Staffing
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 0.71 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
Clarence Nursing Home has 46 certified beds in Clarence, Iowa. The CMS overall rating is 5 of 5, compared with the Iowa average of 3.1. The CMS health inspection rating is 4 of 5, compared with the Iowa average of 2.8. The CMS staffing rating is 5 of 5. The latest standard health survey on Jul 9, 2025 lists 1 deficiencies, compared with the Iowa average of 3.7. Total nurse staffing is 3.58 hours per resident day in 2026Q1, compared with the Iowa average of 3.83.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 165590.
At a glance
CMS research snapshot
CMS overall rating
5 of 5
CMS health inspection rating
4 of 5
CMS staffing rating
5 of 5
CMS quality-measure rating
5 of 5
CMS ownership-change history
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Operators
- CASTER, BRANDIIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CASTER, BRANDIIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CLARENCE NURSING HOME INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CLARENCE NURSING HOME INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
- HALL, KELSEYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HALL, KELSEYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PRUESS, LINSEYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PRUESS, LINSEYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- TJADEN, JASONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- TJADEN, JASONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- YOUNGER, CLETEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- YOUNGER, CLETEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CASTER, BRANDIIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- CASTER, BRANDIIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- CLARENCE NURSING HOME INCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
- CLARENCE NURSING HOME INCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- HALL, KELSEYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- HALL, KELSEYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- PRUESS, LINSEYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- PRUESS, LINSEYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- TJADEN, JASONIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- TJADEN, JASONIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- YOUNGER, CLETEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- YOUNGER, CLETEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Enrollment organizations
- CLARENCE NURSING HOME INCOrganization · CURRENTMedicare-enrolled legal organization
- CLARENCE NURSING HOME INCOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS ownership-change records
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 46
- Ownership descriptor
- For profit - Corporation
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 5634523262Verified public information · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1508849522 · enrollment O20090121000441
- NPI 1508849522 · enrollment O20090121000441
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 98.148148
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 100.000000
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.703704 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.000000
- Percentage of long-stay residents who lose too much weight (Long Stay): 3.472222
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 3.472222
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 7.633588 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 14.191989 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 22.222222 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 1.131194 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.617284 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 29.481263
- Percentage of long-stay residents with pressure ulcers (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 94.505495
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 9
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-07-09 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2025-07-09 · tag 0291 · scope/severity F — Install emergency lighting that can last at least 1 1/2 hours.
- 2024-08-22 · tag 0004 · scope/severity F — Develop and maintain an Emergency Preparedness Program (EP).
- 2024-08-22 · tag 0324 · scope/severity F — Provide properly protected cooking facilities.
- 2024-08-22 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2024-08-22 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
- 2024-01-04 · tag 0039 · scope/severity F — Conduct testing and exercise requirements.
- 2024-01-04 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2024-01-04 · tag 0922 · scope/severity F — Meet requirements for the use and maintenance of medical gas equipment.
- 2024-01-04 · tag 0923 · scope/severity F — Have proper medical gas storage and administration areas.
- 2024-01-04 · tag 0920 · scope/severity D — Ensure proper usage of power strips and extension cords.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Jul 9, 2025 cited 1 deficiencies.
View inspection evidenceOwnership
CMS-published records list 45 ownership or control parties.
View ownership evidenceOwnership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - CorporationCMS
- Related facilities
- 66Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- CMS reports 26 individual ownership interests
Related facilities
66 currently connected nursing homes share this CMS organization identity with BRIGHTON CONSULTING GROUP LLC.
- Average CMS overall rating
- 3.7 stars across 66 reporting facilities
- CMS monetary penalties
- 22 of 66 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 5 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 4 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 36 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $661,255
Ownership
Who CMS records show is connected to this facility
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
- Reported party records
- 45
- Organizations shown
- 19
- Individuals shown
- 26
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
BCG HOLDINGS INC
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
BRIGHTON CONSULTING GROUP LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CATTAIL BCG LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CATTAIL INC
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DS WEBB & COMPANY PC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 11, 2015
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
ECSI INC
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
IOWA HEALTH CARE ASSOCIATION
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MILLENNIUM REHAB & CONSULTING INC
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
TJADEN, JASON
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
YOUNGER, CLETE
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RUSSELL, LARRY
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 17, 2008
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DIRCKS, RUSSELL
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 20, 1999
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LEEPER, WESLEY
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 20, 1999
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RUSSELL, LARRY
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2007
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
STRESEMANN, DENNIS
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 17, 2008
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
TJADEN, JASON
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 17, 2008
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CASTER, BRANDI
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CLARENCE NURSING HOME INC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 17, 2008
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
HALL, KELSEY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 13, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PRUESS, LINSEY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 5, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
TJADEN, JASON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 17, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
YOUNGER, CLETE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
BCG HOLDINGS INC
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
Other facilities connected through this exact CMS organization identity: 47 across IA, MO.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
BRIGHTON CONSULTING GROUP LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 66 across IA, MO.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CATTAIL BCG LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
Other facilities connected through this exact CMS organization identity: 43 across IA, MO.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CATTAIL INC
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
Other facilities connected through this exact CMS organization identity: 46 across IA, MO.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DS WEBB & COMPANY PC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 11, 2015
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
ECSI INC
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
Other facilities connected through this exact CMS organization identity: 45 across IA, MO.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
IOWA HEALTH CARE ASSOCIATION
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
Other facilities connected through this exact CMS organization identity: 46 across IA, MO.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MILLENNIUM REHAB & CONSULTING INC
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 17 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
TJADEN, JASON
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
YOUNGER, CLETE
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RUSSELL, LARRY
Individual · CORPORATE DIRECTOR
Published ownership percentage: 25%
Association date reported to CMS: Nov 17, 2008
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DIRCKS, RUSSELL
Individual · CORPORATE OFFICER
Published ownership percentage: 25%
Association date reported to CMS: Sep 20, 1999
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LEEPER, WESLEY
Individual · CORPORATE OFFICER
Published ownership percentage: 25%
Association date reported to CMS: Sep 20, 1999
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RUSSELL, LARRY
Individual · CORPORATE OFFICER
Published ownership percentage: 25%
Association date reported to CMS: Jan 1, 2007
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
STRESEMANN, DENNIS
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 17, 2008
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
TJADEN, JASON
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 17, 2008
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CASTER, BRANDI
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CLARENCE NURSING HOME INC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 100%
Association date reported to CMS: Nov 17, 2008
Other facilities connected through this exact CMS organization identity: 1 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HALL, KELSEY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 13, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PRUESS, LINSEY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 5, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
TJADEN, JASON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 17, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
YOUNGER, CLETE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CLARENCE NURSING HOME INC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 1 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS records connect BCG HOLDINGS INC to 48 facilities. Which policies and staffing decisions are managed centrally versus locally?
Inspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Jul 9, 2025
- Survey type
- Fire Safety Standard
- Linked findings
- 0
- Highest linked CMS classification
- No linked health-deficiency finding in the loaded record
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165590
- Source record locator
- csv-row:47756:ccn:165590
Jul 9, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jul 9, 2025 — Health Standard — 1 linked finding
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 30, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165590
- Source record locator
- csv-row:126927:ccn:165590
Aug 22, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Aug 22, 2024 — Health Standard — 2 linked findings
F0868 — Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 13, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165590
- Source record locator
- csv-row:126928:ccn:165590
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 13, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165590
- Source record locator
- csv-row:126929:ccn:165590
Jan 4, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jan 4, 2024 — Health Standard — 4 linked findings
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165590
- Source record locator
- csv-row:126931:ccn:165590
F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165590
- Source record locator
- csv-row:126932:ccn:165590
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165590
- Source record locator
- csv-row:126933:ccn:165590
F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165590
- Source record locator
- csv-row:126930:ccn:165590
Tags appearing across inspections
- F0641 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Questions generated from the evidence above
- CMS records show F0641 in 2 inspections in the available record. What changes has the facility made to address this issue?
Facility history
Facility History
5 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- RN staffing increasedRN staffing increased from 0.58 to 0.71 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
- Health inspection completed1 deficiency was recorded.
2026
- RN staffing increased
RN staffing increased from 0.58 to 0.71 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.58 → 0.71
CMS · Reported in a source release · View related evidence
- Total nurse staffing increased
Total nurse staffing increased from 3.29 to 3.58 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
3.29 → 3.58
CMS · Reported in a source release · View related evidence
2025
- Health inspection completed
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 5 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
- Total nursing
- 3.582 reported hours per resident day
- RN categories
- 0.707 reported hours per resident day
- LPN/LVN categories
- 0.333 reported hours per resident day
- CNA
- 2.463 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.725 | 3.228 |
| RN categories | 0.714 | 0.691 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.130 higher than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.316 | 0.582 | 0.319 | 2.33 | 0% | 91 |
| 2025Q3 | 3.343 | 0.543 | 0.355 | 2.353 | 0% | 92 |
| 2025Q4 | 3.291 | 0.578 | 0.345 | 2.277 | 0% | 92 |
| 2026Q1 | 3.582 | 0.707 | 0.333 | 2.463 | 0% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 5-star overall rating.
- CMS reports a 4-star health inspection rating.
- CMS reports a 5-star staffing rating.
- CMS reports a 5-star quality-measure rating.
Trust participation
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See where this record came from
Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
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