Inspection Reports for
Clarence Care Center
111 EAST ST, CLARENCE, MO, 63437-1902
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
57% occupied
Based on a November 2025 inspection.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 1
Date: Nov 17, 2025
Visit Reason
The inspection was conducted due to a complaint involving a Certified Nurse Aide (CNA) who gave a resident access to a marijuana vape pen and was under the influence of marijuana while on duty.
Complaint Details
The complaint involved CNA A giving Resident #5 a puff from a marijuana vape pen and being under the influence of marijuana while on duty. The incident was reported late to administration. CNA A was suspended and educated. The resident's physician was not notified as expected.
Findings
The facility failed to ensure protective oversight for Resident #5 when CNA A allowed the resident to inhale marijuana from the CNA's vape pen and failed to immediately report the CNA's impairment to administration. The CNA was suspended and educated on policy violations. Medication interactions with cannabis were noted as potentially harmful.
Deficiencies (1)
Failed to ensure protective oversight when CNA gave resident access to marijuana vape pen and was under the influence while on duty.
Report Facts
Residents affected: 6
Census: 34
Medication doses: 15
Medication doses: 20
Medication doses: 20
Medication doses: 1000
Medication doses: 150
Medication doses: 75
Medication doses: 25
Medication doses: 2
Suspension duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA A | Certified Nurse Aide | Named in findings for giving resident marijuana vape pen and being under influence while on duty |
| CNA D | Certified Nurse Aide | Assisted CNA A and reported incident |
| CNA B | Certified Nurse Aide | Assisted CNA A and reported incident |
| CNA C | Certified Nurse Aide | Reported CNA A's impairment to Director of Nursing |
| CNA G | Certified Nurse Aide | Reported hearing CNA A was high |
| CMT I | Certified Medication Technician | Reported hearing CNA A was high |
| Director of Nursing | Director of Nursing | Received reports and suspended CNA A |
| Administrator | Administrator | Oversaw disciplinary action and policy enforcement |
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 2
Date: May 21, 2024
Visit Reason
The inspection was conducted due to allegations of financial exploitation and sexual abuse of one resident (Resident #401) in a sample of nine residents.
Complaint Details
The complaint involved allegations of financial exploitation and sexual abuse of Resident #401. The allegations were substantiated as the facility failed to report and fully investigate the incidents. Multiple employees had inappropriate financial interactions with the resident, and a Certified Nurse Assistant was alleged to have received gifts and engaged in a sexual relationship with the resident while employed by the facility.
Findings
The facility failed to report allegations of financial exploitation and sexual abuse to the state agency, and failed to fully investigate these allegations. Multiple employees had financial interactions with the resident, including purchasing property sold below market value and charging higher rates for services. The facility did not document all actions related to the allegations, did not interview other residents, and did not document actions to prevent further abuse.
Deficiencies (2)
Failed to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Failed to fully investigate allegations of financial exploitation and sexual abuse, including lack of documentation and failure to interview other residents.
Report Facts
Facility census: 33
Sample size: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Assistant (CNA) I | Alleged to have received gifts and engaged in a sexual relationship with the resident while employed by the facility |
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 2
Date: Jan 25, 2024
Visit Reason
The investigation was conducted due to allegations of financial exploitation and sexual abuse of Resident #401 by multiple facility employees, including inappropriate financial transactions and a possible sexual relationship.
Complaint Details
The complaint involved allegations of financial exploitation and sexual abuse of Resident #401 by multiple employees, including CNA I and RN A. The facility failed to report these allegations timely and did not fully investigate or document the findings. CNA I was terminated for an inappropriate relationship with the resident. RN A purchased the resident's camper below market value. Other employees were paid by the resident for services such as house cleaning. The facility census was 33.
Findings
The facility failed to timely report suspected abuse and neglect, failed to fully investigate allegations of financial exploitation and sexual abuse, and did not document all actions related to the allegations. Multiple employees had financial interactions with the resident, including purchasing property below market value and receiving payment for services at higher rates. The facility also failed to prevent further abuse and did not follow policies regarding staff relationships with residents.
Deficiencies (2)
Failed to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Failed to fully investigate allegations of financial exploitation and sexual abuse, did not document all actions, did not interview other residents, and did not document actions to prevent further abuse.
Report Facts
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA I | Certified Nurse Assistant | Named in findings related to sexual relationship and financial exploitation with Resident #401 |
| RN A | Registered Nurse | Named in findings related to purchase of resident's camper below market value |
| CNA B | Certified Nurse Assistant | Interviewed regarding allegations of sexual relationship |
| Dietary Aide C | Dietary Aide | Involved in renting resident's house and financial interactions |
| Housekeeper L | Housekeeper | Hired by resident for house cleaning |
| Housekeeper M | Housekeeper | Hired by resident for house cleaning |
| Administrator | Facility Administrator | Involved in investigation and decisions related to allegations |
| Director of Nursing | Director of Nursing | Involved in investigation and decisions related to allegations |
Inspection Report
Routine
Census: 36
Deficiencies: 8
Date: May 27, 2021
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident trust fund management, transfer and discharge notifications, bed hold policies, CPR certification, pressure ulcer care, fall prevention, facility-wide resource assessment, and antibiotic stewardship.
Findings
The facility was found deficient in multiple areas including failure to provide quarterly statements for resident trust funds, failure to notify residents and Ombudsman of transfers, failure to inform residents of bed hold policies at transfer, lack of CPR certified staff for resident transport, inadequate pressure ulcer care and documentation, insufficient fall prevention interventions and care plan updates, lack of a facility-wide resource assessment, and failure to implement an antibiotic stewardship program.
Deficiencies (8)
Failed to provide quarterly statements of resident trust funds to all residents or their representatives, including those with petty cash balances.
Failed to provide timely notification to residents, representatives, and Ombudsman of hospital transfers for five residents.
Failed to inform residents or representatives in writing of the facility's bed hold policy at the time of hospital transfer for five residents.
Failed to develop and implement CPR policy and ensure CPR certified staff were available during resident transport in facility van.
Failed to obtain physician orders for treatment of Stage II pressure ulcers and failed to consistently assess and document skin and pressure ulcer risk for two residents.
Failed to implement and evaluate fall prevention interventions and update care plans after multiple falls for two residents; failed to provide adequate supervision for a resident while smoking.
Failed to conduct and document a facility-wide assessment to determine necessary resources for competent resident care during day-to-day operations and emergencies.
Failed to develop an antibiotic stewardship program including protocols and monitoring of antibiotic use.
Report Facts
Facility census: 36
Residents on antibiotics: 17
Residents reviewed: 12
Residents affected by transfer notification deficiency: 5
Residents affected by bed hold policy deficiency: 5
Residents affected by CPR deficiency: 2
Residents affected by pressure ulcer deficiency: 2
Residents affected by fall prevention deficiency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Transportation Staff H | Transportation Staff | Named in CPR certification deficiency and transport of residents #33 and #35 |
| RN A | Registered Nurse | Involved in pressure ulcer assessment and fall prevention |
| CNA G | Certified Nurse Aide | Found open pressure ulcer area on resident #15 |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding CPR certification, antibiotic stewardship, and fall prevention |
| Administrator | Facility Administrator | Interviewed regarding transfer notification, bed hold policy, facility assessment, and antibiotic stewardship |
| Community Coordinator | Interviewed regarding transfer notification and bed hold policy | |
| Social Services/Activity Director | Interviewed regarding transfer notification | |
| Certified Medication Technician E | Certified Medication Technician | Involved in pressure ulcer care |
| Certified Nurse Aide C | Certified Nurse Aide | Observed resident with pressure ulcer |
| Certified Nurse Aide F | Certified Nurse Aide | Interviewed about pressure ulcer and fall prevention |
| Certified Nurse Aide D | Certified Nurse Aide | Interviewed about resident fall frequency |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 6
Date: Apr 4, 2019
Visit Reason
The inspection was conducted based on complaints regarding resident rights to self-determination, baseline care plan summaries, wound care, pain management, dietary menu compliance, and food safety concerns.
Complaint Details
The complaint investigation focused on issues related to resident rights, baseline care plan communication, wound care, pain management, dietary compliance, and food safety. The facility census was 31 residents.
Findings
The facility failed to ensure residents' rights to choose schedules, provide baseline care plan summaries to residents and representatives, provide appropriate wound care and monitoring, maintain effective pain management, follow dietary recipes and menus for special diets, and maintain proper food safety standards including ice machine drainage and kitchen exhaust vent cleanliness.
Deficiencies (6)
Failed to ensure residents' right to choose schedules and make choices about their lives, including waking times.
Failed to provide residents and their representatives with a summary of the baseline care plan within 48 hours of admission.
Failed to provide wound treatment and care according to orders and failed to monitor wounds consistently.
Failed to provide safe and appropriate pain management, including inadequate pain assessment and documentation, and failure to provide timely pain medication.
Failed to follow recipes and menu specifications for mechanical soft and pureed diets, including incorrect portion sizes and missing components.
Failed to ensure ice machine had an appropriate air gap to prevent back siphonage and failed to maintain the exhaust vent over the dish machine in the kitchen.
Report Facts
Residents on mechanical soft diet: 12
Residents on pureed diet: 2
Portion size served: 0.2
Portion size served: 0.2
Portion size served: 0.17
Portion size served: 0.2
Facility census: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA O | Certified Nurse Assistant | Named in findings related to resident waking times and care |
| CNA J | Certified Nurse Assistant | Named in findings related to resident waking times and care |
| CNA L | Certified Nurse Assistant | Named in findings related to resident waking times and care |
| LPN H | Licensed Practical Nurse, Night Shift Charge Nurse | Named in findings related to resident waking times and pain management |
| CMT/MDS Coordinator | Certified Medication Technician / MDS Coordinator | Named in findings related to wound care and pain management |
| DON | Director of Nursing | Named in findings related to resident waking times, wound care, and pain management |
| RN A | Registered Nurse | Named in findings related to wound care and blister management |
| CMT D | Certified Medication Technician | Named in findings related to pain management |
| Dietary Staff B | Dietary Staff | Named in findings related to food preparation and serving |
| Dietary Manager | Dietary Manager | Named in findings related to food preparation and serving |
| Maintenance Supervisor | Maintenance Supervisor | Named in findings related to ice machine drainage and kitchen exhaust vent |
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