nursing home in Piedmont, MO
Clark's Mountain Nursing Center
2100 Barnes, Piedmont, MO 63957 · (573) 223-4297
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Clark's Mountain Nursing Center at a glance
Clark's Mountain Nursing Center is a 91-bed for-profit nursing home in Piedmont, Missouri (Wayne County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Missouri average of 2.5.
Residents receive about 3.7 hours of nursing care per day (0.3 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (May 14, 2026) found 3 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 38.5% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 91
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Americare Senior Living
- Medicare-certified since
- February 9, 1990
- Resident/family council
- Both
- County
- Wayne County
- CMS Certification Number
- 265416
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.5 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.2 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 2.7 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.70 hrs | 3.43 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.33 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.60 hrs | 2.29 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.09 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 38.5% | 56% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 37.5% | 47.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 21 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 91 | 103 | 107 | |
| Average residents per day | 64 | 73 | 86 | |
| Occupancy | 69.9% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.6% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.6% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.5% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 9.9% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.5% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 23.9% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 14.1% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 96.5% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 84.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 92.9% | 63.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.6% | 65.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 8 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 14, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected June 22, 2026 |
| May 14, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected June 22, 2026 |
| May 14, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 22, 2026 |
| May 14, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected June 22, 2026 |
| May 14, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 22, 2026 |
| January 31, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected March 16, 2025 |
| January 31, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected March 16, 2025 |
| January 31, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 16, 2025 |
| January 31, 2025 Standard | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Tag F0728 | D Potential harm, isolated | Corrected March 16, 2025 |
| January 31, 2025 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | D Potential harm, isolated | Corrected March 16, 2025 |
| December 6, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected January 18, 2024 |
| December 6, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 18, 2024 |
| December 6, 2023 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected January 18, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HWJ LLC Organization | 5% or greater direct ownership interest | 100% | 01/01/2012 |
| FORD, JULIANNA Individual | 5% or greater indirect ownership interest | 33% | 01/01/2012 |
| MONTGOMERY, HENLEY Individual | 5% or greater indirect ownership interest | 33% | 01/01/2012 |
| MONTGOMERY, WILLIAM Individual | 5% or greater indirect ownership interest | 33% | 01/01/2012 |
| SCHADE, KYLE Individual | corporate officer | NOT APPLICABLE | 03/01/2021 |
| AMERICARE SYSTEMS, INC. Organization | operational/managerial control | NOT APPLICABLE | 01/01/2012 |
| CROSSON, CLAY Individual | operational/managerial control | NOT APPLICABLE | 10/29/2001 |
| TURNER, WILLIAM Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2013 |
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Frequently asked questions
What is Clark's Mountain Nursing Center's rating?
Clark's Mountain Nursing Center has 5 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Clark's Mountain Nursing Center receive?
Its most recent standard health inspection found 3 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Clark's Mountain Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Clark's Mountain Nursing Center?
It is for profit - limited liability company and part of Americare Senior Living. The ownership section on this page lists the owners and managers reported to CMS.
Where is Clark's Mountain Nursing Center and how do I contact it?
Clark's Mountain Nursing Center is at 2100 Barnes, Piedmont, MO 63957. Phone: (573) 223-4297.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.