Nursing HomeMedicaid Investigative

Azria Health Clarinda

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

600 Manor Drive, Clarinda, IA 51632|70 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.6/5

based on 29 Google reviews

(712) 542-5161 Directions Website

Street View

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3/ 10

moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (2/5 stars)
High RN turnover (54%)

Below average in IA · Below recommended RN staffing · Best in AZRIA HEALTH chain · $16,448 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

While the facility is praised for its clean environment and friendly atmosphere, the reports of medical management errors are concerning. We strongly recommend that families verify the facility's process for handling medical orders and ensure that specific care needs, such as oxygen, are clearly communicated and monitored during the intake process.

Google Reviews

29 reviews on Google

“Azria Health Clarinda receives high praise from many visitors for its friendly, welcoming staff and clean, home-like environment. However, families should be aware of serious concerns regarding medical oversight and staffing levels, as some reviewers have reported critical errors in medication or oxygen management and insufficient nursing coverage.”

Quality Themes

Tap a score for details

Strengths

Friendly and welcoming staff
Clean and well-maintained facility
Positive, home-like atmosphere
Engaging activities like Bingo

Concerns

Inadequate nursing staff levels (mentioned by 2 reviewers)
Medical oversight and medication/oxygen management errors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 32 analyzed

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

1We've heard wonderful things about the friendly and welcoming atmosphere here; could you tell us more about how you create that home-like feeling for the residents?
2What kind of daily activities, like Bingo or other social events, are currently available to keep residents engaged?
3Could you walk us through your specific protocols for medication administration and how you ensure accuracy for every dose?
4With the facility being a cozy size of 70 residents, how do you ensure there is always enough nursing support available during the night shifts?
5How does the clinical team manage oxygen equipment and other specialized medical needs for residents?
6What is the process for communicating with families if there is a change in a resident's medical status or an emergency occurs?

Personalized based on this facility's data

Key Review Excerpts

“The first night she was there they gave her no oxygen because her hospital orders were incorrectly put into the computer “as needed”. Huge incompetence.”

Long-term resident's family · 2025★☆☆☆☆

“Absolutely love the remodel. Direct Care Staff and Leadership are so friendly and always willing to help to meet their resident care needs.”

Visitor · 2024★★★★★

“There is not enough nurses on floor.. Office people is great with helping Answering questions at getting stuff done.”

Family member · 2020★★★☆☆

Source: 29 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.54hrs

72%

Registered nurses for medical care

Total Nursing

3.82hrs

93%

All nurses + aides combined

Staff Turnover

35%

Lower is better (< 30% = good)

RN Turnover

46%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

1/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚶

Residents whose walking got worse

↓ Lower is better

This Facility32.0%

Worse than Avg

Here

32.0%

15.3%

17.5%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility30.7%

Worse than Avg

Here

30.7%

14.4%

17.6%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility29.8%

Worse than Avg

Here

29.8%

19.4%

25.9%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility87.2%

Worse than Avg

Here

87.2%

93.4%

93.9%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility21.2%

Worse than Avg

Here

21.2%

15.5%

19.4%

😔

Residents with depression symptoms

↓ Lower is better

This Facility9.5%

Mixed vs Avgs

Here

9.5%

12.1%

4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility93.9%

Better than Avg

Here

93.9%

79.8%

73.3%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility78.4%

Worse than Avg

Here

78.4%

81.8%

84.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility3.3%

Worse than Avg

Here

3.3%

1.6%

2.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies

1penalties

Well below state avg (6.2)

7 complaint-triggered

$16,448 in fines

Multiple families have filed complaints triggering 7 deficiencies, revealing concerning patterns in care planning, treatment quality, and resident rights protection. The facility shows recurring problems with care planning processes, fire safety system maintenance, and providing appropriate treatment according to resident needs. While most issues appear corrected, the pattern of complaint-driven investigations suggests ongoing family concerns about care quality and communication practices.

Aug 8, 2025Complaint1 finding

0609Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

May 1, 2025Routine1 finding

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Jan 7, 2025Complaint1 finding

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jun 13, 2024Routine6 findings

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0657Potential for harm · IsolatedCorrected

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.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 5, 2024Complaint2 findings

0550Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedResolved (past non-compliance)

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Jan 9, 2024Complaint3 findings

0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Federal Penalties

Fine

Jan 9, 2024

$16,448

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

5deficiencies

May 28, 2026InspectionNo deficiencies

Clean