Nursing homeActive
Clarksville Skilled Nursing & Rehab Center
115 North Hilton St, Clarksville, IA 50619319278490042 certified beds · 35 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
10
● 1● 8● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-04-09
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-09 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-10 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-04-03 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-04-11 | Standard | 110 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 165495-20260409-F628
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity GHarm
Food & nutrition
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-11Record 165495-20250710-F805
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-11Record 165495-20250710-F580
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 165495-20250403-F641
F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 165495-20250403-F710
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 165495-20250403-F755
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 165495-20250403-F760
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 165495-20250403-F812
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 165495-20240411-F657
F625Notify 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.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-04-22Record 165495-20240411-F625
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.62
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.87
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.30
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover33%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover20%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.9% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.1% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 7.9% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.0% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.8% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 28.6% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Martin, Dean Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | — | — |
| Cramer, Rebecca Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Derfield, Brandi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fagre, Lee Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mayer, Tamela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Myers, Jonathan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pierce, Jordan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sells, Heather Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Amunson, Dale Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Arenholz, Jane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Arenholz, Steven Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Arenholz, Steven Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Backer, Chris Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Blue Stone Therapy Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brighton Consulting Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Carney Alexander Marold & Co LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Bcg LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cedar Valley Nutrition Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ecsi Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fagre, Lee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Finn Enterprises, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iowa Health Care Association Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kolb, Jeffery Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lodge, Susan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mennenga, Calvin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Metz, Janice Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ryka Incorporated Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sells, Heather Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wyatt, Robert Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Butler.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Shell Rock Senior Living Shell Rock | 7.0 mi | 2025-09-04 | 4162 |
| Rehabilitation Center of Allison Allison | 6.7 mi | 2026-05-05 | 0152 |
| AMS Memorial-Greene Greene | 10.1 mi | 2022-02-21 | 000 |
| Woodland Terrace Waverly | 9.9 mi | 2026-06-25 | 391 |
| Chautauqua Guest Home #2 Charles City | 18.5 mi | 2025-09-18 | 011 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |