Clarence Care Center

Nursing Home, Respite Care & Skilled Nursing · Clarence, MO

CMS overall rating

111 East St, Clarence, MO 63437-1902 View map

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Clarence Care Center accepts Medicare, Medicaid, and private pay.

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Clarence Care Center accepts Medicare, Medicaid, and private pay.

Overview of Clarence Care Center

Clarence Care Center is a 60-bed skilled nursing home on North Front Street in Clarence, Missouri, run by owner Tim Chinn, administrator Mark Walker, and the Clarence Nursing Home District. Financial billing is distributed across several standard coverage networks, accepting Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the facility is situated in a car-dependent neighborhood with a walkability score of 24 out of 100, meaning family members will need a vehicle for visits and local errands.

The property runs at a 57 percent occupancy rate, while an average resident stay of 523 days points to an everyday operational routine focused primarily on long-term residential placements alongside standard post-hospital therapy tracks. Daily clinical protocols are managed through a 24-hour setup that averages 4 hours and 39 minutes of total nursing care per resident each day. This continuous coverage is shared among registered nurses, licensed practical nurses, and nurse aides who handle direct physical assistance and medication tracking.

Public data shows how the administrative team responds to routine state regulatory reviews. Recent state inspection survey records show that the facility has logged specific compliance deficiencies concerning clinical care protocols, staff training routines, safety supervision, and financial paperwork management, meaning the home’s total cumulative citations-per-inspection rate is not zero, and families should review these corrections directly with the administration.

Interested individuals can participate in structured physical conditioning tracks, short-term rehabilitation, and temporary respite care loops. The kitchen staff prepares home-cooked meals fresh daily, giving residents the choice to gather in the central dining hall or receive meal trays in their rooms.

Facility Direct Line (660) 699-2118

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 39m per day

vs avg

2 of 6 metrics below state avg

Standout metric Nurse Aide is +25% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	32m per day	▲ 16% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	36m per day	▼ 11% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 54m per day	▲ 25% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 29m per day	▲ 14% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 72% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	21m per day	▲ 4% State avg: 20m per day · National avg: 28m per day

Capacity and availability

523 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 24 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

57%

Lower than the Missouri average: 66.6%

Occupied beds

34 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceDecember 1, 2024

ExpirationNovember 30, 2026

CountyShelby

License Number052307

CMS Certification Number265599

Certification TypeMedicare / Medicaid

Clarence Care Center is legally operated by Clarence Nursing Home District, and administered by Mark Walker.

Corporate EntityCLARENCE NURSING HOME DISTRICT

Owner NameClarence Nursing Home District

Skilled Nursing Facility

60 units

Total beds

60 units

Staffing

Key information about the people who lead and staff this community.

ContactDebbie Hardy, Administrative Assistant (per BBB, record updated Jul 2026)

Rehabilitation Services

Respite Care

Short-Term Rehab

Pets not allowed

Housekeeping

Laundry

Dining

Since 2018 · 8 years of data 99 deficiencies 12 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection November 17, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	99	35	This facility has 183% more total deficiencies than a typical Missouri assisted living residence (99 vs. MO avg 35).↑ 183% worse
Deficiencies per year Average deficiencies per year since 2018.	12.4	4.4	This facility has 182% more deficiencies per year than a typical Missouri assisted living residence (12.4 vs. MO avg 4.4).↑ 182% worse
Deficiencies per inspection Average deficiencies per inspection.	8.3	2.9	This facility has 186% more deficiencies per inspection than a typical Missouri assisted living residence (8.3 vs. MO avg 2.9).↑ 186% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	12	12	This facility has total inspections in line with the Missouri average (12 vs. MO avg 12).— At avg

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The November 17, 2025 complaint investigation found the CNA gave a resident marijuana from a vape pen while impaired and failed to report it immediately.
May 21 and January 25, 2024 investigations substantiated failures to report and fully investigate financial exploitation and sexual abuse involving multiple employees and one resident.
The May 27, 2021 routine inspection cited eight deficiencies including trust fund mismanagement, lack of CPR-certified staff, pressure ulcer care failures, fall prevention gaps, and no antibiotic stewardship program.

Show Inspection Reports

Inspections since 2019

Total health inspections 5

State average N/A

Last Health inspection on Nov 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

25 moderate citations State average: N/A

3 minor citations State average: N/A

Citations history (last 7 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

Total staff 68

Employees 52

Contractors 16

Staff to resident ratio 2.27 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 21

Average shift 6.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 13,363

Nursing staff breakdown

9.3 hours

7.4 hours

7.1 hours

Contractor staffing

314 contractor hours this quarter

Respiratory Therapy Technician: 5 Physical Therapy Aide: 3 Speech Language Pathologist: 3 Qualified Social Worker: 2 Physical Therapy Assistant: 1 Medical Director: 1 Other Physician: 1

Staff by category


Certified Nursing Assistant	24	0	24	6,112	92	100%	7.1
Licensed Practical Nurse	5	0	5	1,875	92	100%	7.4
Medication Aide/Technician	6	0	6	1,633	90	98%	8
Nurse Aide in Training	7	0	7	1,206	75	82%	7.7
Registered Nurse	6	0	6	734	63	68%	9.3
Other Dietary Services Staff	1	0	1	499	63	68%	7.9
Clinical Nurse Specialist	1	0	1	495	51	55%	9.7
Nurse Practitioner	1	0	1	440	60	65%	7.3
Physical Therapy Aide	0	3	3	131	59	64%	2.2
Speech Language Pathologist	0	3	3	58	27	29%	2.1
Therapeutic Recreation Specialist	1	0	1	56	7	8%	8
Physical Therapy Assistant	0	1	1	48	27	29%	1.8
Respiratory Therapy Technician	0	5	5	29	23	25%	1.2
Qualified Social Worker	0	2	2	25	25	27%	1
Medical Director	0	1	1	21	11	12%	1.9
Other Physician	0	1	1	2	2	2%	1

24 Certified Nursing Assistant

% of Days 100%

5 Licensed Practical Nurse

% of Days 100%

6 Medication Aide/Technician

% of Days 98%

7 Nurse Aide in Training

% of Days 82%

6 Registered Nurse

% of Days 68%

1 Other Dietary Services Staff

% of Days 68%

1 Clinical Nurse Specialist

% of Days 55%

1 Nurse Practitioner

% of Days 65%

3 Physical Therapy Aide

% of Days 64%

3 Speech Language Pathologist

% of Days 29%

1 Therapeutic Recreation Specialist

% of Days 8%

1 Physical Therapy Assistant

% of Days 29%

5 Respiratory Therapy Technician

% of Days 25%

2 Qualified Social Worker

% of Days 27%

1 Medical Director

% of Days 12%

1 Other Physician

% of Days 2%

View All Staffing Data

Total fines amount $0

100% lower than State average

State average: $73K

Number of fines 0

100% fewer fines than State average

State average: 2.4

Payment Denials 1

45% more payment denials than State average

State average: 0.7

Fines amount comparison

This facility $0

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jan 25, 2024 · 70 days

Payment Denial Jan 25, 2024

70 days

Last updated: Jan 2026

High-risk clinical events score 10.0

9% better than State average

State average: 10.9

Functional decline score 16.6

15% better than State average

State average: 19.5

Long-stay resident measures

Significantly below average State avg: 2.7

Need for Help with Daily Activities Increased 17.7%

11% better than State average

State average: 19.8%

Walking Ability Worsened 15.3%

26% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 17.0%

6% better than State average

State average: 18.1%

Falls with Major Injury 10.1%

150% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.7%

6% better than State average

State average: 5.0%

Urinary Tract Infection 6.0%

121% worse than State average

State average: 2.7%

Lost Too Much Weight 2.0%

64% better than State average

State average: 5.6%

Depressive Symptoms 8.4%

35% better than State average

State average: 12.8%

Antipsychotic Use 16.8%

24% better than State average

State average: 22.0%

Pneumococcal Vaccine 96.6%

13% better than State average

State average: 85.2%

Influenza Vaccine 96.8%

6% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.93

7% better than State average

State average: 2.08

ED visits per 1,000 days 2.62

11% worse than State average

State average: 2.35

Short-stay resident measures

Significantly below average State avg: 2.1

Pneumococcal Vaccine 81.3%

22% better than State average

State average: 66.6%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 2.2%

Influenza Vaccine 68.2%

7% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 28.9%

14% worse than State average

State average: 25.3%

Emergency department visits 24.1%

80% worse than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

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

Total residents 30

Medicare

10% of residents

Medicaid

20% of residents

Private pay or other

70% of residents

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.

Financial Trends

Historical financial and operational data for Clarence Care Center from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 54.7% ↑ 2.7pp vs 2023

Net Patient Income -$162.9K ↓ ~$207.1K vs 2023

Payroll Costs $1.9M ↑ ~$280.2K vs 2023

Operating Margin -6.3% ↓ 8.1pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	56.3%	59.9%	48.8%	49.6%	54.2%	55.7%	61.4%	54.1%	55.2%	55.2%	55.4%	52.0%	54.7%
Beds	60	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	-$115,730	$86,823	-$117,635	$53,411	$93,888	$86,082	$175,184	-$68,646	$99,270	$147,587	$2,782	$205,832	$142,512
Gross Revenue	$2,445,702	$2,214,695	$2,137,274	$2,085,575	$2,332,697	$2,530,853	$2,721,020	$2,591,390	$2,505,815	$2,736,089	$2,584,585	$2,764,602	$2,826,853
Operating Expenses	$2,219,137	$2,032,910	$1,931,403	$1,840,485	$1,979,791	$2,163,421	$2,335,461	$2,372,834	$2,247,508	$2,491,967	$2,574,638	$2,431,633	$2,758,786
Net Patient Income	-$209,995	-$3,689	-$207,919	-$41,240	-$13,429	-$20,328	$69,865	-$179,480	-$70,267	-$145,535	-$301,476	$44,185	-$162,887
Net Patient Revenue	$2,009,142	$2,029,221	$1,723,484	$1,799,245	$1,966,362	$2,143,093	$2,405,326	$2,193,354	$2,177,241	$2,346,432	$2,273,162	$2,475,818	$2,595,899
Payroll Costs	$1,368,586	$1,287,126	$1,206,955	$1,142,288	$1,206,666	$1,268,883	$1,453,868	$1,456,214	$1,409,930	$1,562,224	$1,634,165	$1,609,440	$1,889,678
Operating Margin %	-10.5%	-0.2%	-12.1%	-2.3%	-0.7%	-1.0%	2.9%	-8.2%	-3.2%	-6.2%	-13.3%	1.8%	-6.3%
Medicare %	10.0%	5.3%	7.5%	7.3%	8.7%	8.7%	8.6%	6.6%	5.8%	10.0%	4.1%	7.7%	4.1%
Medicaid %	59.2%	60.3%	55.7%	46.9%	38.6%	39.6%	44.6%	54.6%	49.7%	42.0%	41.1%	23.1%	26.0%
Private %	30.8%	34.4%	36.8%	45.8%	52.7%	51.6%	46.8%	38.8%	34.3%	41.0%	48.0%	56.4%	54.3%
Net Patient Revenue/Day	$163	$155	$161	$166	$165	$176	$179	$185	$180	$194	$187	$217	$216
Cost/Day	$180	$155	$181	$170	$166	$177	$174	$200	$185	$206	$212	$213	$230
Avg Length of Stay	128.7 days	222.4 days	248.3 days	264.7 days	626.8 days	469.2 days	154.5 days	359.2 days	466.3 days	863.6 days	551.9 days	355.9 days	522.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$2.6M

Net patient income

-$162.9K

Government Operated by federal authorities.

Net patient revenue

$2.6M

Net patient income

-$162.9K

Other income

$305.4K

Payroll costs

$1.9M 72.8% of net patient revenue

Other operating costs

$869.1K

Total costs

$2.8M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (62% of admissions), and a typical private pay stay runs around 7 - 8 months.

Coverage residents most often arrive under.

Medicare 33%

Private pay 62%

Medicaid 5%

Coverage residents most often leave under.

Medicare 32%

Private pay 55%

Medicaid 14%

0.0 miles from city center Estimated distance in miles from Clarence's city center to Clarence Care Center's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
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Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Clarence Care Center	NH RC SNF	Clarence	-	60	-	24	-

Nursing Home Explorer

Who is the owner of Clarence Care Center?

Clarence Care Center is legally operated by Clarence Nursing Home District, and administered by Mark Walker.

Is Clarence Care Center in a walkable area?

Clarence Care Center has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Clarence Care Center?

According to MO state health department records, Clarence Care Center's license number is 052307.

When does Clarence Care Center's license expire?

According to MO state health department records, Clarence Care Center's license expires on November 30, 2026.

What is the occupancy rate at Clarence Care Center?

Clarence Care Center's occupancy is 57%.

Are pets allowed at Clarence Care Center?

No, Clarence Care Center has a no-pet policy.

Is Clarence Care Center a government-operated facility?

Clarence Care Center is a government-operated nursing facility in MO.

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Clarence Care Center

Overview of Clarence Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Clarence Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

24 Certified Nursing Assistant

5 Licensed Practical Nurse

6 Medication Aide/Technician

7 Nurse Aide in Training

6 Registered Nurse

1 Other Dietary Services Staff

1 Clinical Nurse Specialist

1 Nurse Practitioner

3 Physical Therapy Aide

3 Speech Language Pathologist

1 Therapeutic Recreation Specialist

1 Physical Therapy Assistant

5 Respiratory Therapy Technician

2 Qualified Social Worker

1 Medical Director

1 Other Physician

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

Places of interest near Clarence Care Center

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