Clearview Home
406 West Washington, Mount Ayr, IA 50854 · Ringgold County · (641) 464-2240
82 certified beds, about 72 residents a day · For profit - Partnership · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165269 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 24, 2025, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 3 health citations since April 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 3.25 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
43.8% 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 3 health citations on file.
May 29, 2026Complaint inspection · 2 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on clinical record review, staff interviews, facility investigative file review, and facility policy review the facility failed to ensure 2 of 3 residents (Resident #3 and #4) were free from abuse. Staff had used their personal cell phones to take a photo of Resident #3 and a video of Resident #4 without their consent. The facility reported a census of 70 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility investigative file review, staff interviews and facility policy review the facility failed to report when facility staff had taken a video on their cell phone of Resident #4 and shared it with a snapchat group chat. The facility reported a census of 70 residents.
July 24, 2025Standard inspection · 0 citations
September 12, 2024Standard inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observations, staff interviews, and policy review, the facility failed to properly protect resident information from unauthorized access. The facility reported a census of 73 residents.
April 25, 2024Standard inspection · 0 citations
Fire safety inspections
14 fire safety citations on file: 4 on September 12, 2024, 3 on April 25, 2024, 7 on December 1, 2022.
Every fire safety citation14 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have properly located and lighted "Exit" signs.
- D Have properly installed electrical wiring and gas equipment.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Have simulated fire drills held at unexpected times.
- D Ensure that testing and maintenance of electrical equipment is performed.
- D Have proper medical gas storage and administration areas.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install proper backup exit lighting.
- D Have proper medical gas storage and administration areas.
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) | 3.25 | 3.82 | 3.86 |
| Registered nurses | 0.60 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.90 | 3.37 | 3.42 |
| Nurse aides | 2.32 | ||
| Licensed practical nurses | 0.33 | ||
| Nursing staff turnover (share who left in a year) | 43.8% | 44.0% | 45.8% |
| Registered nurse turnover | 10.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.26 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 3.40 on weekdays and 2.90 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.30 in April to June 2025 to 3.25 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 | 3.25 | 0.60 | 3.40 | 2.90 | 13.6% | 0 of 90 | 72 |
| Oct to Dec 2025 | 3.19 | 0.62 | 3.32 | 2.84 | 18.5% | 0 of 92 | 73 |
| Jul to Sep 2025 | 3.24 | 0.60 | 3.36 | 2.92 | 13.6% | 0 of 92 | 72 |
| Apr to Jun 2025 | 3.30 | 0.59 | 3.43 | 2.97 | 19.4% | 0 of 91 | 72 |
| 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.
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 | 8.3 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 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 | 8.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.9 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.3 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: CLEARVIEW - ROUTH LP.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Routh, Gary | 5% or greater direct ownership interest | Individual | 50% | 02/01/1997 |
| Routh, Patricia | 5% or greater direct ownership interest | Individual | 50% | 02/01/1997 |
| Casteel, Monica | Operational/managerial control | Individual | 10/17/2016 | |
| Fooken, Amber | Operational/managerial control | Individual | 03/23/2017 | |
| Marsh-Narigon, Whitney | Operational/managerial control | Individual | 04/15/2018 | |
| Ramsey, Robin | Operational/managerial control | Individual | 11/02/2021 | |
| Routh, Gary | Operational/managerial control | Individual | 02/01/1997 | |
| Routh, Matthew | Operational/managerial control | Individual | 05/16/2004 | |
| Routh, Patricia | Operational/managerial control | Individual | 02/01/1997 | |
| Willcox, Kathleen | Operational/managerial control | Individual | 01/01/2022 | |
| Clearview - Routh LP | Limited partnership interest | Organization | 02/06/1997 | |
| Access Technologies Inc | Adp of the SNF | Organization | 06/25/2021 | |
| Bcg Holdings Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Bcg LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Ecsi Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Guardian Pharmacy LLC | Adp of the SNF | Organization | 09/12/2025 | |
| Guardian Pharmacy of Iowa LLC | Adp of the SNF | Organization | 01/31/2021 | |
| Guardian Pharmacy Services Inc | Adp of the SNF | Organization | 09/12/2025 | |
| Iowa Health Care Association | Adp of the SNF | Organization | 10/01/2024 | |
| Key Rehabilitation Inc | Adp of the SNF | Organization | 06/30/2016 | |
| Welgaard Cpas and Advisors | Adp of the SNF | Organization | 11/30/2023 | |
| Routh, Gary | Adp of the SNF | Individual | 09/09/2025 | |
| Willcox, Kathleen | Adp of the SNF | Individual | 09/12/2025 |
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.
- 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 May 29, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on September 12, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.90 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Mount Ayr Health Care Center Mount Ayr, 0.8 mi · 4 of 5 stars · 11 citations
- Lamoni Specialty Care Lamoni, 17.4 mi · 5 of 5 stars · 5 citations
- Worth County Convalescent Center Grant City, 18.3 mi · 3 of 5 stars · 17 citations
- Lenox Care Center Lenox, 20.2 mi · 3 of 5 stars · 28 citations
- Accura Healthcare of Creston Creston, 24.4 mi · 2 of 5 stars · 38 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 Clearview Home's Medicare star rating?
- CMS rates Clearview Home 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 Clearview Home get at its last inspection?
- 0 health deficiencies at the standard inspection on July 24, 2025. The Iowa average is 6.5.
- Has Clearview Home been fined?
- CMS lists no fines in the last three years.
- Does Clearview 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 Clearview Home?
- CMS lists 25 owners and managers. Legal business name: CLEARVIEW - ROUTH LP.
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.