Clarksville Skilled Nursing & Rehab Center
115 North Hilton St., Clarksville, IA 50619 · Butler County · (319) 278-4900
42 certified beds, about 35 residents a day · For profit - Corporation · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165495 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 9, 2026, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
Of 10 health citations since April 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.87 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.
33.3% 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 10 health citations on file.
April 9, 2026Standard inspection · 1 citation
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on the electronic health record review, the Notice of Transfer Form to Long Term Care Ombudsman form review and staff interviews, the facility failed to include 1 out of 3 residents reviewed for Ombudsman Notification (Resident #1). In addition, the facility failed to complete a recapitulation of resident's stay (discharge summary) for 1 of 1 residents reviewed (Resident #41). The facility reported a census of 36 residents.
July 10, 2025Complaint inspection · 2 citations
- G Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to follow Doctor's Orders for 2 out of 3 residents reviewed (Resident #2 and Resident #3). Resident #2 had an order for a mechanical soft diet with ground meat. Resident #2 received cut up sausage links instead of ground up sausage for breakfast. Resident #2 had a coughing/choking spell and five days later they admitted to the hospital with aspiration pneumonia. Resident #3 had an order for cut up meat. The kitchen staff prepared to serve Resident #3 a cheeseburger without cutting the meat cut up, as ordered by the Doctor. The facility reported a census of 34 residents.
- 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 interviews, observations, record and policy review, after the facility identified a change in a resident's condition, the facility failed to notify a resident's family or responsible party for 1 of 3 residents reviewed (Resident #1). After staff heard the door alarm sound, they found Resident #1 attempted to exit the building, opened a door and was outside on the sidewalk. The facility didn't notify Resident #3's wife of the incident until days later. The facility reported a census of 34 residents.
April 3, 2025Standard inspection, Complaint inspection · 5 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, staff interviews and Resident Assessment Instrument (RAI) Manual the facility failed to accurately document and submit accurate resident Minimum Data Set (MDS) assessments for 2 of 12 residents reviewed (Resident #15 and Resident #18). The facility reported a census of 35 Residents.
- D Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Inspectors wroteBased on record review, policy review, and staff interviews, the facility failed to follow physician orders. In addition, the facility failed to notify the physician of medication error for 1 of 1 residents reviewed (Resident #36). The facility reported a census of 35 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 record review, policy review and staff interviews, the facility pharmacist failed to provide pharmaceutical services to meet each resident needs by dispensing discontinued medications for 1 of 1 resident reviewed (Resident #36). The facility reported a census of 35 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review, policy review and staff interviews, the facility failed to prevent significant medication error for 1 of 1 residents reviewed (Resident #36). The facility reported a census of 35 residents.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review and staff interview the facility failed to utilize proper food handling to prevent potential cross contamination of food to prevent food borne illness for 1 meal service observed. The facility reported of census 35 residents.
April 11, 2024Standard inspection, Complaint inspection · 2 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 observations, interviews, and record review, the facility failed to revise and update care plans for 3 out of 16 residents reviewed (Residents #8, #13, and #30). Resident #8's care plan did not address that she had actual pressure ulcers. Resident #13's care plan did not address that she was on a diuretic medication. Resident #30's care plan did not address that she was on an antipsychotic medication. The facility reported a census of 35 residents.
- B Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interview and record review, the facility failed to issue a bed hold notice to 1 of 1 residents reviewed for hospitalizations (Resident #13). The facility was unable to provide documentation that a notice of a bed hold policy was given to Resident #13 and/or her representative for 3 separate hospital stays. The facility reported a census of 35 residents.
Fire safety inspections
4 fire safety citations on file: 1 on April 9, 2026, 1 on April 3, 2025, 2 on April 11, 2024.
Every fire safety citation4 citations
- F Install a two-hour-resistant firewall separation.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Establish roles under a Waiver declared by secretary.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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) | 3.87 | 3.82 | 3.86 |
| Registered nurses | 0.62 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.30 | 3.37 | 3.42 |
| Nurse aides | 2.62 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 44.0% | 45.8% |
| Registered nurse turnover | 20.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.48 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 4.10 on weekdays and 3.30 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.75 in April to June 2025 to 3.87 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 | 3.87 | 0.62 | 4.10 | 3.30 | 5.9% | 0 of 90 | 35 |
| Oct to Dec 2025 | 3.76 | 0.61 | 3.87 | 3.47 | 7.2% | 0 of 92 | 34 |
| Jul to Sep 2025 | 3.56 | 0.49 | 3.67 | 3.26 | 11.3% | 0 of 92 | 36 |
| Apr to Jun 2025 | 3.75 | 0.58 | 3.92 | 3.32 | 8.5% | 0 of 91 | 34 |
| 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 | 12.0 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.9 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.4 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.1 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.9 | 2.1 | 1.8 |
Owners and operators
Legal business name: COMMUNITY NURSING HOME INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Martin, Dean | 5% or greater direct ownership interest | Individual | 6% | 07/21/2011 |
| Amunson, Dale | Corporate director | Individual | 11/17/2021 | |
| Arenholz, Jane | Corporate director | Individual | 04/11/2025 | |
| Arenholz, Steven | Corporate director | Individual | 04/01/2018 | |
| Backer, Chris | Corporate director | Individual | 04/01/2018 | |
| Kolb, Jeffery | Corporate director | Individual | 11/17/2021 | |
| Lodge, Susan | Corporate director | Individual | 04/21/2016 | |
| Arenholz, Steven | Corporate officer | Individual | 04/01/2018 | |
| Mennenga, Calvin | Corporate officer | Individual | 04/11/2024 | |
| Metz, Janice | Corporate officer | Individual | 04/28/2009 | |
| Wyatt, Robert | Corporate officer | Individual | 03/01/2021 | |
| Cramer, Rebecca | Operational/managerial control | Individual | 04/22/2013 | |
| Derfield, Brandi | Operational/managerial control | Individual | 03/01/2023 | |
| Fagre, Lee | Operational/managerial control | Individual | 07/01/2016 | |
| Mayer, Tamela | Operational/managerial control | Individual | 06/01/2023 | |
| Myers, Jonathan | Operational/managerial control | Individual | 12/15/2008 | |
| Pierce, Jordan | Operational/managerial control | Individual | 02/28/2023 | |
| Sells, Heather | Operational/managerial control | Individual | 11/04/2013 | |
| Blue Stone Therapy Inc | Adp of the SNF | Organization | 01/01/2024 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Carney Alexander Marold & Co LLP | Adp of the SNF | Organization | 05/31/2021 | |
| Cattail Bcg LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Consulting LLC | Adp of the SNF | Organization | 09/30/2022 | |
| Cattail Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Cedar Valley Nutrition Consulting LLC | Adp of the SNF | Organization | 01/01/2021 | |
| Ecsi Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Finn Enterprises, Inc. | Adp of the SNF | Organization | 01/31/2021 | |
| Iowa Health Care Association | Adp of the SNF | Organization | 10/01/2024 | |
| Ryka Incorporated | Adp of the SNF | Organization | 12/31/2020 | |
| Fagre, Lee | Adp of the SNF | Individual | 02/25/2026 | |
| Sells, Heather | Adp of the SNF | Individual | 03/03/2026 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on April 9, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 10, 2025: "Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 3, 2025: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 3, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.30 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Rehabilitation Center of Allison Allison, 6.7 mi · 3 of 5 stars · 17 citations
- Shell Rock Senior Living Shell Rock, 7 mi · 1 of 5 stars · 22 citations
- Woodland Terrace Waverly, 9.9 mi · 5 of 5 stars · 13 citations
- Ams Memorial-Greene Greene, 10.1 mi · 1 of 5 stars · 19 citations
- Maple Manor Village Aplington, 17.2 mi · 4 of 5 stars · 7 citations
- Chautauqua Guest Home #2 Charles City, 18.5 mi · 5 of 5 stars · 2 citations
- Chautauqua Guest Home #3 Charles City, 18.7 mi · 5 of 5 stars · 6 citations
- Denver Sunset Home Denver, 18.8 mi · 4 of 5 stars · 9 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 Clarksville Skilled Nursing & Rehab Center's Medicare star rating?
- CMS rates Clarksville Skilled Nursing & Rehab Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Clarksville Skilled Nursing & Rehab Center get at its last inspection?
- 1 health deficiency at the standard inspection on April 9, 2026. The Iowa average is 6.5.
- Has Clarksville Skilled Nursing & Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does Clarksville Skilled Nursing & Rehab 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 Clarksville Skilled Nursing & Rehab Center?
- CMS lists 31 owners and managers. Legal business name: COMMUNITY 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.