CLARENCE CARE CENTER Inspection Report, Violations & Safety Grade (CLARENCE, Missouri)

111 EAST STREET, CLARENCE, Missouri 63437

Phone: 6606992118

CMS Overall:4/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

Ownership

Government - County

Provider Type

Medicare and Medicaid

County

Shelby

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall4/5

Health3/5

Staffing5/5

Quality4/5

Nurse Staffing Check

Metric	This Facility	Missouri Avg	Difference
RN Hours per Resident per Day	0.73	0.46	+0.27
Total Nurse Hours per Resident per Day	4.74	3.40	+1.34
CMS Staffing Rating	5/5	2.2/5	-
Nursing Staff Turnover	41.7%	56.9%	-

Health Citation History

25 health citations on record

Date	Category	Description	Severity
2026-01-29	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2025-11-17	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2024-05-21	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2024-05-21	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2024-01-25	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.	G – Actual Harm
2024-01-25	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2024-01-25	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	F – Moderate Harm Potential
2024-01-25	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E – Moderate Harm Potential
2024-01-25	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2024-01-25	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E – Moderate Harm Potential
2024-01-25	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2024-01-25	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2024-01-25	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2024-01-25	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D – Moderate Harm Potential
2024-01-25	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2024-01-25	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	C – Minimal Harm Potential
2024-01-25	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	C – Minimal Harm Potential
2021-05-27	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	F – Moderate Harm Potential
2021-05-27	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E – Moderate Harm Potential
2021-05-27	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E – Moderate Harm Potential
2021-05-27	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	E – Moderate Harm Potential
2021-05-27	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2021-05-27	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	E – Moderate Harm Potential
2021-05-27	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	D – Moderate Harm Potential
2021-05-27	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential

Fire Safety Citation History

31 fire safety citations on record

Date	Category	Description	Severity
2026-01-29	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2026-01-29	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	F – Moderate Harm Potential
2026-01-29	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2026-01-29	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2026-01-29	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2024-01-25	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2021-05-27	Construction Deficiencies	Use approved construction type or materials.	F – Moderate Harm Potential
2021-05-27	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	F – Moderate Harm Potential
2021-05-27	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	F – Moderate Harm Potential
2021-05-27	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2021-05-27	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2021-05-27	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	F – Moderate Harm Potential
2021-05-27	Smoke Deficiencies	Meet other general requirements.	F – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Develop and maintain an Emergency Preparedness Program (EP).	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Conduct risk assessment and an All-Hazards approach.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Develop Emergency Preparedness policies and procedures.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Address subsistence needs for staff and patients.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Establish procedures for tracking staff and patients during an emergency.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Establish policies and procedures including evacuation.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Establish policies and procedures for volunteers.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	List the names and contact information of those in the facility.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Provide primary/alternate means for communication.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Establish methods for sharing information.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Provide family notifications of emergency plan.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Establish staff and initial training requirements.	E – Moderate Harm Potential
2021-05-27	Emergency Preparedness Deficiencies	Implement emergency and standby power systems.	E – Moderate Harm Potential
2021-05-27	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2021-05-27	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2021-05-27	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2021-05-27	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2024-01-25	Payment Denial	-	70 days starting 2024-04-19

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Need Help Finding Safe Care?

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3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.