Clarkfield Care Center
805 Fifth Street, Box 458, Clarkfield, MN 56223 · Yellow Medcine County · (320) 669-7561
30 certified beds, about 29 residents a day · Non profit - Other · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245551 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 8, 2026, inspectors cited 2 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
None of its 9 health citations since May 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 4.01 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
48.6% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
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 9 health citations on file.
April 8, 2026Standard inspection · 2 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and document review, the facility failed to document the date when transmission-based precautions (TBP) were implemented for 2 of 3 residents (R2 and R27).
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on interview and doc review the fac failed to ensure a Hospice care plan was provided for 1 of 1 resident R7Findings include: R7's 3/23/26, accepted Significant Change, Minimum Data Set (MDS) assessment identified R7, had severe cognitive impairment and was readmitted following acute care hospitalization with diagnoses including hypertension, dementia, malnutrition, anxiety disorder, depression, macular degeneration (legally blind). He required maximal assistance from staff for activities of daily living (ADLs), and a wheelchair was needed for mobility. R7's 2/26/26 at 3:22 p.m. progress notes identified he was admitted to hospice services with a terminal diagnosis of senile degeneration of the brain. Interview on 4/7/26 at 9:28 a.m. with trained medication aid (TMA)-A identified R7 was on Hospice services. [...]
March 12, 2025Standard inspection · 5 citations
- 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 interview and document review the facility failed notify the provider of a change in condition timely for 1 of 1 resident (R25) reviewed for hospitalization.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and document review, the facility failed to notify the designated State Mental Health Authority (SMHA) (Yellow Medicine County) for 1 of 1 resident (R11) with new onset mental illness.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and document review the facility failed to assess, investigate, and document for 1 of 1 resident (R11) who had a newly identified burn.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and document review, the facility failed to follow physician orders for 1 of 2 residents (R7) reviewed for oxygen therapy.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and document review, the facility failed to coordinate with the provider and pharmacy to ensure a prescribed medication was available and administered for 1 of 1 residents (R10) reviewed who did not receive ordered medication.
May 15, 2024Standard inspection · 2 citations
- F Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interview and document review, the facility failed to ensure data submitted to 1 of 1 QAPI committee was analyzed and documented to ensure areas identified had oversight for their perspective outcomes brought forth. This had the potential to affect all 24 residents.
- F Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on interview and document review, the facility failed to provide mandatory training on 1 of 1 facility specific Quality Assurance Performance Improvement (QAPI) Program to include goals and various elements of the program, how the facility intends to implement the program, staff's role in the facility's QAPI program, or how to communicate concerns, problems, or opportunities for improvement to the facility's QAPI program. This had the ability to affect all 24 residents.
Fire safety inspections
8 fire safety citations on file: 3 on April 8, 2026, 4 on March 12, 2025, 1 on May 15, 2024.
Every fire safety citation8 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Meet requirements for the installation and maintenance of electrical systems.
- F Conduct testing and exercise requirements.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Meet requirements for the use of electrical equipment.
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 | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.01 | 4.19 | 3.86 |
| Registered nurses | 0.54 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.68 | 3.71 | 3.42 |
| Nurse aides | 2.54 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 48.6% | 42.2% | 45.8% |
| Registered nurse turnover | 62.5% | 38.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.40 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 4.14 on weekdays and 3.68 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.26 in April to June 2025 to 4.01 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 | 4.01 | 0.54 | 4.14 | 3.68 | 0.3% | 0 of 90 | 29 |
| Oct to Dec 2025 | 4.13 | 0.55 | 4.26 | 3.80 | 0.0% | 0 of 92 | 28 |
| Jul to Sep 2025 | 4.07 | 0.51 | 4.22 | 3.67 | 1.0% | 0 of 92 | 28 |
| Apr to Jun 2025 | 4.26 | 0.77 | 4.52 | 3.59 | 11.4% | 1 of 91 | 28 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% 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 Minnesota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Minnesota, all employers | |||
| CNAs (nursing assistants) | $22.44 | $19.39 to $23.72 | 29,120 |
| LPNs and LVNs | $30.65 | $28.83 to $34.26 | 12,840 |
| Registered nurses | $48.80 | $42.76 to $55.17 | 70,110 |
| 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 | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.3 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.1 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 11.0 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.7 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.4 | 17.1 | 15.4 |
Owners and operators
Legal business name: CLARKFIELD CARE CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Clarkfield Care Center | 5% or greater direct ownership interest | Organization | 100% | 04/01/1980 |
| Knoll, Christopher | Contracted managing employee | Individual | 09/01/2018 | |
| Ehrenberg, Michelle | W-2 managing employee | Individual | 02/21/2022 | |
| Ehrenberg, Michelle | Corporate director | Individual | 02/21/2022 | |
| Minnewaska Lutheran Home | Operational/managerial control | Organization | 09/01/2018 | |
| Ehrenberg, Michelle | Operational/managerial control | Individual | 02/21/2022 |
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.
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on April 8, 2026: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on March 12, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 April 8, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 12, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.68 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Luther Haven Montevideo, 12 mi · 1 of 5 stars · 29 citations
- Parkview Home Belview, 13.2 mi · 3 of 5 stars · 20 citations
- Avera Granite Falls Care Center Granite Falls, 14.2 mi · 3 of 5 stars · 17 citations
- Johnson Memorial Hospital & Home Dawson, 15.7 mi · 3 of 5 stars · 11 citations
- Sanford Health Sylvan Court Canby, 23.7 mi · 5 of 5 stars · 6 citations
- Avera Morningside Heights Care Center Marshall, 23.9 mi · 3 of 5 stars · 17 citations
- Madison Healthcare Services Madison, 24.1 mi · 4 of 5 stars · 16 citations
- Clara City Care Center Clara City, 24.6 mi · 1 of 5 stars · 12 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Clarkfield Care Center's Medicare star rating?
- CMS rates Clarkfield Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Clarkfield Care Center get at its last inspection?
- 2 health deficiencies at the standard inspection on April 8, 2026. The Minnesota average is 7.1.
- Has Clarkfield Care Center been fined?
- CMS lists no fines in the last three years.
- Does Clarkfield 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 Clarkfield Care Center?
- CMS lists 6 owners and managers. Legal business name: CLARKFIELD CARE CENTER.
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.