Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Clearview during CMS and state inspections, most recent first.
A deficiency was cited when a facility area was found to contain accident hazards and lacked adequate supervision to prevent accidents, resulting in an unsafe environment for residents.
A resident with multiple medical conditions returned from the hospital with fractures after a fall, but required pain and respiratory assessments were not performed or documented as per facility policy. Staff confirmed that these assessments, which should have been completed at least once per shift, were missed until the following day, resulting in a failure to provide care according to professional standards.
A deficiency was cited when a resident was not provided with sufficient food and fluids to maintain their health, as required. The report does not include further details about the circumstances or the resident's condition.
A resident at risk for falls due to medical conditions experienced two falls in a facility because staff failed to follow the care plan requiring supervision when using a reclining chair remote. Despite interventions to prevent recurrence, the resident accessed the remote unsupervised, resulting in a fracture. Interviews with staff revealed communication lapses and non-adherence to care plan interventions.
The facility failed to establish an effective infection prevention and control program, affecting 52 residents. Staff line lists lacked specificity and completeness, with vague symptoms like 'sick' and missing 'Date last Symptom occurred.' The COVID outbreak summary was inaccurate, missing details on interventions and notifications. The Infection Preventionist acknowledged these deficiencies, indicating a need for improved record-keeping and infection control practices.
A resident with severe cognitive impairment and multiple medical conditions experienced significant changes in condition, including hematuria and a vaso-vagal response, which were not reported to the physician in a timely manner. Despite the facility's policy requiring immediate notification for such changes, staff interviews revealed inconsistencies in understanding and executing this policy, leading to a deficiency in care practices.
Two residents in a facility did not receive prompt resolution of their grievances, as required by the facility's policy. One resident reported a concern about food quality to an LPN, who did not follow the grievance process. Another resident expressed concerns about a CNA's behavior to an RN, who also failed to initiate the grievance process. The facility's DON noted that only three grievances had been recorded since January, indicating a systemic issue in handling grievances.
A facility failed to ensure proper monitoring and documentation of INR levels for a resident on anticoagulant therapy. The resident, with a recommended INR range of 1.5 to 2, experienced inconsistent management due to the lack of clear documentation and communication among staff. This resulted in the administration of warfarin being held without proper guidance, leading to complications such as hematuria when INR levels exceeded 2. Interviews revealed staff were unaware of the specific INR range, and the Director of Nursing confirmed the absence of this information in the resident's chart.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified due to the failure to ensure that a specific area within the facility was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which resulted in the presence of accident hazards and insufficient oversight to protect residents from potential harm. No additional details regarding the specific hazards, the number of residents affected, or their medical conditions at the time of the deficiency are provided in the report.
Failure to Complete Post-Fall Assessments After Resident's Return from Hospital
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice following a change in condition. The resident, who had multiple diagnoses including multiple sclerosis, dementia, muscle weakness, and cognitive communication deficit, experienced a fall from bed and was sent to the hospital for evaluation. Upon return, the resident had sustained fractures to the left clavicle and left ribs 3-6. According to the facility's Fall Prevention and Management policy, follow-up assessments, including vital sign collection, were required for at least the next three consecutive shifts after a fall. However, nursing assessments were not performed or documented upon the resident's return to the facility. Record review showed that neurological assessments were discontinued per physician order after a CT scan, but pain and respiratory assessments, which should have been completed at least once per shift, were not documented until the following day. Interviews with facility staff, including the RN/UM and DON, confirmed that these required assessments were not completed as per policy. The lack of timely and documented assessments following the resident's return from the hospital with significant injuries constituted a failure to provide care in accordance with professional standards.
Failure to Provide Adequate Nutrition and Hydration
Penalty
Summary
A deficiency was identified regarding the facility's failure to provide adequate food and fluids necessary to maintain a resident's health. The report notes that the required provision of nutrition and hydration was not met, which is essential for the well-being of residents. Specific details about the actions or inactions leading to this deficiency, as well as information about the resident's medical history or condition at the time, are not provided in the report.
Resident Falls Due to Inadequate Supervision and Hazardous Environment
Penalty
Summary
The facility failed to ensure a resident's environment was free from accident hazards and did not provide adequate supervision to prevent accidents. This deficiency was identified for a resident, referred to as R14, who was at risk for falls due to multiple medical conditions, including hemiplegia, hemiparesis, and a history of falls with fractures. Despite being at high risk for falls, R14 was left unsupervised with access to a reclining chair remote, contrary to the care plan that required staff supervision when using the remote. R14 experienced a fall on two separate occasions due to the unsupervised use of the reclining chair remote. The first incident occurred when R14, without staff present, used the remote to lift the chair, resulting in a fall and subsequent complaints of lower back pain. The facility's intervention to prevent recurrence was to ensure the remote was not placed within R14's reach unless staff were present. However, this intervention was not effectively communicated or implemented, as evidenced by a second fall where R14 again accessed the remote unsupervised, leading to a fracture of the left tibia and fibula. Interviews with facility staff, including LPNs, RNs, CNAs, and the DON, revealed a lack of consistent communication and adherence to the care plan interventions. The staff acknowledged that the intervention to restrict access to the remote was not followed, resulting in the second fall. The facility's failure to implement and communicate the necessary interventions contributed to the repeated accidents, highlighting a deficiency in maintaining a safe environment and providing adequate supervision for R14.
Inadequate Infection Control and Documentation
Penalty
Summary
The facility has failed to establish an effective infection prevention and control program, which is crucial for maintaining a safe, sanitary, and comfortable environment for its 52 residents. The deficiency was identified through interviews and record reviews, revealing that the staff line lists were incomplete and lacked specificity in documenting symptoms. For instance, symptoms were often recorded as vague terms like 'something I ate,' 'sick,' or 'cold sx,' which are not specific enough to allow for proper tracking and surveillance of illnesses and outbreaks. Additionally, the staff line lists were missing critical information such as the 'Date last Symptom occurred,' which is necessary to determine safe return-to-work dates for staff. The facility's COVID outbreak summary was also found to be inaccurate and incomplete. The summary incorrectly identified the end date of a COVID outbreak, failing to account for continued positive tests among staff from January through April. The outbreak summary lacked essential details, such as the interventions implemented, the notification timeline for the medical director, and communication with residents, staff, and families about the outbreak. This lack of accurate and comprehensive documentation hinders the facility's ability to manage and control infectious disease outbreaks effectively. During an interview, the Infection Preventionist acknowledged the deficiencies, agreeing that the symptoms listed on the staff line lists were not specific and that the 'Date of last symptom' should be included to determine return-to-work dates. The Infection Preventionist also confirmed that the COVID outbreak continued beyond the initially reported end date, indicating a need for more accurate and detailed record-keeping. These deficiencies highlight significant gaps in the facility's infection prevention and control practices, potentially affecting the health and safety of all residents and staff.
Failure to Notify Physician of Resident's Change in Condition
Penalty
Summary
The facility failed to immediately notify and consult with a resident's physician when there was a significant change in condition for one resident. This deficiency was identified for a resident who experienced multiple changes in condition, including hematuria and episodes of being difficult to arouse, which were not reported to the resident's provider in a timely manner. The facility's policy on physician notification for changes in condition was not adhered to, as evidenced by the lack of documentation indicating that the resident's provider was updated following these incidents. The resident in question had a history of significant medical conditions, including a non-ST elevation myocardial infarction, unspecified diastolic heart failure, venous insufficiency, chronic atrial fibrillation, and a personal history of renal calculi. The resident's progress notes documented instances of hematuria and a vaso-vagal response, yet there was no evidence that the physician was notified. Interviews with nursing staff revealed inconsistencies in understanding and executing the facility's policy on physician notification, with some staff indicating that the physician should have been notified immediately or within a specific timeframe. The Director of Nursing confirmed that staff should notify the physician, especially if the condition is new. Despite the facility's policy and the staff's understanding of the need for timely physician notification, the resident's significant changes in condition were not communicated to the physician, resulting in a deficiency in the facility's care practices.
Failure to Resolve Resident Grievances
Penalty
Summary
The facility failed to ensure the prompt resolution of grievances for two residents, R47 and R32, as required by their grievance policy. R47, who is cognitively intact with a BIMS score of 15, reported a concern about the quality of food to an LPN but did not receive any follow-up or resolution. The LPN acknowledged receiving the complaint but did not initiate the grievance process or conduct an investigation, which is a violation of the facility's policy. Similarly, R32, also cognitively intact with a BIMS score of 15, expressed concerns about a CNA's behavior, describing the CNA as grumpy, unfriendly, and disrespectful. R32 reported this to an RN, who failed to follow the grievance process or consider the complaint as a potential abuse allegation. The RN admitted to not filling out a grievance form, which prevented the facility from investigating the issue further. The Director of Nursing confirmed that grievance forms are necessary for tracking and resolving resident concerns, yet only three grievances had been recorded since January 2024. This indicates a systemic issue in the facility's handling of grievances, as staff members did not adhere to the established grievance policy, resulting in unresolved resident concerns.
Failure to Monitor and Document INR Levels for Resident on Anticoagulant Therapy
Penalty
Summary
The facility failed to ensure that lab values were monitored according to professional standards of practice for a resident, identified as R8, who was on anticoagulant therapy. R8 had a recommended INR therapeutic range of 1.5 to 2, which was not made readily available to nursing staff prior to holding or administering medication. This oversight led to the administration of warfarin being held on specific dates due to an INR of 2.6, without clear documentation or communication of the resident's specific therapeutic range. R8 was admitted with multiple diagnoses, including hemiplegia following a stroke, hypertension, and long-term use of anticoagulants. Despite the critical nature of maintaining appropriate INR levels for patients on anticoagulant therapy, the facility's records, including the care plan and physician orders, did not clearly specify R8's INR range. This lack of documentation and communication among staff resulted in inconsistent monitoring and management of R8's anticoagulant therapy, as evidenced by the presence of hematuria when INR levels were above 2. Interviews with nursing staff revealed a lack of awareness and understanding of R8's specific INR range, with staff unable to locate this information in the resident's chart. The Director of Nursing also indicated that physician recommendations are considered orders, yet the expected documentation of the INR range was not found in the physician's orders or the Anticoagulant/INR Tracking Form. This deficiency highlights a failure in the facility's processes to ensure that critical lab values are accessible and communicated effectively to all staff involved in the resident's care.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 134 citations issued within 25 miles in the last 12 months — including the 2 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Juneau
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clearview Brain Injury Center | 0 mi | ★★★★★ | 4 | 0 |
| Hillside Manor | 8.1 mi | ★★★★★ | 9 | 0 |
| Beaver Dam Health Care Center | 8.1 mi | ★★★★★ | 23 | 2 |
| Avina Of Mayville | 9.2 mi | ★★★★★ | 12 | 0 |
| Marquardt Memorial Manor | 13.4 mi | ★★★★★ | 21 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Clearview.
100% money-back within 48 hours.
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.