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Nursing Home in Iowa

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Clearview Home

Nursing Home in Iowa

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Clearview Home

Mount Ayr, IA 508540552 View map
Overview of Clearview Home
Clearview Home is located in Mount Ayr, Iowa, and is committed to providing compassionate and quality care to its residents. The facility offers a range of services including skilled nursing, rehabilitation, and memory care. Clearview Home emphasizes personal choice and strives to create a home-like environment for its residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
3/5
Iowa average: 3.2/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5
Iowa average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
3/5
Iowa average: 3.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 45m per day

This home provides 15% less nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 82

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Iowa average
Occupancy rate 89%
Residents per day (avg) 72
Occupancy rate
89%
Residents per day (avg)
72

Who this home usually serves

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.

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

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$7.4M
Profit
$223.5K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$7,367,327.00
Profit
$223,524.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
40.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
Total costs $6.5M
Bed community size
82-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
89%
In line with Iowa average
Occupied beds
73 / 82
Average residents 51 per day

License details

Facility type
Free Standing Nf/snf
Status Active
Issuance February 15, 1963
County: Ringgold

Additional licensing details

License number: 800132
CMS Certification Number: 165269
Certification type: FALSE
Accreditations: Medicare, Medicaid, VA Certified

Ownership & operating entity

Clearview Home is administrated by Gary Routh.

Care Services

Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs

All Levels of Care

Intermediate Care
Skilled Care
Assisted Living
Memory Care

Contact Information

Fax: 6414642230

Programs & Activities

Specific Programs
Adult Day Care, Respite Care, Barber & Beautician, Hospice, Nutrition Counseling, Pharmacy, Rehabilitation, Restorative Nursing, Skilled Nursing, Specialized Dietary and Mobile Meals, Dementia and Alzheimer's Care Unit, Assisted Living
Volunteer Programs
Yes
Contact Clearview Home

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

17 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date October 23, 2025

15 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Clearview Home

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.

Health Inspection History

Inspections
Total health inspections 3

Iowa average 4.9


Last Health inspection on Sep 2024

Total health citations 8

Iowa average 21.7

Citations per inspection
2.67

Iowa average 4.11


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 3 years)
Critical Health citations More info 1
67% worse than Iowa average

Iowa average: 0.6


Serious Health citations More info 0
100% better than Iowa average

Iowa average: 0.9

1 critical citation More info Iowa average: 0.6

0 serious citations More info Iowa average: 0.9

7 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Sep 12, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. May 02, 2023
Corrected

Abuse/Neglect critical citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. May 02, 2023
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. May 02, 2023
Corrected

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

5 facilities compared · CMS & IA Dept. of Health data · Updated Apr 2026

Filter by care type
Akron Care Center, INC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Akron
45
98.1%
+30%
4.71
+15%
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Carlisle
46
80.5%
+7%
5.85
-40%
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Clearview Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Mount Ayr
82
84.7%
+12%
3.75
-15%
-13%
1
8
2.7
1
72
Routh, Gary
$7.2M
$3.0M
40.8%
165269
Accura Healthcare of Spirit Lake
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spirit Lake
85
66.6%
-12%
4.29
-8%
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lake City
46
70.4%
-7%
5.17
-33%
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082

Places of interest near Clearview Home

Address Mount Ayr, IA 508540552

Address Mount Ayr, IA 508540552

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 92
Employees 67
Contractors 25
Staff to resident ratio 1.31:1
34% worse than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 38
Average shift 7.4 hours
0% compared with Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 25,446
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 53
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

22.9%

5,820 contractor hours this quarter

Certified Nursing Assistant: 12 Administrator: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Speech Language Pathologist: 1 Licensed Practical Nurse: 1 Physical Therapy Aide: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant41125315,72991100%7.6
Registered Nurse9092,22091100%7.5
Licensed Practical Nurse91102,08991100%7.5
Administrator1231,4816571%8.2
Other Dietary Services Staff2021,1957684%8.8
Clinical Nurse Specialist3031,1638290%6.4
Mental Health Service Worker1015326673%8.1
Nurse Practitioner1015096571%7.8
Occupational Therapy Aide0112193134%7
Physical Therapy Aide011854347%2
Speech Language Pathologist011723336%2.2
Respiratory Therapy Technician022712932%2.4
Physical Therapy Assistant022592527%2.3
Occupational Therapy Assistant0111722%8.5
Qualified Social Worker011789%0.9
Medical Director011111%1
53 Certified Nursing Assistant
% of Days 100%
9 Registered Nurse
% of Days 100%
10 Licensed Practical Nurse
% of Days 100%
3 Administrator
% of Days 71%
2 Other Dietary Services Staff
% of Days 84%
3 Clinical Nurse Specialist
% of Days 90%
1 Mental Health Service Worker
% of Days 73%
1 Nurse Practitioner
% of Days 71%
1 Occupational Therapy Aide
% of Days 34%
1 Physical Therapy Aide
% of Days 47%
1 Speech Language Pathologist
% of Days 36%
2 Respiratory Therapy Technician
% of Days 32%
2 Physical Therapy Assistant
% of Days 27%
1 Occupational Therapy Assistant
% of Days 2%
1 Qualified Social Worker
% of Days 9%
1 Medical Director
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
70 residents
Residents by payment source
Medicare
2 residents (2.9%)
Medicaid
38 residents (54.3%)
Private pay or other
30 residents (42.9%)
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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.2
30% better than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.6
18% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 13.1%
30% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.0%
34% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.7%
In line with Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.7%
In line with Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.8%
11% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.0%
21% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.3%
74% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 10.6%
174% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.5%
29% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.7%
9% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 77.8%
6% better than Iowa average

Iowa average: 73.3%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $48K
In line with Iowa average

Iowa average: $48K

Number of fines 1
41% fewer fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $48K
Iowa average $48K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 2, 2023
$48K

Last updated: Jan 2026

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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