Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Clarence Nursing Home during CMS and state inspections, most recent first.
The facility did not complete or sign required MDS assessments—including admission, quarterly, and discharge assessments—within the regulatory timeframes for three residents. Key assessment sections remained incomplete and unsigned past due dates, and staff interviews confirmed awareness of the overdue status. The facility lacked a formal MDS policy and relied on a scheduling document, with staff citing workload as a contributing factor.
The facility failed to have the required Infection Preventionist (IP) present at two QAPI meetings, as evidenced by the absence of the IP's signature on the sign-in sheets. The facility's policy requires the IP's attendance, but the IP was not present, as confirmed by an LPN. The QAPI committee is supposed to include department heads, direct care staff volunteers, the Medical Director, and a Board member, meeting monthly with the Medical Director attending quarterly.
A facility failed to follow its Enhanced Barrier Precautions (EBP) policy during a tube feeding for a resident. The care plan required the use of gown and gloves for high-contact activities, but an LPN only wore gloves, omitting the gown. The LPN later admitted to forgetting the gown, and the DON confirmed the expectation for both gown and gloves.
Failure to Complete and Sign Required Resident Assessments Within Mandated Timeframes
Penalty
Summary
The facility failed to complete and sign required resident assessments, including admission, quarterly, and discharge Minimum Data Set (MDS) assessments, within the mandated time frames for three residents. Clinical record reviews showed that for one resident, the admission MDS was incomplete and unsigned past the due date, with key sections such as GG and V not finalized. Another resident's discharge MDS was also incomplete, with multiple sections still in progress and unsigned after the expected completion date. A quarterly MDS for a third resident remained in progress with numerous errors and incomplete sections beyond the required timeframe. Staff interviews confirmed that the MDS Coordinator was responsible for these assessments and acknowledged the overdue status of the assessments. The facility did not have a formal MDS policy, relying instead on a scheduling document that outlined required completion timelines for OBRA and PPS assessments. Review of the Resident Assessment Instrument (RAI) Manual confirmed the regulatory deadlines for assessment completion, which were not met in these cases. The MDS Coordinator and DON both acknowledged the delays and incomplete status of the assessments, with the DON noting the MDS Coordinator's heavy workload. No evidence was found of completed or signed assessments within the required periods for the residents reviewed.
Infection Preventionist Absence at QAPI Meetings
Penalty
Summary
The facility failed to have the required Infection Preventionist (IP) present at two Quality Assessment and Assurance/Quality Assurance and Performance Improvement (QAPI) meetings, as evidenced by the absence of the IP's signature on the QAPI sign-in sheets dated March 21, 2024, and June 6, 2024. The facility's QAPI Members list, which was undated, included the name of the IP, but this individual was not present at the meetings as required. Staff A, a Licensed Practical Nurse and the Facilitator of the QAPI, confirmed that the IP is required to attend these meetings. The facility's policy titled QAPI Plan Guidelines, dated May 21, 2018, outlines the governance and leadership responsibilities for QAPI, including the requirement for the QAPI committee to be comprised of department heads, direct care staff volunteers, the facility Medical Director, and a member from the Board of Directors. The policy also states that the QAPI committee should meet monthly, with the Medical Director attending quarterly. Despite these guidelines, the facility did not ensure the presence of the IP at the QAPI meetings, which is a requirement for the effective implementation of the QAPI process.
Failure to Follow Enhanced Barrier Precautions During Tube Feeding
Penalty
Summary
The facility failed to adhere to its Enhanced Barrier Precautions (EBP) policy during the administration of a tube feeding for a resident. The physician's orders for the resident included a directive to administer Jevity 1.2 calorie/fiber oral liquid via a g-tube. The resident's care plan specified the use of EBP, which required staff to wear a gown and gloves during high-contact activities, such as tube feeding. However, during an observation, a Licensed Practical Nurse (LPN) only donned gloves and neglected to wear a gown while administering the tube feeding. The LPN later acknowledged forgetting to wear the gown. The Director of Nursing (DON) confirmed that the expectation was for staff to wear both gown and gloves, as per the facility's policy.
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What surveyors actually found near you
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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.
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Nursing homes near Clarence
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cedar Manor Nursing Home | 8.2 mi | ★★★★★ | 6 | 0 |
| Mechanicsville Specialty Care | 9.9 mi | ★★★★★ | 4 | 0 |
| Wheatland Manor | 12.3 mi | ★★★★★ | 2 | 0 |
| Rehabilitation Center Of Lisbon | 17.1 mi | ★★★★★ | 5 | 0 |
| Anamosa Care Center | 18.5 mi | ★★★★★ | 0 | 0 |
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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.