Nursing home · SNF / NF

Clarion Wellness and Rehabilitation Center

Federal · CMSActive CMS certificationCCN 165362For profit CMS overall

110 13th Avenue SW, Clarion, IA 50525 · Operated by Central Avenue Healthcare, Inc · Chain The Ensign Group

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

Avg residents / day

Inspections

Citations

Harm-level

Fines

$24k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 76 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 63.5 CMS, MDS-derived
CMS Certification Number: 165362
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 17, 1997
Ownership type: For profit - Corporation
Operator (legal business name): Central Avenue Healthcare, Inc
CMS chain: The Ensign Group 347 facilities
Phone: (515) 532-2893
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Nov 25, 2025

Citations

37 health · 16 fire

Harm or worse

4 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K2	L·
Actual harm	G·	H·	I·
Potential harm	D30	E10	F9
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$24,174

Payment denials

Latest

Oct 17, 2024

Date	Domain	Survey types	Citations	Most severe	Open
Nov 25, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Aug 28, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Aug 28, 2025	Health	Health Standard	7	Potential harm	—	Open →
Jul 9, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Feb 11, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Oct 17, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Oct 17, 2024	Health	Health Complaint, Health Standard	9	Immediate jeopardy	—	Open →
Jul 20, 2023	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Jul 20, 2023	Health	Health Standard	17	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Oct 17, 2024	Civil money penalty (fine)	$24,174	—	165362\|Fine\|79501

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K2	L·
Actual harm	G·	H·	I·
Potential harm	D30	E10	F9
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Nov 25, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 24, 2025	Complaint
Aug 28, 2025	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 16, 2025
Aug 28, 2025	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 16, 2025
Aug 28, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 19, 2025
Aug 28, 2025	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 30, 2025
Aug 28, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 22, 2025
Aug 28, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 22, 2025
Aug 28, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 22, 2025
Aug 28, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 22, 2025
Aug 28, 2025	F-0865	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Sep 22, 2025
Aug 28, 2025	F-0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Sep 22, 2025
Aug 28, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 22, 2025
Jul 9, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 18, 2025	Complaint
Jul 9, 2025	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jul 18, 2025	Complaint
Feb 11, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 14, 2025	Complaint
Oct 17, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Nov 4, 2024
Oct 17, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Corrected Nov 4, 2024
Oct 17, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Corrected Nov 4, 2024
Oct 17, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	J · Immediate jeopardy Isolated	Corrected Nov 4, 2024	Complaint
Oct 17, 2024	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Nov 4, 2024
Oct 17, 2024	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 4, 2024
Oct 17, 2024	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 25, 2024
Oct 17, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 24, 2024
Oct 17, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 21, 2024
Oct 17, 2024	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 4, 2024
Oct 17, 2024	F-0803	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Nov 4, 2024
Oct 17, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Nov 4, 2024
Oct 17, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Nov 4, 2024
Oct 17, 2024	F-0943	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Nov 4, 2024
Jul 20, 2023	E-0013	Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 26, 2023
Jul 20, 2023	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 20, 2023
Jul 20, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 21, 2023
Jul 20, 2023	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 27, 2023
Jul 20, 2023	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 26, 2023
Jul 20, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 26, 2023
Jul 20, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 27, 2023
Jul 20, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0567	Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 16, 2023
Jul 20, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0657	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 · Clinical care	E · Potential harm Pattern	Corrected Aug 16, 2023
Jul 20, 2023	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Aug 16, 2023
Jul 20, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 16, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Central Avenue Healthcare, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

Organizations

Individuals

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Barry Port	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Aug 28, 2025
Soon Burnam	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 18, 2011
Spencer Cozzens	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 30, 2015
Dustin Smith	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 8, 2020
Aerofund Holdings Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 18, 2011
Elohim Medical Staffing Agency Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 18, 2011
Helping Hands Nursing Solution Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 18, 2011
Onshift Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 18, 2011
Spencer Cozzens	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 30, 2015
Dustin Smith	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 8, 2020
David Jorgensen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 9, 2024
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 18, 2011
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Debra Koenig	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 9, 2024
Ami Sato	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 9, 2024
Caretrust Gp LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 18, 2011
Caretrust Reit Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 18, 2011
Ctr Partnership LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 18, 2011
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2011
Gazebo Park Health Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 18, 2011
The Ensign Group Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 18, 2011
Spencer Cozzens	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 11, 2025
Dustin Smith	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 12, 2025

Same chain in Iowa

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Fort Dodge Health and Rehabilitation 728 14th Avenue North, Fort Dodge, IA 50501 CCN 165156	65	Feb 26, 2026	631 IJ5 harm	$166k
Greater Southside Health and Rehabilitation 5608 SW 9th Street, Des Moines, IA 50315 CCN 165175SFF CandidateAbuse icon	80	Jul 22, 2026	925 IJ3 harm13 open	$223k
Hillcrest Health Care Center 2121 Avenue L, Hawarden, IA 51023 CCN 165245Abuse icon	64	May 6, 2026	962 IJ1 harm	$94k
Rehabilitation Center of Des Moines 701 Riverview, Des Moines, IA 50316 CCN 165268	74	Aug 27, 2026	531 harm2 open	—
Careage Hills Rehabilitation and Healthcare 725 North Second Street, Cherokee, IA 51012 CCN 165428	44	Mar 5, 2026	202 harm	—
West Bend Health and Rehabilitation 203 Fourth Street NW, West Bend, IA 50597 CCN 165444	45	Jun 25, 2026	26	—
Spencer Post Acute Rehabilitation Center 711 West 11th Street, Spencer, IA 51301 CCN 165449	82	Jun 4, 2026	812 IJ1 harm	$25k
Woodland Health and Rehabilitation 701 East Mapleleaf Drive, Mount Pleasant, IA 52641 CCN 165478	62	Apr 22, 2026	181 IJ	$11k

Coordinates as published by CMS.

Address: 110 13th Avenue SW, Clarion, IA 50525
ZIP: 50525
County: Wright County FIPS 19197
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Rotary Senior Living 500 South Blaine Avenue, Eagle Grove, IA 50533 CCN 165500	14.7 km	46		Jul 23, 2026	211 IJ1 harm	$65k
Rehabilitation Center of Belmond 1107 Seventh Street NE, Belmond, IA 50421 CCN 165380	18.1 km	44		Apr 23, 2026	14	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165362	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165362	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165362

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Clarion Wellness and Rehabilitation Center

Federal certification

State license

Penalties

All disclosed roles

Same chain in Iowa

Nearby nursing homes

Clarion Wellness and Rehabilitation Center

Federal certification

State license

Penalties

All disclosed roles

Same chain in Iowa

Nearby nursing homes