - Facility asks all residents to enter into an agreement for binding arbitration; - Do not require binding arbitration as a condition of admission to, or as a requirement to continue to receive care; - When explaining the arbitration agreement, the facility shall: - Explicitly inform the resident or his or her representative of his or her right not to sign the agreement as a condition of admission; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection prevention precautions for four residents (Resident #34, #38, #58 and #212) out of eight sampled residents by not performing proper hand hygiene and glove changing techniques during wound and incontinent care and failed to provide infection prevention precautions by not following enhanced barrier precautions (EBP) for one resident (Resident #40) out of two sampled residents. The facility's census was 62. Review of the facility's policy titled, Hand Hygiene, dated May 2024, showed: - All staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors. This applies to all staff working in all locations within the facility; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This deficient practice had the potential to affect all residents. The facility census was 52. Review of the facility's policy titled, Cleaning Instructions: Floors, Work Tables, Counter, Refrigerator, and Freezer, dated 2016, showed: - Floors will be kept clean and sanitary, washed daily or as needed; - Wipe down outside of refrigerator and freezer with a clean cloth dipped in sanitizing solution as needed; - Work tables and counters will be cleaned and sanitized on a regular basis before and after food preparation, meal service, and as needed. Observations on 12/04/23 at 9:29 A.M., and 4:01 P.M., of the dietary department showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean and comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 52. Review of the facility's policy titled, Homelike Environment, dated 2023, showed: - In accordance with residents' right, the facility will provide a safe, clean, comfortable and homelike environment, allowing the resident to use his or her personal belongings to the extent possible; - Housekeeping and maintenance services will be provided as necessary to maintain a sanitary, orderly and comfortable environment; - Report any unresolved environmental concerns to the Administrator. Observations on 12/04/23 at 9:45 A.M., and 12/05/23 at 9:22 A.M., of the [NAME] Hall showed: [...]
5 fire safety citations on file: 2 on May 14, 2026, 2 on January 31, 2025, 1 on December 6, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Missouri | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.70 | 3.43 | 3.86 |
| Registered nurses | 0.33 | 0.46 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.01 | 3.42 |
| Nurse aides | 2.60 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 38.5% | 56.0% | 45.8% |
| Registered nurse turnover | 37.5% | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.69 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.95 on weekdays and 3.09 on weekends, 22% 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 3.84 in April to June 2025 to 3.70 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 | 3.70 | 0.33 | 3.95 | 3.09 | 0.0% | 0 of 90 | 64 |
| Oct to Dec 2025 | 3.64 | 0.34 | 3.87 | 3.06 | 0.0% | 0 of 92 | 65 |
| Jul to Sep 2025 | 3.75 | 0.40 | 3.97 | 3.20 | 0.0% | 0 of 92 | 63 |
| Apr to Jun 2025 | 3.84 | 0.50 | 4.06 | 3.29 | 0.0% | 0 of 91 | 62 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Missouri, Jan to Mar 2026 | 3.34 | 0.40 | 3.50 | 2.93 | 3.9% | 1.1% 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Missouri, all employers | |||
| CNAs (nursing assistants) | $18.11 | $17.02 to $20.00 | 34,050 |
| LPNs and LVNs | $29.58 | $27.06 to $33.77 | 14,700 |
| Registered nurses | $39.32 | $36.56 to $47.39 | 76,310 |
| 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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Missouri | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.5 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.9 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.6 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 11.5 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.8 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Clark's Mountain Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
56.7% this home
No different from the national rate
US median of homes 51.5% · Missouri: 41 better, 31 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 68 eligible stays.
12.5% this home
No different from the national rate
US median of homes 10.7% · Missouri: 0 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 87 eligible stays.
8.7% this home
No different from the national rate
US median of homes 7.1% · Missouri: 1 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 59 eligible stays.
61.3% this home
Median of homes: Missouri51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 31 residents counted.
2.1% this home
Median of homes: Missouri0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 47 residents counted.
0.0% this home
Median of homes: Missouri2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 47 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 18 residents counted.
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.
Legal business name: AMERICARE AT CLARK'S MOUNTAIN NURSING CENTER LLC. CMS links this home to Americare Senior Living, a group of 23 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hwj LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2012 |
| Ford, Julianna | 5% or greater indirect ownership interest | Individual | 33% | 01/01/2012 |
| Montgomery, Henley | 5% or greater indirect ownership interest | Individual | 33% | 01/01/2012 |
| Montgomery, William | 5% or greater indirect ownership interest | Individual | 33% | 01/01/2012 |
| Turner, William | W-2 managing employee | Individual | 01/01/2013 | |
| Schade, Kyle | Corporate officer | Individual | 03/01/2021 | |
| Americare Systems, Inc. | Operational/managerial control | Organization | 01/01/2012 | |
| Crosson, Clay | Operational/managerial control | Individual | 10/29/2001 |
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.
Chosen from this home's own inspection record.
These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.