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Nursing HomeMedicaid Investigative

Clarence Care Center

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

111 East Street, Clarence, MO 6343760 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 32 Google reviews

5
4
3
2
1
Clarence Care Center Nursing Home in Clarence, MO — Street View
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4/ 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 (1/5 stars)
  • Above-median deficiencies (14 vs median 10)
  • High staff turnover (55%)

Bottom 25% in MO · Below recommended RN staffing · Above average staffing

Source: Medicare data

What this means for your family

Clarence Care Center is highly regarded for its compassionate and knowledgeable staff, making it a strong candidate for long-term care. However, families should specifically inquire about weekend staffing ratios, as some reports indicate that care can move more slowly during these times.

Google Reviews

Google Reviews

32 reviews analyzed
Clarence Care Center is frequently praised for its compassionate and friendly nursing staff who are described as knowledgeable and caring. While many families express high satisfaction with the quality of care provided to their loved ones, there are occasional mentions of slower response times during weekends due to lower staffing levels.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean8.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained environment
  • Friendly and knowledgeable care team
  • Home-like atmosphere

Concerns

  • Understaffing on weekends leading to slower response times (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(3)'20(5)'22(5)'24(2)'25(4)

Distribution

5
24
4
5
3
2
2
1
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on maintaining a home-like atmosphere, what specific activities or social programs are planned to keep residents engaged throughout the week?
  • 2I noticed the staffing rating is strong, but how do you ensure consistent coverage and timely response times for residents during the weekend shifts?
  • 3With 14 state violations recorded over the past year, what specific steps has the leadership team taken to address these findings and improve the overall quality of care?
  • 4How does your nursing team coordinate with local hospitals or specialists when a resident experiences a sudden change in health or a medical emergency?
  • 5The facility has a 1-star overall CMS rating; could you walk me through the current improvement plan you have in place to raise that rating and enhance the resident experience?
  • 6Since many families have praised the attentiveness of your staff, how do you foster that compassionate culture while managing the daily demands of a 60-resident facility?

Personalized based on this facility's data


Key Review Excerpts

Not as well staffed on weekends so things move a little slower.

Long-term resident's family · 2018★★★★

Clean, caring, well run, good staffing

Local community member · 2022★★★★★

Love the way all the staff care for our mom⚘️

Long-term resident's family · 2023★★★★★
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.56hrs
75%
Registered nurses for medical care
Total Nursing
3.77hrs
92%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
50%
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

Quality Measures

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

Medicare Rating
1/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
19.5%
MO
25.4%
Shelby
21.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
12.1%
MO
16.7%
Shelby
12.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.8%
Better than Avg
Here
9.8%
US
15.3%
MO
18.9%
Shelby
16.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.4%
Mixed vs Avgs
Here
21.4%
US
15.4%
MO
23.6%
Shelby
13.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility92.0%
Mixed vs Avgs
Here
92.0%
US
93.4%
MO
84.4%
Shelby
85.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility96.8%
Better than Avg
Here
96.8%
US
95.5%
MO
90.9%
Shelby
90.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.4%
Mixed vs Avgs
Here
78.4%
US
81.8%
MO
65.9%
Shelby
72.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility68.2%
Mixed vs Avgs
Here
68.2%
US
79.7%
MO
63.5%
Shelby
70.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.6%
Worse than Avg
Here
2.6%
US
1.6%
MO
2.2%
Shelby
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
1penalties
Above state avg (12.0)
3 complaint-triggered

This facility has recurring safety issues that families should carefully consider, with repeated problems in accident prevention, medication management, and infection control across multiple surveys. Families have filed complaints that triggered inspections, including concerns about potential abuse reporting and accident hazards. While all deficiencies show correction dates, the pattern of repeated violations in critical care areas suggests ongoing operational challenges that warrant close scrutiny during visits.

Jan 29, 2026Routine
6
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0363ModerateCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Nov 17, 2025Complaint
1
0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 21, 2024Complaint
2
0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jan 25, 2024Routine
28
0744ModerateCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0744ModerateCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0947ModerateCorrected

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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0947ModerateCorrected

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.

0657ModerateCorrected

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.

0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0758ModerateCorrected

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.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0657ModerateCorrected

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.

0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0758ModerateCorrected

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.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0655MinorCorrected

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

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0655MinorCorrected

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

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0623MinorCorrected

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.

0625MinorCorrected

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.

0623MinorCorrected

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.

0625MinorCorrected

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.

May 27, 2021Routine
66
0838ModerateCorrected

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.

0161ModerateCorrected

Construction Deficiencies

Use approved construction type or materials.

0222ModerateCorrected

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.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0932ModerateCorrected

Smoke Deficiencies

Meet other general requirements.

0161ModerateCorrected

Construction Deficiencies

Use approved construction type or materials.

0222ModerateCorrected

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.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0932ModerateCorrected

Smoke Deficiencies

Meet other general requirements.

0838ModerateCorrected

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.

0568ModerateCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0623ModerateCorrected

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.

0625ModerateCorrected

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.

0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0881ModerateCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0004ModerateCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006ModerateCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0013ModerateCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0015ModerateCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0018ModerateCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0020ModerateCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0024ModerateCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0026ModerateCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0030ModerateCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0032ModerateCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0033ModerateCorrected

Emergency Preparedness Deficiencies

Establish methods for sharing information.

0035ModerateCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0041ModerateCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0923ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0004ModerateCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006ModerateCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0013ModerateCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0015ModerateCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0018ModerateCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0020ModerateCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0024ModerateCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0026ModerateCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0030ModerateCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0032ModerateCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0033ModerateCorrected

Emergency Preparedness Deficiencies

Establish methods for sharing information.

0035ModerateCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0041ModerateCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0923ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0568ModerateCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0623ModerateCorrected

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.

0625ModerateCorrected

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.

0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0881ModerateCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0678MinorCorrected

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.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0678MinorCorrected

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.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Apr 4, 2019Routine
15
0697ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0521ModerateCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0281ModerateCorrected

Egress Deficiencies

Install proper backup exit lighting.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741ModerateCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0911ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0561ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0803ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0351MinorCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0018MinorCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0041MinorCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0655MinorCorrected

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

Federal Penalties

Payment Denial

Jan 25, 2024

70-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Clarence Care Center

Organization Type

government

Ownership & Management

Owners

Clarence Nursing Home District

Owner · Organization

100%

Key personnel

Chinn, TimOfficer / DirectorLanghammer, CarlOfficer / DirectorMaddex, DonnieOfficer / DirectorMaupin, RickOfficer / DirectorMckenzie, MikeOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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