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Nursing Home

Clarence Nursing Home

Overview of Clarence Nursing Home
Clarence Nursing Home is part of the Clarence Senior Living Campus, which started in 1968. It offers skilled nursing services and long-term care in a home-like environment. The facility has 46 beds and provides various amenities to support a healthy lifestyle.
(563) 452-3262

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5
Iowa average: 3.2/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5
Iowa average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5
Iowa average: 3.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 2m per day

This home provides 8% less nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 46

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Iowa average
Occupancy rate 91.3%
Residents per day (avg) 44
Occupancy rate
91.3%
Residents per day (avg)
44

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 16 days

Private pay

48% of new residents, often for short stays.

Typical stay 1 years

Medicaid

16% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Voluntary non-profit community
Home revenue
$6.4M
Surplus of revenue
$577.0K
Voluntary non-profit community
Home revenue
$6,375,600.00
Surplus of revenue
$577,048.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.9M
45.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.8M
Total costs $5.7M
Bed community size
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
91%
In line with Iowa average
Occupied beds
42 / 46
Average residents 51 per day

License details

Facility type
Free Standing Nf/snf
Status Active
Issuance April 27, 1988
County: Cedar

Additional licensing details

License number: 160149
CMS Certification Number: 165590
Certification type: FALSE

Ownership & operating entity

Clarence Nursing Home is administrated by Jason Tjaden.

Staffing

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

Leadership

Contact: Jason Tjaden

Care Services

Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs

Contact Information

Fax: 5634523848

Programs & Activities

Specific Programs
Skilled Nursing Services, Long-Term Care
Contact Clarence Nursing Home

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

18 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:November 12, 2025

13 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Clarence Nursing Home

The most recent inspection on November 12, 2025, was a complaint investigation that found the facility in substantial compliance with no deficiencies. Earlier inspections showed a pattern of deficiencies related mainly to resident assessments, infection prevention and control, and care plan updates. Prior reports also noted issues with medication administration, reporting and investigating injuries, and environmental safety concerning resident elopement, but enforcement actions such as fines or license suspensions were not listed in the available reports. Most complaint investigations were unsubstantiated, except for one substantiated case involving failure to prevent resident elopement through an unsecured window. The facility’s recent clean complaint investigation suggests some improvement following earlier citations.

Health Inspection History

Inspections
Total health inspections 3

Iowa average 4.9


Last Health inspection on Jul 2025

Total health citations 7

Iowa average 21.7

Citations per inspection
2.33

Iowa average 4.11


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 7 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 0
100% better than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

0 serious citations More info Iowa average: 0.9

7 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jul 09, 2025
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Aug 22, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Aug 22, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jan 04, 2024
Corrected

Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

5 facilities compared · CMS & IA Dept. of Health data · Updated Mar 2026

Clarence Nursing Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Clarence
46
97.4%
+29%
4.04
-7%
-6%
0
7
0
44
A+
Clarence Nursing Home Inc
$5,7M
$2,9M
50.8%
165590
Akron Care Center, INC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Akron
45
98.1%
+30%
4.71
+15%
+10%
0
4
0
42
-
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Carlisle
46
80.5%
+7%
5.85
-40%
+36%
0
17
2
39
-
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spirit Lake
85
66.6%
-12%
4.29
-8%
0%
1
21
1
65
-
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lake City
46
70.4%
-7%
5.17
-33%
+20%
4
39
4
40
-
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082

Places of interest near Clarence Nursing Home

Address Clarence, IA 522160485

Address Clarence, IA 522160485

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 74
Employees 54
Contractors 20
Staff to resident ratio 1.76:1
12% worse than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 25
Average shift 7 hours
5% worse than Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 15,854
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 2
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

4.5%

720 contractor hours this quarter

Physical Therapy Assistant: 6 Respiratory Therapy Technician: 6 Physical Therapy Aide: 3 Speech Language Pathologist: 2 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant340349,29891100%7.6
Registered Nurse8081,87891100%8
Licensed Practical Nurse2028266875%7.9
Administrator2025915459%7.8
RN Director of Nursing1014485662%8
Mental Health Service Worker1014485662%8
Nurse Practitioner1014445662%7.9
Other Dietary Services Staff1014396066%7.3
Dietitian1014255763%7.5
Medication Aide/Technician3033394044%8.3
Respiratory Therapy Technician0662505864%2.7
Physical Therapy Assistant0661795358%2.4
Speech Language Pathologist0221276268%1.5
Qualified Social Worker011744853%1.5
Physical Therapy Aide033592629%2.3
Occupational Therapy Aide0113144%7.7
Medical Director011111%0.5
34 Certified Nursing Assistant
% of Days 100%
8 Registered Nurse
% of Days 100%
2 Licensed Practical Nurse
% of Days 75%
2 Administrator
% of Days 59%
1 RN Director of Nursing
% of Days 62%
1 Mental Health Service Worker
% of Days 62%
1 Nurse Practitioner
% of Days 62%
1 Other Dietary Services Staff
% of Days 66%
1 Dietitian
% of Days 63%
3 Medication Aide/Technician
% of Days 44%
6 Respiratory Therapy Technician
% of Days 64%
6 Physical Therapy Assistant
% of Days 58%
2 Speech Language Pathologist
% of Days 68%
1 Qualified Social Worker
% of Days 53%
3 Physical Therapy Aide
% of Days 29%
1 Occupational Therapy Aide
% of Days 4%
1 Medical Director
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
42 residents
Residents by payment source
Medicare
2 residents (4.8%)
Medicaid
12 residents (28.6%)
Private pay or other
28 residents (66.7%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.9
7% worse than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.6
In line with Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.2%
40% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.4%
12% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.3%
8% better than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.3%
46% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
77% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.8%
17% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.3%
35% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.4%
11% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Iowa average

Iowa average: 1.8%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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