Clarence Care Center

Nursing Home · Clarence, MO

CMS overall rating 3/5 Government - County

CMS certification number265599

Contact & location

111 East Street
Clarence, MO 63437
Shelby County
Phone
(660) 699-2118
ZIP code
63437 – all care providers

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Facility details

Certified beds
60
Residents per day
31.1 (52% occupied)
Ownership
Government - County
Legal name
Clarence Nursing Home District
Medicare certified since
November 18, 1994
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 2.5
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 2.2
Quality measures★★★★★ 2/5
State avg 2.7
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.15 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.55 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.60 (state 0.68 · U.S. 0.86)
Nurse aides
3.00 (state 2.29 · U.S. 2.32)
Weekend total
3.77 (state 3.02 · U.S. 3.42)
Nursing staff turnover
40.0 (state 56.0 · U.S. 45.8)%
RN turnover
33.3 (state 47.8 · U.S. 42.9)%

Inspections

Last standard inspection
January 29, 2026
Health deficiencies (last cycle)
2.0 (state 11.5 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
25 health · 31 fire safety · includes actual harm
DateCitationSeverityStatus
2026-01-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-02-27
2025-11-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-26
2024-05-21 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-05-21 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-01-25 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2024-04-28
2024-01-25 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-08
2024-01-25 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-08
2024-01-25 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-28
2024-01-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-28
2024-01-25 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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-28
2024-01-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-08
2024-01-25 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-01-25 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-01-25 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-08
2024-01-25 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-08
2024-01-25 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-03-08
2024-01-25 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.
F0625 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-03-08
2021-05-27 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.
F0838 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2021-09-02
2021-05-27 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F0568 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-08-03
2021-05-27 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-08-03
2021-05-27 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.
F0625 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-08-03
2021-05-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-08-03
2021-05-27 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-08-03
2021-05-27 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-08-03
2021-05-27 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-08-03

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years.

DateTypeAmount
2024-01-25Payment Denial70 days payment denial

Ownership & management

NameRoleSince
Clarence Nursing Home District (organization)5%+ Direct Ownership Interest · 100%
McDowell, James (individual)Administrator · NOT APPLICABLE
Walker, Mark (individual)Administrator · NOT APPLICABLE
Chinn, Tim (individual)Corporate Director · NOT APPLICABLE
Langhammer, Carl (individual)Corporate Director · NOT APPLICABLE
Maddex, Donnie (individual)Corporate Director · NOT APPLICABLE
Maupin, Rick (individual)Corporate Director · NOT APPLICABLE
McKenzie, Mike (individual)Corporate Director · NOT APPLICABLE
Mefford, Angie (individual)Corporate Director · NOT APPLICABLE
McDowell, James (individual)Operational/managerial Control · NOT APPLICABLE
Walker, Mark (individual)Operational/managerial Control · NOT APPLICABLE
McDowell, James (individual)Trustee Of The Snf · NOT APPLICABLE
Walker, Mark (individual)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Clarence Care Center?

Clarence Care Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Clarence Care Center have?

It has 60 certified beds and cares for about 31 residents per day.

Has Clarence Care Center been fined?

Yes. CMS lists 1 penalty in the last three years.

What is the phone number of Clarence Care Center?

(660) 699-2118. The facility is located at 111 East Street, Clarence, MO 63437.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.