Inspection Report Summary
The most recent inspection on October 23, 2025, found the facility to be in substantial compliance following a complaint investigation with no deficiencies cited. Earlier inspections showed a mixed record, including a 2023 substantiated complaint involving staff abuse and insufficient nursing staff, as well as a 2024 citation for failure to safeguard resident-identifiable information. Prior deficiencies primarily involved resident care issues such as abuse prevention, staffing levels, and documentation, along with some infection control and privacy concerns. Complaint investigations were mostly unsubstantiated except for the 2023 abuse-related case, which led to staff termination and corrective actions. The facility’s inspection history shows improvement over time, with recent surveys indicating compliance and no enforcement actions listed in the available reports.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
73 residents
Based on a September 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 23, 2025
Visit Reason
A complaint investigation was conducted for facility reported incidents #Incident 2623707 on October 22-23, 2025.
Findings
The facility was found to be in substantial compliance following the complaint investigation.
Complaint Details
Investigation related to incident #2623707; facility found in substantial compliance.
Inspection Report
Annual Inspection
Deficiencies: 0
Jul 24, 2025
Visit Reason
An annual recertification survey and investigation of a facility reported incident #1781556-I was conducted from July 21, 2025 to July 24, 2025.
Findings
The facility was found to be in substantial compliance with no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 10, 2025
Visit Reason
A complaint investigation for facility reported incident #124094-I was conducted from March 10, 2025 to March 11, 2025.
Findings
The facility was found to be in substantial compliance following the complaint investigation.
Complaint Details
Complaint investigation for incident #124094-I; facility found in substantial compliance.
Inspection Report
Plan of Correction
Deficiencies: 0
Sep 25, 2024
Visit Reason
The document serves as a statement of deficiencies and plan of correction following a survey completed on September 25, 2024, related to facility certification compliance.
Findings
Based on acceptance of the facility's credible allegation of substantial compliance and plan of correction, the facility will be certified in compliance effective September 25, 2024.
Inspection Report
Annual Inspection
Census: 73
Deficiencies: 1
Sep 12, 2024
Visit Reason
The inspection was conducted as part of the facility's annual recertification survey and investigation of complaint #123079-C, which was found to be unsubstantiated.
Findings
The facility failed to properly safeguard resident-identifiable information, as evidenced by an open laptop displaying Electronic Health Record information in a common area. Immediate education and re-education of staff on safeguarding resident information were completed.
Complaint Details
Complaint #123079-C was investigated and found to be unsubstantiated.
Deficiencies (1)
| Description |
|---|
| Failure to safeguard resident-identifiable information, including visible Electronic Health Record information on an unlocked laptop in a common area. |
Report Facts
Census: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse (RN) | Interviewed regarding laptop screen locking procedures |
| Director of Nursing | Stated staff should lock computer screen when leaving medication cart |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 23, 2024
Visit Reason
A complaint investigation was conducted for facility reported incidents #122111-I and #122169-I from July 22, 2024 to July 23, 2024.
Findings
The facility was found to be in substantial compliance following the complaint investigation.
Complaint Details
Investigation of complaints #122111-I and #122169-I resulted in a finding of substantial compliance.
Inspection Report
Annual Inspection
Census: 63
Deficiencies: 0
Apr 25, 2024
Visit Reason
An annual recertification survey was conducted from April 22, 2024 to April 25, 2024 to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.
Findings
The facility was found to be in substantial compliance with the regulatory requirements during the annual recertification survey.
Inspection Report
Re-Inspection
Deficiencies: 0
Jul 18, 2023
Visit Reason
The visit was an onsite revisit to verify compliance following a previous inspection.
Findings
Based on the onsite revisit completed July 18, 2023, the facility will be certified in compliance as of May 17, 2023. Denial of payment was not effectuated.
Inspection Report
Complaint Investigation
Census: 70
Deficiencies: 3
May 2, 2023
Visit Reason
The inspection was conducted as an investigation of multiple complaints (#111157-C, #112261-C, #112275-C, #112369-C), self-report #112273-I, and mandatory self-reports #111616-M and #111851-M from April 17 to May 2, 2023.
Findings
The facility was found not to be free from abuse and neglect, specifically failing to prevent and properly investigate an incident involving a staff member taking and sharing a video of a resident inappropriately. Staff were terminated and re-educated, and immediate jeopardy was corrected. Additional deficiencies included insufficient nursing staff and failure to permit residents to return to the facility after hospitalization.
Complaint Details
Complaint #111157-C was substantiated; #112261-C was not substantiated; #112275-C was substantiated; #112369-C was not substantiated; self-report #112273-I was not substantiated. Mandatory self-reports #111616 and #111851 were investigated. The investigation focused on abuse allegations involving a staff member (Staff D) who took and shared a video of Resident #2 inappropriately. Staff D was terminated, and the facility implemented re-education and corrective actions.
Severity Breakdown
Immediate Jeopardy: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure a resident was free from degradation and abuse, including a staff member taking and sharing a video of a resident inappropriately. | Immediate Jeopardy |
| Facility failed to permit a resident to return to the facility after hospitalization as required by policy. | — |
| Facility failed to provide sufficient nursing staff to meet resident needs and respond to call lights in a timely manner. | — |
Report Facts
Census: 70
Deficiency count: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Named in abuse video incident and termination | |
| Staff E | Reported video incident to Assistant Administrator | |
| Staff C | Nurse | Witnessed video incident and reported management response |
| Assistant Administrator | Informed about video incident and involved in termination decision | |
| Director of Nursing | DON | Reported abuse investigation and staff training |
| Social Service Director | SSD | Provided family pamphlets and interviewed residents |
| Staff A | Aide | Witnessed and reported on video incident |
| Staff B | Aide | Reported hearing about video incident |
| Staff F | Aide | Reported training on abuse and phone use |
| Staff G | Aide | Reported training on abuse and phone use |
Inspection Report
Plan of Correction
Deficiencies: 0
Feb 7, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction related to the facility's compliance with regulatory requirements.
Findings
The facility was certified in compliance effective January 30, 2023, based on acceptance of a credible allegation of compliance and plan of correction.
Inspection Report
Annual Inspection
Census: 67
Deficiencies: 6
Dec 1, 2022
Visit Reason
The inspection was conducted as the facility's annual recertification survey and included investigation of multiple complaint intakes and facility reported incidents.
Findings
The facility was found deficient in several areas including failure to report a bruise of unknown origin, incomplete PASARR assessments, failure to follow physician orders for wound care frequency, improper catheter care, failure to provide oxygen per physician orders, and failure to report an attempted suicide to the Iowa Department of Inspections and Appeals.
Complaint Details
Complaints #107419 and #107103 were investigated and found not substantiated. Facility Reported Incidents #109605 and #105140 were also not substantiated.
Severity Breakdown
SS=D: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to submit a bruise of unknown origin for Resident #54 to the Iowa Department of Inspections and Appeals (DIA). | SS=D |
| Failed to ensure accurate completion of the Preadmission Screening and Resident Review (PASRR) for Resident #61. | SS=D |
| Failed to initiate a new order changing the frequency of wound care for Resident #271. | SS=D |
| Failed to keep catheter bag off the floor for Resident #3. | SS=D |
| Failed to provide oxygen according to physician orders for Resident #8. | SS=D |
| Failed to report an attempted suicide of Resident #32 to the Iowa Department of Inspections and Appeals. | SS=D |
Report Facts
Resident census: 67
Bruise size: 30
MDS BIMS score: 14
MDS BIMS score: 0
MDS BIMS score: 14
MDS BIMS score: 9
Oxygen liter flow: 2
Oxygen liter flow: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Confirmed failure to report bruise and suicide attempt; discussed wound care order confusion and oxygen order adherence |
| Staff B | Registered Nurse | Reported wound dressing frequency for Resident #271 |
| Staff A | Licensed Practical Nurse | Observed performing wound dressing change for Resident #271 |
Inspection Report
Annual Inspection
Census: 62
Deficiencies: 4
May 26, 2021
Visit Reason
The inspection was conducted as part of the facility's annual recertification and state licensure survey for Clearview Home.
Findings
The facility failed to develop and implement comprehensive person-centered care plans for residents, ensure staff properly primed insulin pens prior to administration, provide appropriate restorative nursing programs, and ensure residents were free from unnecessary psychotropic medications. Corrective actions and education were planned and implemented to address these deficiencies.
Severity Breakdown
Level D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to develop and implement comprehensive person-centered care plans for residents, including measurable objectives and timeframes. | Level D |
| Failure to ensure staff properly primed insulin FlexPen prior to administration. | Level D |
| Failure to provide appropriate restorative nursing programs to maintain or improve residents' abilities in activities of daily living. | Level D |
| Failure to ensure residents were free from unnecessary psychotropic medications and proper documentation and evaluation of PRN psychotropic medication use. | Level D |
Report Facts
Residents reviewed: 7
Residents reviewed: 1
Residents reviewed: 1
Residents reviewed: 5
Census: 62
Inspection Report
Abbreviated Survey
Census: 52
Deficiencies: 0
Dec 23, 2020
Visit Reason
A focused COVID-19 infection control survey was conducted to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 51
Deficiencies: 0
Dec 3, 2020
Visit Reason
A focused COVID-19 infection survey was conducted to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 51
Inspection Report
Abbreviated Survey
Census: 63
Deficiencies: 1
Jun 24, 2020
Visit Reason
The inspection was conducted as a COVID-19 Focused Infection Control Survey by the Department of Inspection and Appeals on 06/24/2020.
Findings
The facility failed to ensure staff washed their hands and changed gloves in accordance with standard infection control protocols during resident care, specifically during perineal care and lotion application.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staff washed hands and changed gloves properly during resident care, leading to potential infection control risks. |
Report Facts
Facility census: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gary Joe Routh | Administrator | Signed the report and plan of correction. |
| Staff A | Certified Nursing Assistant | Observed failing to follow proper hand hygiene and glove use during resident care. |
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