Occupancy rate
55%
In line with Missouri averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Nursing Home
Clarence Care Center
Clarence Care Center is a skilled nursing facility in Clarence, MO. It provides high-quality nursing care and personalized services to help residents maintain their independence. The center offers various services including therapy, respite care, and transportation to medical appointments.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
54.7%
Residents per day (avg)
35
Occupancy rate
54.7%
Residents per day (avg)
35
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
62% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
4 years
Finances and operations
Governmental community
Home revenue
$3.1M
Surplus of revenue
$142.5K
Governmental community
Home revenue
$3,132,252.00
Surplus of revenue
$142,512.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.0M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Missouri averageOccupied beds
33 / 60
Average residents
72 per day
License details
Facility type
Snf
County:
SHELBY
Additional licensing details
CMS Certification Number:
265599
Certification type:
Medicare/Medicaid
Ownership & operating entity
Clarence Care Center is administrated by MARK WALKER.
Owner name:
CLARENCE NURSING HOME DISTRICT
Safety & Compliance
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Debbie Hardy
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Social Services, Housekeeping & Laundry, Transportation, The Cafe, Therapy Services, Respite Care
Dining & Nutrition
Food Description
Delicious home cooked meals are prepared daily. Residents are encouraged to dine in the dining room or have room trays delivered upon request.
Meals Included
No
Health Inspection History
Inspections
Total health inspections
5
Missouri average 6.6
Last Health inspection on Nov 2025
Total health citations
30
Citations per inspection
6
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
27 of 30 citations resulted from standard inspections; and 3 of 30 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
2
2
100% worse than Missouri averageMissouri average: 1
0 critical citations
2 serious citations
25 moderate citations
3 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Nov 17, 2025
Corrected
Abuse/Neglect moderate citation
May 21, 2024
Corrected
Abuse/Neglect moderate citation
May 21, 2024
Corrected
Abuse/Neglect moderate citation
Jan 25, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
10
-
+42%-2%+18%
Clarence Care Center
+3%
+24%
-18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63437-1902
60
-
CHINN, TIM
54.7%
$2,826,853.00
$1,659,519.00
58.7%
35
4.6436
30
2
+3%+24%-18%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
38
-
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Clarence Care Center
Type of care:
SNF
AL
Community:
MO 63437-1902
Bed Count:
60
Operator:
CHINN, TIM
CCN:
265599
Occupancy:
54.7%
Home Revenue:
$2,826,853.00
Payroll Costs:
$1,659,519.00
Payroll %:
58.7%
Avg Residents/Day:
35
Overall Rating:
Adj Nurse Hours:
4.6436
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
30
Severe Citations:
2
RN share vs State Avg:
+3%
+3%
Staffing vs State Avg:
+24%
+24%
Occupancy vs State Avg:
-18%
-18%
Places of interest near Clarence Care Center
0.0 miles from city center
CLARENCE, MO 63437-1902
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
62
Total Staff
45
Employees
17
Contractors
13,443
Total Hours (Quarter)
21
Avg Staff/Day
7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 10.1 | No |
| Licensed Practical Nurse | 5 | 7.5 | No |
| Certified Nursing Assistant | 28 | 7.1 | Yes |
Staff by Category
Administration ⓘ
1 staff
2.1hs shift avg
Nursing Staff ⓘ
46 staff
7.5hs shift avg
Physicians & Practitioners ⓘ
3 staff
7hs shift avg
Therapy Services ⓘ
8 staff
1.6hs shift avg
Activities & Recreation ⓘ
1 staff
7.5hs shift avg
Social Services ⓘ
2 staff
0.6hs shift avg
Dietary Services ⓘ
1 staff
7.8hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
2.8%
of total hours from contractors
382 contractor hours this quarter
Certified Nursing Assistant: 5
Physical Therapy Assistant: 1
Physical Therapy Aide: 3
Respiratory Therapy Technician: 2
Speech Language Pathologist: 2
Other Physician: 1
Medical Director: 1
Qualified Social Worker: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 23 | 5 | 28 | 6,306 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,772 | 91 | 100% | 7.5 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,669 | 91 | 100% | 7.7 |
| Registered Nurse | 5 | 0 | 5 | 885 | 80 | 88% | 10.1 |
| Nurse Aide in Training | 3 | 0 | 3 | 730 | 74 | 81% | 7.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 468 | 54 | 59% | 8.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 461 | 59 | 65% | 7.8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 437 | 58 | 64% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 428 | 60 | 66% | 7.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 105 | 54 | 59% | 1.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 86 | 53 | 58% | 1.6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 51 | 31 | 34% | 1.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 17 | 21 | 23% | 0.8 |
| Medical Director | 0 | 1 | 1 | 17 | 8 | 9% | 2.1 |
| Other Physician | 0 | 1 | 1 | 11 | 16 | 18% | 0.7 |
| Qualified Social Worker | 0 | 2 | 2 | 2 | 4 | 4% | 0.6 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
30 residents
Residents by payment source
Medicare
3 residents (10%)
Medicaid
6 residents (20%)
Private pay or other
21 residents (70%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
9% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.6
15% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
11% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.3%
Percent of long-stay residents whose ability to move independently worsened
15.3%
26% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
6% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
10.1%
Percent of long-stay residents experiencing one or more falls with major injury
10.1%
150% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.7%
Percent of long-stay high risk residents with pressure ulcers
4.7%
6% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.0%
Percent of long-stay residents with a urinary tract infection
6.0%
121% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.0%
Percent of long-stay residents who lose too much weight
2.0%
64% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.4%
Percent of long-stay residents who have depressive symptoms
8.4%
35% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.8%
Percent of long-stay residents who received an antipsychotic medication
16.8%
24% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
13% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
6% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.3%
22% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.2%
7% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$0
100% lower than Missouri averageMissouri average: $73K
Number of fines
0
100% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$0
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 25, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 25, 2024
70 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Clarence Care Center based on CMS SNF Cost Reports.
Occupancy Rate
54.7%
↑ 2.7pp vs 2023
Net Income
$142,512
↓ ~$63K vs 2023
Total Payroll
$1,889,678
↑ ~$280K vs 2023
Profit Margin
5.0%
↓ 2.4pp vs 2023
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