Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Azria Health Clarinda during CMS and state inspections, most recent first.
The facility did not promptly report suspected abuse, neglect, or theft, nor did it communicate the results of its investigation to the proper authorities as required.
A facility failed to implement a bowel management plan and notify the physician for a resident with severe cognitive impairment and slow transit constipation. The resident did not have a bowel movement for several days, and staff interviews revealed inconsistencies in following the bowel protocol. The physician was not informed of the resident's condition, and the facility's policy on bowel disorders was not consistently adhered to, resulting in a deficiency.
A facility failed to conduct timely care conferences for a resident, as required every 90 days, due to an increase in census and staff oversight. The resident, who had no cognitive impairment, and their Power of Attorney were not invited to participate in the care planning process, contrary to facility policy.
A resident with severely impaired cognition did not receive consistent restorative aid due to staff unavailability, impacting their ability to perform ADLs. Despite being discharged from therapy, the resident was supposed to be ambulated daily, but this was not consistently documented or provided, as revealed by staff interviews and EHR review.
A resident with intact cognition and multiple diagnoses, including GERD, was sent to the hospital with a UTI and C-Diff infection. The resident complained of nausea and was given Ondansetron, but the administration was not documented in the MAR. Staff interviews revealed a lack of documentation, and the DON confirmed the medication was given but not recorded, violating the facility's policy.
A facility failed to implement proper infection control practices by not performing hand hygiene during resident care. A resident with intact cognition and multiple diagnoses required assistance with personal care. During incontinence care, two CNAs did not perform hand hygiene, violating the facility's Standard Precautions policy. The DON confirmed the breach in protocol.
Failure to Timely Report Suspected Abuse, Neglect, or Theft
Penalty
Summary
The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to the proper authorities. This deficiency was identified based on the facility's lack of prompt action in notifying the appropriate agencies when an incident of suspected abuse, neglect, or theft occurred. The report indicates that the required notifications and investigation results were not communicated as mandated.
Failure to Implement Bowel Management Protocol and Notify Physician
Penalty
Summary
The facility failed to provide appropriate assessments, implementation of the bowel management plan, and physician notification for a resident with severely impaired cognitive skills and a history of traumatic brain injury, profound intellectual disabilities, and slow transit constipation. The resident did not have a bowel movement from December 1st through the morning shift of December 9th, despite having multiple physician orders for laxatives and other bowel management interventions. The Medication Administration Record indicated that suppositories were given on December 5th and 9th but were ineffective, and no other PRN medications were administered during this period. Interviews with facility staff revealed inconsistencies in the implementation of the bowel management protocol. Staff A, an LPN, indicated that nightshift nurses were responsible for identifying residents needing medication and passing this information to the day shift. However, there was uncertainty about the facility's policy on physician notification when medications were ineffective. Staff B, another LPN, mentioned a new bowel protocol that required assessments and physician notification if a resident had not had a bowel movement in three days, but admitted to not consistently documenting bowel assessments. The Director of Nursing confirmed that the protocol was changed due to discrepancies in bowel movement tracking and acknowledged that eight days without a bowel movement was excessive. The physician, Staff D, was unaware of the facility's bowel protocol and confirmed that the resident had not had a bowel movement for almost nine days without being notified. The Assistant Director of Nursing stated that the bowel protocol was revised in December and emphasized the importance of following the protocol and notifying the physician when residents have not had a bowel movement. The facility's policy on bowel disorders required comprehensive assessments and documentation, which were not consistently followed, leading to the deficiency.
Failure to Conduct Timely Care Conferences
Penalty
Summary
The facility failed to provide an opportunity for a comprehensive care plan to be reviewed and revised by an interdisciplinary team, including the resident and/or their representative, for one of the five residents reviewed. This deficiency was identified during a review of electronic health records, resident interviews, staff interviews, and facility policy. Specifically, a resident with a BIMS score indicating no cognitive impairment reported not having attended a care plan meeting, nor had their Power of Attorney been invited. The last documented care conference for this resident was several months prior, indicating a lapse in the required quarterly care conference schedule. Staff interviews revealed that the staff member responsible for care conferences had been overwhelmed due to a recent doubling of the facility's census, which contributed to the oversight. The Director of Nursing confirmed that the facility's expectation was for care conferences to be completed every 90 days with resident and/or resident representative participation. The facility's policy on care planning emphasized the importance of comprehensive, person-centered care plans developed by an interdisciplinary team, which should include the resident and/or their representative.
Failure to Provide Restorative Aid for Resident with Impaired Cognition
Penalty
Summary
The facility failed to maintain the Activities of Daily Living (ADLs) for a resident with severely impaired cognition, as indicated by a Brief Interview for Mental Status (BIMS) score of 0 out of 15. The resident required varying levels of assistance with daily activities, including eating, oral hygiene, toileting, and dressing. Despite being discharged from occupational and physical therapy in early April, the resident was supposed to receive restorative therapy, specifically ambulation to the dining room for one meal daily. However, due to a lack of available staff, this restorative aid was not consistently provided. Observations and staff interviews revealed that the resident had difficulty eating and required assistance with ambulation, which was not adequately documented or provided. The Electronic Health Record (EHR) showed that the resident was ambulated only 11 times since early April, with only three instances in May. Staff members indicated that changes in shower schedules and staff availability contributed to the lack of restorative therapy. The Director of Nursing acknowledged that the resident's refusal to participate in therapy should have been documented, but it was not consistently done.
Failure to Document Medication Administration
Penalty
Summary
The facility failed to document the administration of a medication for a resident, leading to a deficiency in pharmaceutical services. The resident, who had intact cognition and a history of diabetes, hypertension, anxiety, depression, and GERD, was sent to the hospital with a UTI and C-Diff infection. On the day of the incident, the resident complained of nausea and vomited, prompting the administration of Ondansetron, a medication prescribed for nausea. However, the administration of this medication was not documented in the resident's MAR, as required by the facility's policy. Staff interviews revealed that the LPN on duty was informed during the shift report that the resident had already received medication for nausea. The RN on duty did not recall any complaints from the resident during her shift and noted that PRN medications should be documented on the MAR with a progress note. Despite the hospital record indicating the resident received Zofran, the MAR lacked documentation of this administration. The DON confirmed that the LPN had administered the medication but failed to document it, which was against the facility's medication administration policy.
Infection Control Deficiency Due to Lack of Hand Hygiene
Penalty
Summary
The facility failed to implement appropriate infection control practices, specifically in performing hand hygiene during resident care, which led to a deficiency. A resident with intact cognition, diagnosed with Diabetes Mellitus, anxiety, and depression, required assistance with personal care, including toileting hygiene. The care plan indicated the need for two staff members to assist with toileting and to observe enhanced barrier precautions for infection control. However, during an observation of incontinence care, it was noted that the staff did not perform hand hygiene while providing care to the resident. The incident involved two Certified Nurse Aides (CNAs) who were observed performing incontinence care for the resident. One CNA, already wearing gloves, repositioned the resident's clothing and performed urinary incontinence care without performing hand hygiene. The facility's policy on Standard Precautions, revised in October 2022, required staff to perform hand hygiene after contact with items in the resident's room and to change gloves as necessary to prevent cross-contamination. The Director of Nursing confirmed that staff should not have touched anything else after gloving their hands, indicating a breach in protocol.
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Illustrative
What surveyors actually found near you
We read the 114 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Clarinda
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan - Villisca | 14.4 mi | ★★★★★ | 12 | 0 |
| Bedford Specialty Care | 17.3 mi | ★★★★★ | 0 | 0 |
| Accura Healthcare Of Shenandoah | 17.3 mi | ★★★★★ | 16 | 0 |
| Accura Healthcare Of Stanton | 17.4 mi | ★★★★★ | 1 | 0 |
| Garden View Care Center | 17.7 mi | — | 45 | 2 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.