Missouri › Shelby County › Clarence
Clarence Care Center
111 East Street, Clarence, MO 63437
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Clarence Care Center, in Clarence, Missouri, is certified for 60 beds under government, county ownership.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 3, staffing 4 and quality measures 2.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (2, 13, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 41.7 per 100 beds, more than the state median of 32.1.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 4.1 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 40.0%.
Compared with county, state and nation
| Measure | This facility | Shelby Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 25 | 35 | 31 | 28.7 |
| Citations per 100 beds | 41.7 | 41.7 | 32.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 40.0% | 40.0% | 56.1% | 45.8% |
| Fines listed | $0 | $20,695 | $0 | — |
County and state figures are medians across facilities (2 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Jan 2026, 25 Jan 2024.
Severity mix: G ×1 D ×9 E ×9 F ×4 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Feb 2026 |
| 17 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Dec 2025 |
| 21 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Jun 2024 |
| 21 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Jun 2024 |
| 25 Jan 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Standard survey | 28 Apr 2024 |
| 25 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 28 Apr 2024 |
| 25 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 28 Apr 2024 |
| 25 Jan 2024 | F0758 | 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. | E | Standard survey | 28 Apr 2024 |
| 25 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 28 Jun 2024 |
| 25 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 28 Jun 2024 |
| 25 Jan 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 8 Mar 2024 |
| 25 Jan 2024 | F0625 | 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. | C | Standard survey | 8 Mar 2024 |
| 27 May 2021 | F0838 | 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. | F | Standard survey | 2 Sep 2021 |
| 27 May 2021 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 3 Aug 2021 |
| 27 May 2021 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 3 Aug 2021 |
| 27 May 2021 | F0625 | 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. | E | Standard survey | 3 Aug 2021 |
| 27 May 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 3 Aug 2021 |
| 27 May 2021 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 3 Aug 2021 |
| 27 May 2021 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 3 Aug 2021 |
| 27 May 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 3 Aug 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Jan 2024 | Payment denial | — | 70 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 40.0%, RNs 33.3%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.2% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.5% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.2% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, county. Legal business name: Clarence Nursing Home District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Clarence Nursing Home District | 5% or greater direct ownership interest | 100% | 01/01/1977 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Shelby County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Baptist Homes of Shelbina | Shelbina | 120 | 1 | 1 | 2 | 35 | 29.2 | $21K | 8 Jun 2026 |
All 2 facilities in Shelby County
Questions and answers
How many deficiencies has Clarence Care Center been cited for?
25 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Clarence Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Clarence Care Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Clarence Care Center?
Ownership type is government, county. Organisations in the CMS ownership record include Clarence Nursing Home District. Individual owners and managers are not listed on this site.
When was Clarence Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 29 Jan 2026; the most recent standard health survey was 29 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.