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Nursing home

Clarence Care Center

111 East Street, Clarence, MO 63437 · Map
Government - County · 60 certified beds

Medicare and Medicaid certified
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Clarence Care Center is a Medicare-certified nursing home in Clarence, Missouri. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.77 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Jan 25, 2024 cited 14 deficiencies.

1 out of 5Overall CMS rating
2 out of 5Health inspections
4 out of 5Staffing
60 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections2/5
Staffing4/5
Quality measures1/5
Long-stay quality1/5
Short-stay quality1/5

How Clarence Care Center compares

This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityMissouri avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.773.473.89above avg
RN staffing (hrs/resident/day)0.560.460.68above avg
Aide staffing (hrs/resident/day)2.692.322.34above avg
Nursing staff turnover55.3%57.0%46.4%below avg
Deficiencies cited, last inspection14.012.09.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.77Total nurse hrs/resident/day
0.56RN hrs/resident/day
0.52LPN hrs/resident/day
2.69Aide hrs/resident/day
3.26Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff55.3%
Registered nurses50.0%
Administrator changes—

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jan 25, 2024Most recent inspection
14Deficiencies found
177Health inspection score
0Fines
  • Every deficiency from the January 29, 2026 inspection was corrected by February 27, 2026

Penalties in CMS records: 1 total penalty, 1 Medicare payment denial.

What inspectors found at Clarence Care Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Jan 29, 2026 · Full report (PDF)
  • Potential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies · Nov 17, 2025 · Full report (PDF)
  • Potential for harm

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 21, 2024 · Full report (PDF)
  • Potential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 21, 2024 · Full report (PDF)
  • Actual harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Quality of Life and Care Deficiencies · Jan 25, 2024 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Nursing and Physician Services Deficiencies · Jan 25, 2024 · Full report (PDF)
  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Jan 25, 2024 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jan 25, 2024 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Jan 25, 2024 · Full report (PDF)
  • Potential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies · Jan 25, 2024 · Full report (PDF)
  • Potential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Resident Assessment and Care Planning Deficiencies · Jan 25, 2024 · Full report (PDF)
  • Potential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Resident Assessment and Care Planning Deficiencies · Jan 25, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
111 East Street
Clarence, MO 63437
CMS certification #
265599
Ownership
Government - County
Certified beds
60
Avg residents/day
34.1
Provider type
Medicare and Medicaid
First certified
1994-11-18
Setting
Rural

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Location and nearby

Explore the area around Clarence Care Center using Google Maps.

Other public records

  • Website says Respite stays, transportation
Full public records, with dates and sources

Care and services

From the community’s website

What Clarence Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Offers respite or short-term stays. RESPITE CARE (page, checked Oct 15, 2026)
  • Provides transportation. Tina Hamilton, HR/Transportation (page, checked Oct 12, 2026)

Location and nearby care

Nearest hospital with an emergency room
Macon County Samaritan Memorial Hospital, Macon. 11.4 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
Nearest Medicare nursing home
Macon Health Care Center, Macon. 10.6 miles away, straight line.
Nearest home health agency office
Angels Care Home Health, Moberly. 23.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 35.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 63437 as rural (rural area).
Dialysis within 15 miles
Dialysis Clinics, Inc. - Macon, Macon, 11.4 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
4 Medicare hospices tell CMS they serve ZIP code 63437.
St. Croix Hospice, office in Moberly, 23.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Nearest geriatric medicine practice
Quincy Physicians And Surgeons Clinic, PLLC, Quincy. 47.2 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave very high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Clarence Care Center a good nursing home?

CMS gives Clarence Care Center an overall rating of 1 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Clarence Care Center staffed?

Clarence Care Center reports 3.77 total nurse hours per resident per day, compared with the Missouri average of 3.47.

Has Clarence Care Center had inspection problems?

Its most recent CMS inspection cited 14 deficiencies.

How many beds does Clarence Care Center have?

Clarence Care Center is certified for 60 beds.

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