Clearview Home

Nursing Home, Adult Day Care, Assisted Living, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Mount Ayr, IA

CMS overall rating

406 West Washington, Mount Ayr, Ia 508540552 View map

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Clearview Home accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Clearview Home accepts Medicaid, Medicare, and private pay.

Overview of Clearview Home

Clearview Home delivers long-term medical housing and short-term post-acute therapy at 406 West Washington Street in Mount Ayr, Iowa. Managed by administrator Gary Routh, the 82-bed facility functions with a consistent occupancy rate of 89 percent. Billing processes adapt to diverse customer financial models, balancing regular out-of-pocket payments with standard state Medicaid and federal Medicare network coverages. Stays average 196 days per individual, establishing a daily census where brief convalescent turnarounds are integrated with ongoing skilled nursing placements.

Floor nursing schedules distribute a round-the-clock shift routine providing an average of 3 hours and 45 minutes of direct hands-on care per resident daily. Registered nurses, licensed practical nurses, and certified nursing assistants manage these floor hours to coordinate specialized intermediate therapy tracks, respite strategies, and a dedicated memory care environment for Alzheimer’s and dementia patients. Basic internal features include a barber shop, specialized dietary plans, and nutrition counseling, while the surrounding town environment records a walkability score of 52 out of 100, indicating that while visitors can navigate a few common tasks on foot, everyday travel relies on local driving.

Public health inspections executed by the Iowa Department of Inspections, Appeals, and Licensing track internal quality patterns, certifying that the facility operates in substantial compliance with state rules. Local management uses historical corrective updates on care delivery and resident safeguarding systems to shape current employee training modules and adjust daily clinical workflows.

Prospective residents can call the administrative office to double-check active room availability, ask about specialized dietary options, or set up a time to view the dedicated memory care units. The desk coordinators can also assist with medical coverage, cross-referencing to detail how personal funds, private insurance policies, or state health benefits apply to monthly statements.

Facility Direct Line (641) 464-2240 wcreveling@clearviewhome.net

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

3h 45m per day

vs avg

6 of 6 metrics below 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.	37m per day	▼ 16% State avg: 44m 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.	17m per day	▼ 49% State avg: 34m 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 17m per day	▼ 10% State avg: 2h 32m 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.	2h 50m per day	▼ 15% State avg: 3h 21m 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	▼ 63% 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.	20m per day	▼ 33% State avg: 30m per day · National avg: 28m per day

Capacity and availability

196 days

82-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 52 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

89%

Higher than the Iowa average: 75.4%

Occupied beds

73 / 82

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

IssuanceFebruary 15, 1963

ExpirationFebruary 15, 2027

CountyRinggold

License Number800132

CMS Certification Number165269

Certification TypeFALSE

AccreditationsMedicare, Medicaid, VA Certified

Clearview Home is administered by Gary Routh.

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Intermediate Care

Skilled Care

Email mrouth@clearviewhome.net

Fax6414642230

Pets not allowed

Volunteer Program

Since 2013 · 13 years of data 20 deficiencies 17 inspections

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

Since 2013 vs. Iowa state average

Overall vs. IA average

Latest Inspection October 23, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	20	27	This facility has 26% fewer total deficiencies than a typical Iowa assisted living residence (20 vs. IA avg 27).↓ 26% better
Deficiencies per year Average deficiencies per year since 2013.	1.5	2.1	This facility has 29% fewer deficiencies per year than a typical Iowa assisted living residence (1.5 vs. IA avg 2.1).↓ 29% better
Deficiencies per inspection Average deficiencies per inspection.	1.2	1.8	This facility has 33% fewer deficiencies per inspection than a typical Iowa assisted living residence (1.2 vs. IA avg 1.8).↓ 33% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	17	15	This facility has had 13% more total inspections than the Iowa average (17 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 13% more

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

The most recent inspection on July 24, 2025 found the facility in substantial compliance with no deficiencies cited.
The September 12, 2024 inspection cited one deficiency for failure to safeguard resident-identifiable information, corrected immediately by staff education.
The May 2, 2023 complaint investigation substantiated abuse and neglect, insufficient nursing staff, and failure to allow resident return after hospitalization.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average N/A

Last Health inspection on Sep 2024

Total health citations

State average N/A

Citations per inspection

2.67

State average N/A

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

1 of 8 citations resulted from standard inspections; and 7 of 8 resulted from complaint investigations.

Breakdown of citation severity (last 4 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

1 critical citation State average: N/A

0 serious citations State average: N/A

7 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Care Planning moderate citation Sep 12, 2024

Corrected

Abuse/Neglect moderate citation May 02, 2023

Corrected

Abuse/Neglect critical citation May 02, 2023

Corrected

Nursing Services moderate citation May 02, 2023

Corrected

Total staff 90

Employees 66

Contractors 24

Staff to resident ratio 1.29 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 36

Average shift 7.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 24,979

Nursing staff breakdown

7.4 hours

7.2 hours

7.8 hours

Contractor staffing

5,627 contractor hours this quarter

Certified Nursing Assistant: 13 Administrator: 2 Speech Language Pathologist: 2 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	39	13	52	15,274	92	100%	7.8
Registered Nurse	13	0	13	2,394	92	100%	7.4
Licensed Practical Nurse	6	0	6	1,942	92	100%	7.2
Administrator	1	2	3	1,505	66	72%	8.2
Clinical Nurse Specialist	3	0	3	1,285	86	93%	6.7
Other Dietary Services Staff	2	0	2	1,031	68	74%	8.1
Mental Health Service Worker	1	0	1	504	60	65%	8.4
Nurse Practitioner	1	0	1	462	64	70%	7.2
Occupational Therapy Aide	0	1	1	196	28	30%	7
Physical Therapy Aide	0	1	1	113	48	52%	2.4
Speech Language Pathologist	0	2	2	108	37	40%	2.9
Respiratory Therapy Technician	0	1	1	83	26	28%	3.2
Physical Therapy Assistant	0	1	1	47	21	23%	2.2
Occupational Therapy Assistant	0	1	1	25	5	5%	5
Qualified Social Worker	0	1	1	9	6	7%	1.5
Medical Director	0	1	1	1	1	1%	1

52 Certified Nursing Assistant

% of Days 100%

13 Registered Nurse

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

3 Administrator

% of Days 72%

3 Clinical Nurse Specialist

% of Days 93%

2 Other Dietary Services Staff

% of Days 74%

1 Mental Health Service Worker

% of Days 65%

1 Nurse Practitioner

% of Days 70%

1 Occupational Therapy Aide

% of Days 30%

1 Physical Therapy Aide

% of Days 52%

2 Speech Language Pathologist

% of Days 40%

1 Respiratory Therapy Technician

% of Days 28%

1 Physical Therapy Assistant

% of Days 23%

1 Occupational Therapy Assistant

% of Days 5%

1 Qualified Social Worker

% of Days 7%

1 Medical Director

% of Days 1%

View All Staffing Data

Total fines amount $48K

In line with State average

State average: $48K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $48K

State average $48K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 7.2

30% better than State average

State average: 10.2

Functional decline score 17.6

18% better than State average

State average: 21.6

Long-stay resident measures

Average State avg: 3.3

Need for Help with Daily Activities Increased 13.1%

30% better than State average

State average: 18.8%

Walking Ability Worsened 13.0%

34% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 26.7%

In line with State average

State average: 26.2%

Falls with Major Injury 3.7%

In line with State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 4.8%

11% worse than State average

State average: 4.4%

Urinary Tract Infection 3.0%

21% worse than State average

State average: 2.5%

Lost Too Much Weight 1.3%

74% better than State average

State average: 5.0%

Depressive Symptoms 10.6%

174% worse than State average

State average: 3.9%

Antipsychotic Use 13.5%

29% better than State average

State average: 19.0%

Pneumococcal Vaccine 97.8%

In line with State average

State average: 94.4%

Influenza Vaccine 98.5%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 2.04

38% worse than State average

State average: 1.48

ED visits per 1,000 days 2.01

In line with State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 92.7%

9% better than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Influenza Vaccine 77.8%

6% better than State average

State average: 73.3%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Successful return to home or community 40.6%

20% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

27% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

51% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

22% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Total residents 70

Medicare

2.9% of residents

Medicaid

54.3% of residents

Private pay or other

42.9% of residents

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.

Financial Trends

Historical financial and operational data for Clearview Home from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 84.7% ↑ 6.3pp vs 2022

Net Patient Income $685.1K ↑ ~$742.7K vs 2022

Payroll Costs $3.3M ↓ ~$52.0K vs 2022

Operating Margin 9.9% ↑ 10.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	85.1%	92.1%	86.8%	86.7%	82.5%	80.1%	76.5%	86.0%	85.9%	78.5%	72.1%	78.4%	84.7%
Beds	82	82	82	82	82	82	82	82	82	82	82	82	82
Net Income	$243,733	$154,931	$9,156	$172,858	$147,174	-$15,773	$88,327	$390,495	$77,518	$517,872	$446,654	$221,232	$223,524
Gross Revenue	$3,599,702	$3,773,589	$3,667,532	$3,921,126	$4,237,747	$4,636,955	$4,567,985	$5,213,546	$5,188,038	$5,450,103	$5,282,330	$5,818,528	$7,231,217
Operating Expenses	$3,251,732	$3,500,676	$3,523,159	$3,637,804	$3,940,519	$4,270,734	$4,151,488	$4,513,068	$4,745,755	$5,105,532	$4,922,202	$5,550,430	$6,263,212
Net Patient Income	$274,034	$191,219	$17,416	$183,931	$168,896	$67,397	$155,087	$409,638	$213,085	$33,576	$6,859	-$57,515	$685,147
Net Patient Revenue	$3,525,766	$3,691,895	$3,540,575	$3,821,735	$4,109,415	$4,338,131	$4,306,575	$4,922,706	$4,958,840	$5,139,108	$4,929,061	$5,492,915	$6,948,359
Payroll Costs	$2,206,564	$2,349,843	$2,346,925	$2,372,561	$2,571,673	$2,649,492	$2,604,327	$2,799,753	$3,013,396	$3,072,925	$2,892,594	$3,365,774	$3,313,794
Operating Margin %	7.8%	5.2%	0.5%	4.8%	4.1%	1.6%	3.6%	8.3%	4.3%	0.7%	0.1%	-1.1%	9.9%
Medicare %	1.5%	1.1%	2.3%	1.5%	2.1%	4.3%	3.2%	3.3%	2.1%	6.1%	5.8%	6.4%	4.6%
Medicaid %	53.1%	52.2%	65.4%	57.4%	58.0%	50.7%	56.9%	59.8%	60.1%	57.7%	53.5%	42.1%	45.1%
Private %	45.4%	46.6%	32.3%	41.1%	39.9%	45.1%	39.9%	36.9%	37.8%	36.2%	40.7%	51.5%	50.3%
Net Patient Revenue/Day	$136	$134	$136	$147	$166	$181	$188	$191	$193	$218	$228	$234	$274
Cost/Day	$126	$127	$136	$140	$160	$178	$181	$175	$185	$217	$228	$237	$247
Avg Length of Stay	261.3 days	303.9 days	232.0 days	249.6 days	207.4 days	126.5 days	176.1 days	216.4 days	204.1 days	178.5 days	151.0 days	136.3 days	196.4 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.9M

Net patient income

$685.1K

For-profit Operated by a business corporation.

Net patient revenue

$6.9M

Net patient income

$685.1K

Other income

$136.1K

Payroll costs

$3.3M 47.7% of net patient revenue

Other operating costs

$2.9M

Total costs

$6.3M

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.

Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 5 - 6 months.

Coverage residents most often arrive under.

Medicare 27%

Private pay 51%

Medicaid 22%

Coverage residents most often leave under.

Medicare 15%

Private pay 59%

Medicaid 26%

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


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
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Clearview Home	NH ADC AL HOS MC RC SNF	Mount Ayr	-	82	-	52	-

Nursing Home Explorer

Is Clearview Home in a walkable area?

Clearview Home has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Clearview Home?

According to IA state health department records, Clearview Home's license number is 800132.

When does Clearview Home's license expire?

According to IA state health department records, Clearview Home's license expires on February 15, 2027.

What is the occupancy rate at Clearview Home?

Clearview Home's occupancy is 89%.

Are pets allowed at Clearview Home?

No, Clearview Home has a no-pet policy.

What is the best email address for Clearview Home?

The team at Clearview Home can be reached at mrouth@clearviewhome.net.

Does Clearview Home operate as a for-profit or non-profit?

Clearview Home is registered as a for-profit in IA.

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Clearview Home

Overview of Clearview Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Clearview Home

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa 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 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

52 Certified Nursing Assistant

13 Registered Nurse

6 Licensed Practical Nurse

3 Administrator

3 Clinical Nurse Specialist

2 Other Dietary Services Staff

1 Mental Health Service Worker

1 Nurse Practitioner

1 Occupational Therapy Aide

1 Physical Therapy Aide

2 Speech Language Pathologist

1 Respiratory Therapy Technician

1 Physical Therapy Assistant

1 Occupational Therapy Assistant

1 Qualified Social Worker

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

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

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Clearview Home

Calculate Travel Distance to Clearview Home

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