Hearth Record

Clarion Wellness and Rehabilitation Center

A nursing home in Clarion, Iowa 50525

110 13th Avenue SW, Clarion, Iowa 50525. (515) 532-2893.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 20 citations in 5 months of the last 36. Last cited Nov 2025. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

8 health citations at the latest inspection cycle

The Iowa average is 6.6.

Last standard inspection Aug 28, 2025.

Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Oct 17, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

20 citations in 5 months of the last 36. Last cited Nov 2025. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

20 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 20 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 5 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Nov 25, 2025: complaint inspection1 citation

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 24, 2025.

Aug 28, 2025: standard inspection7 citations

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 22, 2025.

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 22, 2025.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 22, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 22, 2025.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 22, 2025.

  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Rule F0868. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 22, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 22, 2025.

Jul 9, 2025: complaint inspection2 citations

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2025.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2025.

Feb 11, 2025: complaint inspection1 citation

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 14, 2025.

Oct 17, 2024: standard inspection8 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. J: immediate jeopardy to health or safety. Correction date, as CMS recorded it: Nov 4, 2024.

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

    Rule F0609. K: immediate jeopardy to health or safety. Correction date, as CMS recorded it: Nov 4, 2024.

  • Respond appropriately to all alleged violations.

    Rule F0610. K: immediate jeopardy to health or safety. Correction date, as CMS recorded it: Nov 4, 2024.

  • Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Rule F0578. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 4, 2024.

  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Rule F0803. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 4, 2024.

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

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 4, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 4, 2024.

  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Rule F0943. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 4, 2024.

Oct 17, 2024: standard and complaint inspection1 citation

  • Ensure that residents are free from significant medication errors.

    Rule F0760. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Nov 4, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Sep 17, 1997.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 76 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $24,174 in all.
  • No Medicare payment denials in the last three years.
  • 5 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Oct 17, 2024Fine$24,174

Who does the caring?

2.99 nurse hours per resident per day

The Iowa average is 3.86.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeIowa average
Nurse hours per resident per day2.993.86
Of which registered nurses0.410.74
At weekends2.703.38
Nursing staff turnover42.3%44.1%
Registered nurse turnover57.1%42.1%
Administrators who left0Not given

Who owns it?

  • Gateway Healthcare LLC owns 100% directly since Jul 18, 2011.
  • Onshift Inc. and Helping Hands Nursing Solution Inc. and Elohim Medical Staffing Agency Inc. and Aerofund Holdings Inc. run it.
  • 12 owners or officers are people: Dustin Smith (runs it (operational or managerial control)); Dustin Smith (on the governing body (managing control)); Dustin Smith (additional disclosable party (controls, leases property to, or provides services to the home)); Ami Sato (corporate officer, 0%); David Jorgensen (corporate director); Debra K Koenig (corporate officer, 0%); Chad Keetch (corporate officer, 0%); Spencer Cozzens (runs it (operational or managerial control), 0%); Spencer Cozzens (on the governing body (managing control)); Spencer Cozzens (additional disclosable party (controls, leases property to, or provides services to the home)); Soon Burnam (corporate officer, 0%); Soon Burnam (on the governing body (managing control)).
  • Part of The Ensign Group (347 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
The Ensign Group Inc.Owns 5% or more through other companies100%Jul 18, 2011
Gateway Healthcare LLCOwns 5% or more directly100%Jul 18, 2011
Onshift Inc.Runs it (operational or managerial control)Jul 18, 2011
The Ensign Group Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Jul 18, 2011
Helping Hands Nursing Solution Inc.Runs it (operational or managerial control)Jul 18, 2011
Ensign Services Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2011
Elohim Medical Staffing Agency Inc.Runs it (operational or managerial control)Jul 18, 2011
Ctr Partnership LPAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 18, 2011
Caretrust Gp LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 18, 2011
Caretrust Reit Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Jul 18, 2011
Gazebo Park Health Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 18, 2011
Aerofund Holdings Inc.Runs it (operational or managerial control)Jul 18, 2011

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Iowa average 3.4).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing2 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 27.2 miles, this one had the 3rd most health citations at the latest inspection cycle (8; the middle value was 4.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Clarion Wellness and Rehabilitation Center This nursing home8
Rotary Senior Living9.16
Rehabilitation Center of Belmond11.22
Kanawha Community Home, Inc.15.40
Crestview Nursing and Rehabilitation19.05
Southfield Wellness Community19.124
Humboldt County Memorial Hospital25.24
Westview Care Center26.00
Marian Home26.32
Concord Care Center26.35
Rehabilitation Center of Hampton26.93
Fort Dodge Health and Rehabilitation27.218

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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