Quick answers
- Where is Clarence Care Center?
- 111 East Street, Clarence, MO 63437, in Shelby County, Missouri.
- What is the phone number of Clarence Care Center?
- (660) 699-2118, as listed by Medicare (CMS).
- What is the Medicare star rating of Clarence Care Center?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Clarence Care Center been fined?
- Medicare lists no fines for Clarence Care Center, but 1 payment denial.
- What did inspectors find at Clarence Care Center?
- In its last three inspection cycles (May 27, 2021 to January 29, 2026), Medicare lists 25 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 27, 2021 to January 29, 2026), Clarence Care Center had 25 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It had 1 Medicare payment denial (the latest began January 25, 2024) and no fines. Nurse staffing is 4.74 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 29, 2026 — 2 health citations
Inspections in this cycle: November 17, 2025 (complaint investigation); January 29, 2026 (standard health inspection).
Show 2 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
Previous cycle: January 25, 2024 — 13 health citations
Inspections in this cycle: January 25, 2024 (standard health inspection).
F0744 Level G
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 12 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0947 Level F
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0758 Level E
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0623 Level C
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level C
“Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.”
Earlier cycle: May 27, 2021 — 10 health citations
Inspections in this cycle: May 27, 2021 (standard health inspection); May 21, 2024 (complaint investigation).
Show 10 citations (levels A to F, no actual harm)
F0838 Level F
“Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.”
F0568 Level E
“Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.”
F0623 Level E
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level E
“Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0881 Level E
“Implement a program that monitors antibiotic use.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0678 Level D
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (31)
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0363 Level F
“Install corridor and hallway doors that block smoke.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0161 Level F
“Use approved construction type or materials.”
K0222 Level F
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0932 Level F
“Meet other general requirements.”
E0004 Level E
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level E
“Conduct risk assessment and an All-Hazards approach.”
E0013 Level E
“Develop Emergency Preparedness policies and procedures.”
E0015 Level E
“Address subsistence needs for staff and patients.”
E0018 Level E
“Establish procedures for tracking staff and patients during an emergency.”
E0020 Level E
“Establish policies and procedures including evacuation.”
E0024 Level E
“Establish policies and procedures for volunteers.”
E0026 Level E
“Establish roles under a Waiver declared by secretary.”
E0030 Level E
“List the names and contact information of those in the facility.”
E0032 Level E
“Provide primary/alternate means for communication.”
E0033 Level E
“Establish methods for sharing information.”
E0035 Level E
“Provide family notifications of emergency plan.”
E0037 Level E
“Establish staff and initial training requirements.”
E0041 Level E
“Implement emergency and standby power systems.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
Fines and payment denials
Total fines over about the last three years: $0 (0 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| January 25, 2024 | Payment denial | from April 19, 2024, 70 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.73 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.60 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 3.40 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 4.74 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.23 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.47 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 41.7% | 56.9% | 45.3% |
| RN turnover (per year) | 40.0% | 50.0% | 42.5% |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Clarence Nursing Home District.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Clarence Nursing Home District | Direct owner | 100% | January 1, 1977 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 60 |
| Average residents per day | 27 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – county |
| Legal business name | Clarence Nursing Home District |
| First approved by Medicare/Medicaid | 1994-11-18 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 111 East Street, Clarence, MO 63437 |
| County | Shelby County |
| State | Missouri |
| Phone | (660) 699‑2118 |
| CMS Certification Number | 265599 |
| Name in Medicare records | CLARENCE CARE CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Macon Health Care Center11 mi · Macon, MO · 5 of 5 stars
- Baptist Homes of Shelbina12 mi · Shelbina, MO · 1 of 5 stars
- Loch Haven13 mi · Macon, MO · 2 of 5 stars
- North Village Park23 mi · Moberly, MO · 1 of 5 stars
- La Plata Nursing Home23 mi · La Plata, MO · 3 of 5 stars
Nearest hospital emergency rooms
- Macon County Samaritan Memorial Hospital11 mi · Macon, MO · Critical Access Hospital
- Moberly Regional Medical Center24 mi · Moberly, MO · Acute Care Hospital
- Northeast Regional Medical Center36 mi · Kirksville, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13