nursing home in Clarence, MO
Clarence Care Center
111 East Street, Clarence, MO 63437 · (660) 699-2118
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Clarence Care Center at a glance
Clarence Care Center is a 60-bed government nursing home in Clarence, Missouri (Shelby County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Missouri average of 2.5.
Residents receive about 4.1 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (January 29, 2026) found 2 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 40% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- November 18, 1994
- Resident/family council
- Resident
- County
- Shelby County
- CMS Certification Number
- 265599
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 2.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.15 hrs | 3.43 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.55 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.00 hrs | 2.29 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.77 hrs | 3.01 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 40% | 56% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 47.8% | 42.9% | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 61 | 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) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 103 | 107 | |
| Average residents per day | 31 | 73 | 86 | |
| Occupancy | 51.8% | 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) | 5.6% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 19.2% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.5% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.3% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.2% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 10.3% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.4% | 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) | 11% | 25.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 15.7% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 96.8% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92% | 84.1% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.6% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 68.2% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 82.1% | 65.7% | 82% | Average |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 31 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 29, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected February 27, 2026 |
| January 29, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected February 27, 2026 |
| January 29, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected February 27, 2026 |
| January 29, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected February 27, 2026 |
| January 29, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected February 27, 2026 |
| January 29, 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 February 27, 2026 |
| November 17, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 26, 2025 |
| May 21, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 28, 2024 |
| May 21, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 28, 2024 |
| January 25, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected March 8, 2024 |
| January 25, 2024 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | G Actual harm, isolated | Corrected April 28, 2024 |
| January 25, 2024 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | F Potential harm, widespread | Corrected March 8, 2024 |
| January 25, 2024 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 March 8, 2024 |
| January 25, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 8, 2024 |
| January 25, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected April 28, 2024 |
| January 25, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected April 28, 2024 |
| January 25, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected April 28, 2024 |
| January 25, 2024 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 28, 2024 |
| January 25, 2024 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 28, 2024 |
| January 25, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 8, 2024 |
| January 25, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 8, 2024 |
| January 25, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | C No harm, widespread | Corrected March 8, 2024 |
| January 25, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0625 | C No harm, widespread | Corrected March 8, 2024 |
| May 27, 2021 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Meet other general requirements. Smoke Deficiencies · Tag K0932 | F Potential harm, widespread | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | E Potential harm, pattern | Corrected September 2, 2021 |
| May 27, 2021 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | E Potential harm, pattern | Corrected September 2, 2021 |
| May 27, 2021 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | E Potential harm, pattern | Corrected September 2, 2021 |
| May 27, 2021 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | E Potential harm, pattern | Corrected September 2, 2021 |
| May 27, 2021 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | E Potential harm, pattern | Corrected September 2, 2021 |
| May 27, 2021 Fire safety | Establish methods for sharing information. Emergency Preparedness Deficiencies · Tag E0033 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Standard | 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. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected September 2, 2021 |
| May 27, 2021 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected August 3, 2021 |
| May 27, 2021 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected August 3, 2021 |
| May 27, 2021 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | D Potential harm, isolated | Corrected August 3, 2021 |
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 1 federal penalty in the past three years, including $0 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 25, 2024 | Payment Denial | 70 days from April 19, 2024 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CLARENCE NURSING HOME DISTRICT Organization | 5% or greater direct ownership interest | 100% | 01/01/1977 |
| MCDOWELL, JAMES Individual | adp of the snf | NOT APPLICABLE | 02/03/2025 |
| WALKER, MARK Individual | adp of the snf | NOT APPLICABLE | 01/02/2008 |
| CHINN, TIM Individual | corporate director | NOT APPLICABLE | 04/23/2019 |
| LANGHAMMER, CARL Individual | corporate director | NOT APPLICABLE | 08/22/2014 |
| MADDEX, DONNIE Individual | corporate director | NOT APPLICABLE | 05/26/2020 |
| MAUPIN, RICK Individual | corporate director | NOT APPLICABLE | 04/17/2018 |
| MCKENZIE, MIKE Individual | corporate director | NOT APPLICABLE | 02/25/2025 |
| MEFFORD, ANGIE Individual | corporate director | NOT APPLICABLE | 01/26/2021 |
| MCDOWELL, JAMES Individual | operational/managerial control | NOT APPLICABLE | 08/25/2021 |
| WALKER, MARK Individual | operational/managerial control | NOT APPLICABLE | 01/02/2008 |
| MCDOWELL, JAMES Individual | trustee of the snf | NOT APPLICABLE | 08/25/2021 |
| WALKER, MARK Individual | trustee of the snf | NOT APPLICABLE | 01/02/2008 |
Other nursing homes near Clarence Care Center
Macon Health Care Center
29612 Kellogg Avenue,, Macon, MO 63552 · 10.6 mi
For-profit · 84 beds · Part of National Healthcare Corporation
- CMS high performer
★★★★★5Much above average- ★★★★★1Much below average
- ★★★★★2Below average
North Village Park
2041 Silva Lane, Moberly, MO 65270 · 22.7 mi
For-profit · 183 beds · Part of Reliant Care Management
- Special Focus candidate
- Abuse citation
★★★★★1Much below average- ★★★★★3Average
- ★★★★★5Much above average
Frequently asked questions
What is Clarence Care Center's rating?
Clarence Care Center has 3 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 Clarence Care Center receive?
Its most recent standard health inspection found 2 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Clarence Care 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 Clarence Care Center?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Clarence Care Center and how do I contact it?
Clarence Care Center is at 111 East Street, Clarence, MO 63437. Phone: (660) 699-2118.
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.