Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Clark's Mountain Nursing Center during CMS and state inspections, most recent first.
Food was stored and handled unsafely in the kitchen and storage areas. Surveyors observed dirty refrigerator louvers, a broken refrigerator handle casing, and multiple opened food items in the freezer, refrigerator, and dry storage area that were not labeled or dated, including meats, cheese, produce, buns, soy sauce, creamer, and peanut butter. The DM and Administrator stated opened food should be labeled and dated, and equipment should be clean and in good repair.
Incomplete bed-hold documentation was found for four residents who were transferred to the hospital. Their Bed-Hold forms did not include the daily bed hold rate, even though the facility policy required written notice of the bed-hold option and accompanying paperwork during hospitalization or therapeutic leave. The Administrator and SSD stated the nurse was responsible for entering the rate and the SSD for ensuring it was completed, but the forms remained incomplete.
Unattended Medication Cart Left Unlocked: CMT A repeatedly left the South Hall medication cart unlocked while stepping away to a dining area and resident rooms, with the cart out of staff view and passed by another staff member. Interviews with CMT C, RN B, RN D, the DON, the Administrator, and CMT A confirmed the cart should be locked when unattended or out of view.
The facility failed to ensure that three NAs completed their training and certification within four months of employment, as required by policy. NA F, NA G, and NA H did not meet the certification deadline, potentially affecting all residents. Despite the facility's policy, the necessary compliance was not achieved.
The facility failed to properly explain arbitration agreements to residents, affecting their understanding and consent. Several residents, including those with impaired cognition, were unaware of the agreement's details or their rights regarding it. The Social Service Designee, responsible for explaining the agreement, lacked awareness of key aspects, leading to a deficiency.
The facility failed to follow proper infection prevention practices during care for several residents, including inadequate hand hygiene and glove changes during incontinent and wound care. Staff did not adhere to enhanced barrier precautions for a resident requiring them, and interviews revealed a lack of understanding of infection control policies.
Food Storage and Date Marking Deficiencies
Penalty
Summary
Food was not stored and distributed under sanitary conditions. During observations of the kitchen, the bottoms of Refrigerator #1 and #2 had smeared white substances on the louvers, and the plastic casing around the handle of Refrigerator #2 was broken. The Dietary Manager stated the handle casing should be replaced because it was not cleanable, and said the louvers were dirty because people spilled things and did not clean it up; the louvers were not on the cleaning schedules. Multiple food items were found opened and undated in storage areas. In Freezer #3, surveyors observed half a bag of opened and undated egg rolls, a quarter of a bag of opened and undated meatballs, and one bag of 10 opened and undated brats. In Refrigerator #1, surveyors observed opened and undated bologna, smoked ham, cheese on a plate covered with plastic wrap, half of a cucumber wrapped in plastic wrap, and half of an opened and undated bag of salad. In the dry food storage area, surveyors observed an opened and undated bag of creamer, opened and undated hotdog buns, an opened and undated gallon jug of soy sauce, and an opened and undated tub of peanut butter with peanut butter on the side and top of the container. The Dietary Manager and Administrator both stated that opened food should be labeled and dated, and that equipment should be clean and in good repair.
Incomplete Bed-Hold Documentation for Hospital Transfers
Penalty
Summary
The facility failed to include the bed-hold rate and complete the bed-hold policy documentation when four residents were transferred to the hospital. Review of the facility policy titled, "Bed-Holds and Returns," showed that a resident may request that the facility hold open a bed at the time of hospitalization or therapeutic leave, that the resident must be given written notice of the bed hold option at the time of admission, hospitalization, or therapeutic leave, and that the notice should be sent with the other papers accompanying the resident to the hospital. The policy also stated that bed holds or room reserves are voluntary. Record review showed that Resident #3, Resident #4, Resident #9, and Resident #56 each had hospital transfers and returns documented, and their Bed-Hold forms did not include the daily bed hold rate. Resident #4 and Resident #56 each had more than one hospital transfer, and the Bed-Hold forms for each transfer also lacked the daily rate. During interview, the Administrator and Social Services Designee stated that the daily rate should be written on the bed-hold forms, but the facility did not actually charge anything. They also stated that the nurse was responsible for entering the rate and the SSD was responsible for ensuring it was completed.
Unattended Medication Cart Left Unlocked
Penalty
Summary
The facility failed to store medications in a safe and effective manner when staff left the South Hall medication cart unlocked and unattended. During observation on 05/12/26, Certified Medication Technician (CMT) A prepared medication from the South Hall medication cart, shut the drawer, and left the cart unlocked while walking away from it. The cart remained unattended outside the private dining room and later outside the assisted dining room, facing the South Hallway and out of sight of staff, while one staff member walked past it. CMT A returned to the cart after several minutes. Additional observations on the same day showed the same pattern during medication administration. CMT A again prepared medication from the South Hall medication cart, shut the drawer without locking it, and entered a resident room with the cart left unlocked and unattended, facing the South Hallway and out of sight of staff. One staff member walked past the cart before CMT A returned. A third observation showed CMT A repeating the same action, leaving the medication cart unlocked and unattended while entering a resident room. Interviews with CMT C, RN B, RN D, the DON, the Administrator, and CMT A confirmed that the medication cart should be locked when it is unattended or out of view.
Failure to Ensure Timely Certification of Nurse Aides
Penalty
Summary
The facility failed to ensure that three nurse aides (NAs) completed their required training and certification within four months of their employment, as mandated by the facility's policy. NA F, NA G, and NA H were identified as not having completed the necessary training and certification within the specified timeframe. NA F was attending the nurse aide program but did not complete it within four months of their hire date. NA G completed the program but had not taken the certification test within the required period. NA H was attending the program but also did not complete it within the four-month window. The facility's policy requires that NAs provide documentation of certification within four months of their hire date, and those who do not complete the required training and competency evaluation program within this period are not allowed to perform nurse aide duties until certification is verified. Despite this policy, the facility did not ensure compliance for the three NAs, potentially affecting all residents in the facility. During an interview, the Administrator and Assistant Director of Nursing (ADON) stated that they ensure nurse aides complete their training within the required timeframe, but the records reviewed indicated otherwise.
Failure to Properly Explain Arbitration Agreements
Penalty
Summary
The facility failed to ensure that the arbitration agreement was explained in a form and manner that correctly described the arbitration process for four residents, potentially affecting 51 other residents who had signed the agreement. The facility's policy stated that residents should be informed of their right not to sign the agreement as a condition of admission and that the agreement should be explained in a way they understand. However, interviews and record reviews revealed that residents were either unaware of the arbitration agreement or did not understand it. For instance, one resident with moderately impaired cognition signed the agreement while very sick and unable to define what it was. Another resident, who was cognitively intact, was not aware of the agreement despite being his own responsible party for finances. The Social Service Designee (SSD) was responsible for explaining the arbitration agreement during admission but admitted to being unaware of the time frame for rescinding the agreement until reading the policy. The SSD's explanation of the agreement was vague, mentioning it had to do with Missouri law and insurance agreements. The facility's administrator confirmed that the SSD was responsible for going over the arbitration agreement with residents during admission. This lack of proper explanation and understanding of the arbitration agreement process led to the deficiency identified by the surveyors.
Infection Control Deficiencies in Resident Care
Penalty
Summary
The facility failed to adhere to proper infection prevention and control practices during the provision of care to several residents. Observations revealed that staff members did not perform hand hygiene or change gloves appropriately during incontinent care for multiple residents. For instance, during care for one resident, a nurse aide failed to perform hand hygiene and change gloves between dirty and clean tasks, such as wiping the peri-area and applying barrier cream. This lack of proper hand hygiene and glove changing was consistent across several instances of care provided to different residents. In another instance, during wound care for a resident, the LPN did not change gloves or perform hand hygiene between handling soiled dressings and clean supplies. The LPN also used unclean scissors to cut clean dressings, further compromising infection control practices. These actions were contrary to the facility's policies on hand hygiene and enhanced barrier precautions, which require staff to perform hand hygiene and change gloves when transitioning from dirty to clean tasks. Additionally, the facility failed to implement enhanced barrier precautions for a resident with an order for such precautions. Staff members did not wear the required personal protective equipment during a mechanical lift transfer, despite signage indicating the need for enhanced barrier precautions. Interviews with staff revealed a lack of understanding and adherence to the facility's infection prevention policies, contributing to the deficiencies observed during the survey.
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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 Piedmont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Greenville Health Care Center | 13.4 mi | ★★★★★ | 0 | 0 |
| Brent B Tinnin Manor | 15.7 mi | ★★★★★ | 0 | 0 |
| Riverways Manor | 20.3 mi | ★★★★★ | 4 | 0 |
| Baptist Homes Of Arcadia Valley | 28.9 mi | — | 0 | 0 |
| Aspire Senior Living Poplar Bluff | 30.2 mi | ★★★★★ | 20 | 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 August 2026) and official state health department websites.